ELLEN R. HAYNES (NPI# 1194195297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194195297 |
| Entity Type | Individual |
| Full Name | ELLEN R. HAYNES |
| Other Name | ELLEN R. HEIEN |
| Credential | OTR |
| Practice Address |
3020 S 6th St Springfield IL 62703-5915 |
| Mailing Address |
1025 S 6th St Springfield IL 62703-2403 |
| Practice Telephone | 2175287541 |
| Mailing Telephone | 2175287541 |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2020-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 056009632 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3020 S 6TH ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62703-5915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942236773 | Judy M. Limper | Physical Therapist | 3020 S 6th St, Springfield, IL 62703-5915 | 2006-06-23 |
| 1255987418 | Clint T. Sestak | Physical Therapist | 3020 S 6th St, Springfield, IL 62703-5915 | 2019-08-14 |
| 1700432887 | Kelsey J Giannuzzi | Physical Therapist | 3020 S 6th St, Springfield, IL 62703-5915 | 2019-08-14 |
| 1245882729 | Kenzie Keefer | Physical Therapy Assistant | 3020 S 6th St, Springfield, IL 62703-5915 | 2019-07-15 |
| 1609431873 | Jami Jo Mazurek | Physical Therapy Assistant | 3020 S 6th St, Springfield, IL 62703-5915 | 2019-05-03 |
| 1174188346 | Diane Dodd | Physical Therapy Assistant | 3020 S 6th St, Springfield, IL 62703-5915 | 2019-05-03 |
| 1841855194 | Susan Martyn | Physical Therapy Assistant | 3020 S 6th St, Springfield, IL 62703-5915 | 2019-05-02 |
| 1831663186 | Linda S. Hattemer | Physical Therapist | 3020 S 6th St, Springfield, IL 62703-5915 | 2019-01-18 |
| 1427594167 | Jordan M. Nelson | Physical Therapist | 3020 S 6th St, Springfield, IL 62703-5915 | 2017-01-18 |
| 1033668959 | Christi A. Sabatka | Physical Therapist | 3020 S 6th St, Springfield, IL 62703-5915 | 2016-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790260917 | Jessica Lynne Zeeck | Behavior Technician | 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 | 2018-10-03 |
| 1215415799 | Bree Schmulbach | Nurse Practitioner | Bsb Room 20, Springfield, IL 62703 | 2018-08-06 |
| 1144712100 | Fresenius Medical Care Springfield East, LLC | Clinic/Center | 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 | 2018-06-05 |
| 1558889170 | Ji Woung Choi | Dentist | 687 E Linton Ave., Springfield, IL 62703 | 2017-09-04 |
| 1477006161 | Encompass Home Health of The Midwest,llc | Home Health | 2970 Baker Dr, Springfield, IL 62703 | 2016-07-28 |
| 1851706824 | Terah Louise Holland | Obstetrics & Gynecology | 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 | 2014-06-27 |
| 1578993101 | Corey Moore | Behavioral Analyst | 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 | 2013-11-18 |
| 1134463052 | The Center for Youth and Family Solutions Inc. | Voluntary or Charitable | 614 North Sixth Street, Springfield, IL 62703 | 2012-11-15 |
| 1447519111 | Tenshi Furumi | Specialist/Technologist | One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 | 2012-05-15 |
| 1447558390 | Shalini Mulkanoor | Family Medicine | 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 | 2011-03-02 |
| Find all providers in zip 62703 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779507 | Rachel Sparks | Occupational Therapist | 4170 Allium Ct, Springfield, OH 45505-1664 | 2020-10-29 |
| 1598382434 | Laurie Mayeaux Simon | Occupational Therapist | 25190 Blood River Rd, Springfield, LA 70462 | 2020-06-26 |
| 1841810512 | Kathleen Dawn Nicholson-schahl | Occupational Therapist | 920 Estill Dr, Springfield, IL 62707-8561 | 2020-04-22 |
| 1700405560 | Zach Zepf | Occupational Therapist | 7222 Arley Pl, Springfield, VA 22153-1516 | 2020-04-13 |
| 1568005486 | Merilea Valenzuela | Occupational Therapist | 1333 1st St, Springfield, OR 97477-3002 | 2019-10-23 |
| 1477100303 | Jamie Barlow | Occupational Therapist | 1420 S Catalina Ave, Springfield, MO 65804-1906 | 2019-08-26 |
| 1609420975 | Danielle Taylor Cassista | Occupational Therapist | 47 Teakwood Rd, Springfield, MA 01128-1056 | 2019-07-25 |
| 1083192165 | Advanced Healthcare Services, LLC | Occupational Therapist | 3900 Pintail Dr Ste A, Springfield, IL 62711-7380 | 2018-08-01 |
| 1902394901 | Hillary Haaker | Occupational Therapist | 2035 W Iles, Suite C, Springfield, ID 62704 | 2018-04-25 |
| 1215439682 | Allyssa Blount | Occupational Therapist | 1545 E Primrose St, Springfield, MO 65804-7927 | 2018-03-01 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62703 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.