MRS. SHAWNA VI PETERSILIE (NPI# 1194282509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194282509 |
| Entity Type | Individual |
| Full Name | MRS. SHAWNA VI PETERSILIE |
| Credential | COTA |
| Practice Address |
2700 Canal Blvd Hays KS 67601-1702 |
| Mailing Address |
566 W 6th St Hoisington KS 67544-2021 |
| Practice Telephone | 7856257331 |
| Mailing Telephone | 6207861979 |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-02-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 18-00496 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 566 W 6th St, Hoisington, KS 675442021 | 6207861979 | |
| 1401 Cherry Ln, Great Bend, KS 675303152 | 6207922165 |
| Street Address |
2700 CANAL BLVD |
| City | HAYS |
| State | KS |
| Zip Code | 67601-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770573214 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 2700 Canal Blvd, Hays, KS 67601-1702 | 2005-10-26 |
| 1356980528 | Macy Lee Mattheyer | Occupational Therapy Assistant | 2700 Canal Blvd, Hays, KS 67601-1702 | 2020-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093364218 | Kim Jacobs | Dietitian, Registered | 2020 Canterbury Drive, Hays, KS 67601 | 2019-09-10 |
| 1326696857 | David Shawn Lawson | Day Training/Habilitation Specialist | 2412 Centennial Blvd, Hays, KS 67601 | 2019-08-28 |
| 1700366085 | Teresea L Bennett | Counselor | 2501 E 13th, Building 3 Suite 10, Hays, KS 67601 | 2018-08-16 |
| 1174050785 | Meredith Lee Lewallen | Nurse Practitioner | 600 Park St # Ll045mu, Hays, KS 67601 | 2017-05-12 |
| 1447667175 | Dustin Smith | Pharmacist | 517 W 27th St., Hays, KS 67601 | 2014-07-15 |
| 1174968119 | The Evangelical Lutheran Good Samaritan Society | Clinic/Center | 220 E 8th St, Hays, KS 67601 | 2013-05-03 |
| 1417244401 | Charles Brandten Brooks | Dentist | 105 West 13th, Hays, KS 67601 | 2011-06-29 |
| 1750686697 | Jeffrey Hughwayne Lowe | Dentist | 2701 Sternberg Drive, Hays, KS 67601 | 2011-01-25 |
| 1659685758 | Cornerstone Orthodontics | Clinic/Center | 2707 Vine St., Suite 5, Hays, KS 67601 | 2010-07-30 |
| 1063748515 | Physical Therapy & Spine Rehab, LLC | Physical Therapist | 1220 E 27th St, Hays, KS 67601 | 2009-10-19 |
| Find all providers in zip 67601 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790314094 | Courtney Arianne Bartling | Occupational Therapy Assistant | 2225 Canterbury Dr, Hays, KS 67601-2300 | 2020-04-07 |
| 1356980528 | Macy Lee Mattheyer | Occupational Therapy Assistant | 2700 Canal Blvd, Hays, KS 67601-1702 | 2020-01-05 |
| 1740744119 | Lashelle M Schroter | Occupational Therapy Assistant | 2225 Canterbury Dr, Hays, KS 67601-2300 | 2019-01-30 |
| 1992013841 | Lori Ann Mitchell | Occupational Therapy Assistant | 2401 Canterbury Dr, Hays, KS 67601-2345 | 2010-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043829716 | Carrie Nicole Henne | Occupational Therapy Assistant | 814 N Pine St, Olathe, KS 66061-2532 | 2020-07-28 |
| 1306467568 | Abigail Beaty | Occupational Therapy Assistant | 6104 Foster St Apt 106, Overland Park, KS 66202-3123 | 2020-04-29 |
| 1457989956 | Karmen J Stecklein | Occupational Therapy Assistant | 649 E 2nd St, Russell, KS 67665-2228 | 2020-03-30 |
| 1598398844 | Theresa Eileen Love | Occupational Therapy Assistant | 1606 Tanglewood Rd, Rose Hill, KS 67133-9223 | 2020-02-14 |
| 1164068953 | Joellia Thomas | Occupational Therapy Assistant | 101 Pershing St., Fort Dodge, KS 67843 | 2019-11-27 |
| 1992341952 | Annette Dannielle Reyes | Occupational Therapy Assistant | 1220 Ww II Memorial Dr, Winfield, KS 67156 | 2019-11-25 |
| 1487203626 | Carly Rae Stinnett | Occupational Therapy Assistant | 11 Sunflower Ln, Iola, KS 66749-9038 | 2019-09-10 |
| 1649839812 | Kelsi Field | Occupational Therapy Assistant | 1133 College Ave # 230, Manhattan, KS 66502-2770 | 2019-06-11 |
| 1982262077 | Mona M Coffman | Occupational Therapy Assistant | 710 N Oak St, Ottawa, KS 66067-1823 | 2019-06-03 |
| 1992363691 | Johanna Tsubaki | Occupational Therapy Assistant | 2317 W 25th St N, Wichita, KS 67204-5457 | 2019-05-29 |
| Find all providers with the same taxonomy | ||||
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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.