TIFFANY MCKIBBEN (NPI# 1215419841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215419841 |
| Entity Type | Individual |
| Full Name | TIFFANY MCKIBBEN |
| Credential | COTA |
| Practice Address |
555 Bourne Ave Somerset KY 42501-1915 |
| Mailing Address |
195 Meadowcrest Dr Somerset KY 42503-6244 |
| Practice Telephone | 6066797421 |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 135357 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
555 BOURNE AVE |
| City | SOMERSET |
| State | KY |
| Zip Code | 42501-1915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033145529 | Hanging Rock Ltc, LLC | Skilled Nursing Facility | 555 Bourne Ave, Somerset, KY 42501-1915 | 2006-06-25 |
| 1114527975 | Alicia Garland | Occupational Therapist | 555 Bourne Ave, Somerset, KY 42501-1915 | 2020-10-29 |
| 1295391019 | Arissa Elise Mckee | Speech-Language Pathologist | 555 Bourne Ave, Somerset, KY 42501-1915 | 2019-05-16 |
| 1659807220 | Lindsey Renee Bowling | Speech-Language Pathologist | 555 Bourne Ave, Somerset, KY 42501-1915 | 2017-05-02 |
| 1528222643 | Lauren Kaye Lloyd | Physical Therapy Assistant | 555 Bourne Ave, Somerset, KY 42501-1915 | 2008-07-17 |
| 1861656985 | Deangela Dawn Stigall | Speech-Language Pathologist | 555 Bourne Ave, Somerset, KY 42501-1915 | 2008-07-17 |
| 1366601551 | Michelle Dockery | Physical Therapy Assistant | 555 Bourne Ave, Somerset, KY 42501-1915 | 2008-06-03 |
| 1144489378 | Leslie Anne Preston | Occupational Therapist | 555 Bourne Ave, Somerset, KY 42501-1915 | 2008-06-03 |
| 1932368172 | Dina C. Lay | Physical Therapist | 555 Bourne Ave, Somerset, KY 42501-1915 | 2008-06-03 |
| 1508025784 | Margaret L Cash | Occupational Therapist | 555 Bourne Ave, Somerset, KY 42501-1915 | 2008-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336703149 | Allison N. Simpson | Psychologist | 2411 South Highway 27, Somerset, KY 42501 | 2019-04-26 |
| 1043790983 | Lakeside Primary Care, Psc | Nurse Practitioner | 6470 S Hwy 27, Somerset, KY 42501 | 2018-08-20 |
| 1649763046 | Amber R Messamore | Nurse Practitioner | 200 Belmont Avenue, Somerset, KY 42501 | 2018-06-11 |
| 1174052534 | Gina Marie West | Case Manager/Care Coordinator | 100 Hardin Lane Suite 3, Somerset, KY 42501 | 2017-06-08 |
| 1790216935 | Jackie Bruecken | Hearing Instrument Specialist | 3311 S. Highway 27, Somerset, KY 42501 | 2017-03-21 |
| 1609326404 | Adam Michael Prather | Physical Therapist | 2835 South Highway Us 27, Suite 286b, Somerset, KY 42501 | 2016-10-05 |
| 1568910909 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 90 Stonegate Ctr, Somerset, KY 42501 | 2016-09-14 |
| 1336591510 | Lake Cumberland Community Action Agency, Inc. | Respite Care | 255 S. Maple Street, Somerset, KY 42501 | 2016-07-12 |
| 1508214677 | Aaron Atwood | Counselor | 3810 S Highway 27 Ste 4, Somerset, KY 42501 | 2016-05-31 |
| 1598136897 | Elizabeth Miller | Occupational Therapist | 303 Second Street, Somerset, KY 42501 | 2015-10-13 |
| Find all providers in zip 42501 | ||||
| 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 |
|---|---|---|---|---|
| 1134630775 | James M Theriault | Occupational Therapy Assistant | 279 Vermont Ave, Somerset, MA 02726 | 2017-10-23 |
| 1699226852 | Alyssa Decosta | Occupational Therapy Assistant | 977 Lees River Ave Apt 1, Somerset, MA 02726-1340 | 2016-10-21 |
| 1528307634 | Mark Edgar Guillemette | Occupational Therapy Assistant | 626 Eastview Ave, Somerset, MA 02726-3809 | 2013-02-08 |
| 1912243254 | Erin Russell | Occupational Therapy Assistant | 8205 State Route 13 Ne, Somerset, OH 43783-9777 | 2012-12-13 |
| 1508101502 | Courtney M Dunn | Occupational Therapy Assistant | 46 Haute Dr, Somerset, MA 02726-3339 | 2012-12-01 |
| 1750531703 | Kerry Akins | Occupational Therapy Assistant | 238 Hidden Loop Dr, Somerset, KY 42503-9607 | 2008-09-26 |
| 1912106345 | Rosemarie M Adler | Occupational Therapy Assistant | 221 Buckingham Way, Somerset, NJ 08873-4930 | 2007-07-16 |
| 1770640104 | Maria Clair Kershaw | Occupational Therapy Assistant | 235 Country Dr, Somerset, MA 02726-4015 | 2007-01-03 |
| 1366042400 | Lesley Ann Harvey | Occupational Therapy Assistant | 503 High St, Somerset, MA 02726-5813 | 2020-10-28 |
| 1184183584 | Jannah Joele Slade | Occupational Therapy Assistant | 495 W Patriot St, Somerset, PA 15501-1503 | 2019-03-15 |
| Find all providers in SOMERSET | ||||
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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.