COURTNEY BRASELTON (NPI# 1215474358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215474358 |
| Entity Type | Individual |
| Full Name | COURTNEY BRASELTON |
| Practice Address |
1045 W Stephenson St Freeport IL 61032-4864 |
| Mailing Address |
421 W Exchange St Po Box 268 Freeport IL 61032-4008 |
| Practice Telephone | 8155996085 |
| Practice Fax Number | 8155996384 |
| Mailing Telephone | 8155997950 |
| Mailing Fax Number | 8155997974 |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 056011511 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1045 W STEPHENSON ST |
| City | FREEPORT |
| State | IL |
| Zip Code | 61032-4864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528030202 | Beth A Kalnins | Family Medicine | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2006-02-06 |
| 1699381723 | Ryan Michael Kerr | Dietitian, Registered | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2020-09-23 |
| 1821619701 | Angela La Dow | Nurse Practitioner | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2020-05-01 |
| 1396385126 | Dawn M Zielke | Dietitian, Registered | 1045 W Stephenson St, Freeport, IL 61032-4899 | 2020-01-09 |
| 1013404151 | Linda Marie Kolka | Emergency Medicine | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2018-04-14 |
| 1093225377 | Josie Orr | Registered Nurse | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2017-10-02 |
| 1346769171 | Sarah E Marsh | Nurse Practitioner | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2017-09-13 |
| 1356880264 | Elizabeth Smith | Speech-Language Pathologist | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2017-02-13 |
| 1891140448 | Shevawn Svehla | Social Worker | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2016-05-02 |
| 1811383573 | Irena Markovic | Family Medicine | 1045 W Stephenson St, Freeport, IL 61032 | 2015-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517713 | Saad Awan | Pharmacist | 2545 Illinois 26 S, Freeport, IL 61032 | 2020-10-30 |
| 1891354460 | Freeport Chiropractic LLC | Chiropractor | 2 W Stephenson St, Freeport, IL 61032 | 2019-06-07 |
| 1487168373 | Lindsey Rae Harris-baker | Speech-Language Pathologist | 1802 W Laurel St, Freeport, IL 61032 | 2017-11-30 |
| 1861871246 | Pearl Pavilion LLC | Skilled Nursing Facility | 910 Kiwanis Drive, Freeport, IL 61032 | 2015-05-19 |
| 1245584598 | Mary E Brown | Massage Therapist | 815 W. Pleasant Street, Freeport, IL 61032 | 2012-11-07 |
| 1700135803 | April Braband | Specialist | 421 Exchange, Freeport, IL 61032 | 2012-09-05 |
| 1518198662 | Quad City Prosthetic Inc | Prosthetic/Orthotic Supplier | 1013 W Loras Dr, Suite A, Freeport, IL 61032 | 2009-08-06 |
| 1447486501 | Gary Alan Besley | Dentist | 1450 S. West Ave., Freeport, IL 61032 | 2009-06-03 |
| 1023244290 | Allies In Health Sc | Chiropractor | 418 W Meadows Dr., Freeport, IL 61032 | 2009-06-02 |
| 1912146614 | Kayla Nicole Rodebaugh | Specialist/Technologist | 1010 Fairway Drive, Freeport, IL 61032 | 2009-02-19 |
| Find all providers in zip 61032 | ||||
| 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 |
|---|---|---|---|---|
| 1194280313 | Kelsey Elizabeth Curry | Occupational Therapist | 3515 S Baileyville Rd, Freeport, IL 61032-9731 | 2019-02-01 |
| 1689157729 | Tim Spaulding | Occupational Therapist | Hawthorne House, 6 Old County Rd, Freeport, ME 04032 | 2018-09-14 |
| 1346720166 | Flexion Occupational & Physical Therapy Pllc | Occupational Therapist | 28 Elinor Pl, Freeport, NY 11520-5224 | 2018-08-21 |
| 1396270724 | Sheena Petrillo | Occupational Therapist | 8 Upper Mast Landing Rd, Freeport, ME 04032-6417 | 2017-04-24 |
| 1558725283 | Corey Lee Luksch | Occupational Therapist | 37 Polk St, Freeport, NY 11520-6223 | 2016-04-08 |
| 1467703918 | Gretchen Yeoman | Occupational Therapist | 1517 W Logan St, Freeport, IL 61032-4635 | 2012-09-24 |
| 1942593280 | Mary Gennett | Occupational Therapist | 44 Westend Ave, Freeport, NY 11520-5234 | 2011-05-19 |
| 1629376223 | Jacqueline Veronica Sanchez | Occupational Therapist | 165 Porterfield Pl, Freeport, NY 11520-3142 | 2011-03-05 |
| 1114230877 | Shena Brown | Occupational Therapist | 273 Pennsylvania Ave, Freeport, NY 11520-1328 | 2010-07-22 |
| 1578887832 | Mechelle Carter-lovell | Occupational Therapist | 29 Willow Ave, Freeport, NY 11520-2520 | 2010-03-16 |
| Find all providers in FREEPORT | ||||
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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.