MELINDA ROSE FAGAN (NPI# 1225172570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225172570 |
| Entity Type | Individual |
| Full Name | MELINDA ROSE FAGAN |
| Credential | M.S. |
| Practice Address |
1301 W Cossitt Ave La Grange IL 60525-2145 |
| Practice Telephone | 7083545730 |
| Mailing Telephone | 7083545730 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2019-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 056006170 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1301 W COSSITT AVE |
| City | LA GRANGE |
| State | IL |
| Zip Code | 60525-2145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596851 | Kathleen Stuart | Psychologist | 1301 W Cossitt Ave, La Grange, IL 60525-2145 | 2020-10-21 |
| 1104423409 | Deanne Marie Gustafson | Psychologist | 1301 W Cossitt Ave, La Grange, IL 60525-2145 | 2020-10-08 |
| 1770112252 | Laura Catherine Woods | Speech-Language Pathologist | 1301 W Cossitt Ave, La Grange, IL 60525-2145 | 2020-04-06 |
| 1659908457 | Shannon E Lyons | Speech-Language Pathologist | 1301 W Cossitt Ave, La Grange, IL 60525-2145 | 2020-03-24 |
| 1861972283 | Kelly Rathbun-hunt | Speech-Language Pathologist | 1301 W Cossitt Ave, La Grange, IL 60525-2145 | 2018-08-15 |
| 1184130551 | Rachel Messmore | Speech-Language Pathologist | 1301 W Cossitt Ave, La Grange, IL 60525-2145 | 2017-12-21 |
| 1568978211 | Suzanne M Walsh | Speech-Language Pathologist | 1301 W Cossitt Ave, La Grange, IL 60525-2145 | 2017-12-18 |
| 1982118147 | Andrea Michele Trowbridge | Speech-Language Pathologist | 1301 W Cossitt Ave, La Grange, IL 60525-2145 | 2017-11-27 |
| 1851803761 | Meggan Mcmanama | Speech-Language Pathologist | 1301 W Cossitt Ave, La Grange, IL 60525-2145 | 2017-11-01 |
| 1356853790 | Lindsay Schwarz | Speech-Language Pathologist | 1301 W Cossitt Ave, La Grange, IL 60525-2145 | 2017-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063923837 | Cheryl Buhrke | Speech-Language Pathologist | 1301 W. Cossitt Ave., La Grange, IL 60525 | 2017-10-19 |
| 1881113462 | Karen Aluise | Speech-Language Pathologist | 6818 Joliet Rd. #2, Indian Head Park, IL 60525 | 2017-09-14 |
| 1689126997 | Adriana Digianfilippo | Occupational Therapist | 18 N. Catherine, Lagrange, IL 60525 | 2016-11-03 |
| 1679953582 | Paulina Pinzon | Counselor | 6548 Laurel Avenue, Indian Head Park, IL 60525 | 2015-06-05 |
| 1639446925 | Aarti Parikh | Pharmacist | 6600 S. Willow Springs Rd, Indian Head Park, IL 60525 | 2011-11-30 |
| 1831476795 | Jessica E Feller | Physician Assistant | 6555 South Willow Springs Road, Suite 6, Countryside, IL 60525 | 2011-11-07 |
| 1477833218 | Robyn Lee Frendling | Behavioral Analyst | 9649 W. 55th St, Countryside, IL 60525 | 2011-08-25 |
| 1457630543 | Kerri E Kabela | Physical Therapist | 705 W. Plainfield Rd, Suite 1, Countryside, IL 60525 | 2011-08-08 |
| 1275826984 | G&u Orthopedic, LLC | Durable Medical Equipment & Medical Supplies | 106 W. Calendar Ave., 127, La Grange, IL 60525 | 2011-05-27 |
| 1952609752 | Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | 705 W. Plainfield Road, Suite 1, Countryside, IL 60525 | 2011-03-03 |
| Find all providers in zip 60525 | ||||
| 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 |
|---|---|---|---|---|
| 1073985974 | Cynthia K Donner | Occupational Therapist | 1204 Cedar Springs Pkwy, La Grange, KY 40031-8037 | 2015-10-30 |
| 1164810982 | Stcy Grieshaber | Occupational Therapist | 1031 Shore Line Dr, La Grange, KY 40031-1385 | 2014-12-31 |
| 1467840348 | Veronica Olivares-garza | Occupational Therapist | 260 West Live Oak St, La Grange, TX 78945 | 2014-12-31 |
| 1598076655 | Stephanie Morse | Occupational Therapist | 229 S Brainard Ave, La Grange, IL 60525-2116 | 2010-06-23 |
| 1609481407 | Alison Miles | Occupational Therapist | 4603 Timberwalk Ct, La Grange, KY 40031-6746 | 2020-09-09 |
| 1841823044 | Carissa Carpenter | Occupational Therapist | 4603 Timberwalk Ct, La Grange, KY 40031-6746 | 2020-02-15 |
| 1831734540 | Jingfang Dong | Occupational Therapist | 339 9th Ave, La Grange, IL 60525-6429 | 2019-11-18 |
| 1174166490 | Morgan Profitt | Occupational Therapist | 4603 Timberwalk Ct, La Grange, KY 40031-6746 | 2019-10-18 |
| 1770125429 | Hannah Daep | Occupational Therapist | 4603 Timberwalk Ct, La Grange, KY 40031-6746 | 2019-10-15 |
| 1609331958 | Jamie Martin | Occupational Therapist | 18 N Catherine Ave, La Grange, IL 60525-5930 | 2019-01-31 |
| Find all providers in LA GRANGE | ||||
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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.