MRS. KELLI DOUGLAS (NPI# 1225442965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225442965 |
| Entity Type | Individual |
| Full Name | MRS. KELLI DOUGLAS |
| Credential | OTR/L |
| Practice Address |
1864 High Grove Ln Naperville IL 60540-9233 |
| Mailing Address |
6021 Stewart Dr Apt 513 Willowbrook IL 60527-3145 |
| Practice Telephone | 7084781820 |
| Mailing Telephone | 7737064012 |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2017-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 39 Stirling Ln, Willowbrook, IL 605273178 | 9739794884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003297680 | Kelli Douglas | Speech-Language Pathologist | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2015-06-09 |
| Street Address |
1864 HIGH GROVE LN |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60540-9233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225385636 | Samantha Erin Lockhart | Speech-Language Pathologist | 1864 High Grove Ln, #122, Naperville, IL 60540 | 2012-08-06 |
| 1235500133 | Kimberly Cossmann | Occupational Therapist | 1864 High Grove Ln, Suite Number 122, Naperville, IL 60540-9233 | 2015-10-18 |
| 1386053346 | Anita Strassman | Speech-Language Pathologist | 1864 High Grove Ln, Suite #122, Naperville, IL 60540-9233 | 2014-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760007678 | Mandalai Oral and Maxillofacial Surgery PC | Oral & Maxillofacial Surgery | 720 S. Brom Drive Suite 103, Naperville, IL 60540 | 2020-06-16 |
| 1316418957 | James Edward Frank | Counselor | 600 South Washington Street, Suite 302, Naperville, IL 60540 | 2018-12-07 |
| 1093208332 | Ingrid Johnson | Developmental Therapist | Right Start Pediatric Therapies, 50 S Main St Suite 200, Naperville, IL 60540 | 2018-06-12 |
| 1225528524 | Tara Rada Nieberding | Contractor | 1701 Quincy Ave Ste 12, Naperville, IL 60540 | 2018-05-14 |
| 1588182190 | Debra Xiangjun Hayes | Acupuncturist | 226 N Washington St # 2, Naperville, IL 60540 | 2017-09-03 |
| 1487197166 | Health Improvement and Preventive Services LLC | Family Medicine | 1979 Mcdowell Rd., Suite 103, Naperville, IL 60540 | 2016-11-29 |
| 1588013775 | Matthew Jacob Imber | Chiropractor | 1220 Hobson Rd Ste 220, Naperville, IL 60540 | 2016-06-08 |
| 1457711418 | Elite Pain Medical Group Inc | Physical Medicine & Rehabilitation | 720 South Brom Drive, Suite 201, Naperville, IL 60540 | 2016-03-03 |
| 1265814800 | Jenifer Lynn Mersman | Chiropractor | 475 River Bend Rd. Suite 104, Naperville, IL 60540 | 2015-06-19 |
| 1386038016 | Jonathon Martin Ruiz | Specialist/Technologist | 440 N Brainard Street, Naperville, IL 60540 | 2015-03-19 |
| Find all providers in zip 60540 | ||||
| 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 |
|---|---|---|---|---|
| 1851949283 | Jyoti V Shringarpure | Occupational Therapist | 3629 Monarch Cir, Naperville, IL 60564-9351 | 2019-08-28 |
| 1063070100 | Rachael Mcnamara | Occupational Therapist | 2290 Woodview Ct, Naperville, IL 60565-3275 | 2019-06-04 |
| 1346728540 | Julie L Ortega | Occupational Therapist | 1619 N Mill St, Naperville, IL 60563-2858 | 2018-07-31 |
| 1700322757 | Ketul Hasmukh Patel | Occupational Therapist | 5324 Cedar Dr, Naperville, IL 60564-1138 | 2017-01-15 |
| 1467901488 | Life Skills Occupational Therapy LLC | Occupational Therapist | 919 Mortonsberry Dr, Naperville, IL 60540-0364 | 2016-10-03 |
| 1962957837 | Kaitlyn Vokaty | Occupational Therapist | 2728 Hassert Blvd, Suite 120, Naperville, IL 60564-5304 | 2016-08-22 |
| 1336530369 | Lindsay Ulaszek | Occupational Therapist | 2255 Lotus Ct, Naperville, IL 60565-8894 | 2015-02-12 |
| 1376941062 | Yilin Wang | Occupational Therapist | 3651 Birch Ln, Naperville, IL 60564-1163 | 2014-12-11 |
| 1578969747 | Laura Stellwagen Zeman | Occupational Therapist | 604 N Brainard St, Naperville, IL 60563-3131 | 2014-11-14 |
| 1356745533 | Michelle Milewski | Occupational Therapist | 4015 Plainfield Naperville Rd Ste 201, Naperville, IL 60564-4239 | 2014-10-16 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60540 |
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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.