JESSICA LEE DAUGHERTY-PETERS (NPI# 1255425161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255425161 |
| Entity Type | Individual |
| Full Name | JESSICA LEE DAUGHERTY-PETERS |
| Credential | OTRL |
| Practice Address |
1043 Brooklyn Blvd Berea KY 40403-1090 |
| Mailing Address |
Po Box 86 Sandgap KY 40481-0086 |
| Practice Telephone | 8597798507 |
| Mailing Telephone | 8597798507 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | R3595 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1043 BROOKLYN BLVD |
| City | BEREA |
| State | KY |
| Zip Code | 40403-1090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225027840 | Berea Area Development LLC | Skilled Nursing Facility | 1043 Brooklyn Blvd, Berea, KY 40403-1090 | 2005-10-17 |
| 1659937209 | Amanda Jane Hale | Speech-Language Pathologist | 1043 Brooklyn Blvd, Berea, KY 40403-1090 | 2019-05-18 |
| 1184103210 | Benjamin Daniel Jones | Physical Therapist | 1043 Brooklyn Blvd, Berea, KY 40403-1090 | 2018-08-09 |
| 1821597006 | Misty Blaylock | Speech-Language Pathologist | 1043 Brooklyn Blvd, Berea, KY 40403-1090 | 2018-02-02 |
| 1336652585 | Back Office Management Services LLC | Podiatrist | 1043 Brooklyn Blvd, Berea, KY 40403-1090 | 2017-11-09 |
| 1699285957 | Haley Douglas Kidd | Occupational Therapist | 1043 Brooklyn Blvd, Berea, KY 40403-1090 | 2017-10-01 |
| 1760934392 | Berea Operations, LLC | Skilled Nursing Facility | 1043 Brooklyn Blvd, Berea, KY 40403-1090 | 2016-10-31 |
| 1487106480 | Aleshia Ariel Harris | Occupational Therapist | 1043 Brooklyn Blvd, Berea, KY 40403-1090 | 2016-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912559899 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 130 Campus Dr., Annville, KY 40403 | 2019-07-11 |
| 1710479241 | Mccays Total Care Pharmacy South LLC | Pharmacy | 852 Ridgewood Drive, Suite F, Berea, KY 40403 | 2018-05-31 |
| 1306371703 | Ariel Boyd | Occupational Therapist | 752 Richmond Rd N, Berea, KY 40403 | 2017-04-24 |
| 1093060188 | Kevin Allen Skidmore | Optometrist | 854 Ridgewood Drive, Berea, KY 40403 | 2012-07-16 |
| 1366715443 | Jeannie Marie Lakes | Case Manager/Care Coordinator | 137 Raven Drive, Berea, KY 40403 | 2012-02-20 |
| 1679858138 | Anita Zlamal | Pharmacist | 220 Richmond Rd, Berea, KY 40403 | 2011-10-17 |
| 1093099210 | Teresa Leigh Turner | Nurse Practitioner | 208 Kidd Drive, Berea, KY 40403 | 2011-10-06 |
| 1992005839 | Madison County Health Department | Public Health or Welfare | 751 Farristown Industrial, Berea, KY 40403 | 2010-10-26 |
| 1154632271 | Jones Family & Cosmetic Dentistry | Dentist | 201 Pauline Dr., Suite H, Berea, KY 40403 | 2010-06-23 |
| 1174845713 | Chris Sipple Enterprises LLC | Chiropractor | 502 Richmond Road, Berea, KY 40403 | 2010-02-24 |
| Find all providers in zip 40403 | ||||
| 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 |
|---|---|---|---|---|
| 1720642903 | Sarah Jean Mashburn | Occupational Therapist | 557 Red Lick Rd, Berea, KY 40403-8606 | 2019-04-24 |
| 1306371703 | Ariel Boyd | Occupational Therapist | 752 Richmond Rd N, Berea, KY 40403 | 2017-04-24 |
| 1215303102 | Karen Lynn Wallis | Occupational Therapist | 135 Meadow Cir, Berea, OH 44017-2610 | 2015-08-14 |
| 1376941393 | John C Bowers | Occupational Therapist | 162 Morgan St, Berea, KY 40403-1335 | 2014-12-08 |
| 1649595190 | Rhonda Shockley | Occupational Therapist | 102 Hampton Hall Dr, Berea, KY 40403-8009 | 2010-03-27 |
| 1922138270 | Claudia Dee Anders | Occupational Therapist | 237 Kraft Street, Berea, OH 44017-1448 | 2007-03-06 |
| 1164924213 | Amanda Maxie | Occupational Therapist | 601 Richmond Rd N, Berea, KY 40403-8788 | 2018-03-05 |
| 1699285957 | Haley Douglas Kidd | Occupational Therapist | 1043 Brooklyn Blvd, Berea, KY 40403-1090 | 2017-10-01 |
| 1235655747 | Amanda Dyer | Occupational Therapist | 752 Richmond Rd N, Berea, KY 40403-1059 | 2017-08-16 |
| 1487106480 | Aleshia Ariel Harris | Occupational Therapist | 1043 Brooklyn Blvd, Berea, KY 40403-1090 | 2016-10-26 |
| Find all providers in BEREA | ||||
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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.