DR. JEAN MARIE WANNALL (NPI# 1285003764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285003764 |
| Entity Type | Individual |
| Full Name | DR. JEAN MARIE WANNALL |
| Credential | OTR/L, OTD |
| Practice Address |
205 Clark Street Ext Groton NY 13073-9401 |
| Practice Telephone | 6078984282 |
| Mailing Telephone | 6078984282 |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 006296 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
205 CLARK STREET EXT |
| City | GROTON |
| State | NY |
| Zip Code | 13073-9401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245514157 | Lorie Ann Pitcher | Registered Nurse | 400 Peru Rd, Groton, NY 13073 | 2011-10-11 |
| 1407085475 | Alberta Rae Thompson | Licensed Practical Nurse | 424 Smith Rd, Groton, NY 13073 | 2009-07-10 |
| 1306958087 | Sufdar Ali | Dentist | 119 W South St, Groton, NY 13073 | 2006-08-31 |
| 1821042847 | Groton Community Health Care Center Inc | Case Management | 120 Sykes Street, Groton, NY 13073 | 2006-05-22 |
| 1427037159 | Ahmad M Mehdi | Family Medicine | 100 Sykes St, Groton, NY 13073 | 2006-01-11 |
| 1760437362 | Groton Community Health Care Center Inc | Assisted Living Facility | 120 Sykes Street, Groton, NY 13073 | 2006-05-23 |
| 1477508083 | Groton Community Health Care Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 120 Sykes Street, Groton, NY 13073 | 2006-05-23 |
| 1942360227 | Princess Fawn Butts | Licensed Practical Nurse | 303 W Cortland St, Groton, NY 13073-1009 | 2006-12-09 |
| 1407119449 | Susan Diane Mcandrews | Licensed Practical Nurse | 405 W Cortland St, Box 147, Groton, NY 13073-1011 | 2012-06-22 |
| 1417128521 | Kathryn Baker | Registered Nurse | 107 Church St, Groton, NY 13073-1103 | 2008-03-17 |
| Find all providers in zip 13073 | ||||
| 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 |
|---|---|---|---|---|
| 1184149577 | Anthony Delmonte | Occupational Therapist | 108 Riverbend Dr, Groton, MA 01450 | 2017-08-07 |
| 1477920759 | Holly-ann Hoff | Occupational Therapist | 36 Maple Dr, Groton, CT 06340-3814 | 2015-08-21 |
| 1447539473 | Brenda Hultgren | Occupational Therapist | 425 Drozdyk Dr, Groton, CT 06340-4248 | 2011-08-09 |
| 1528384062 | Lauren Anne Dessereaux | Occupational Therapist | Peqout Health Center, 52 Hazelnut Hill Road, Groton, CT 06340 | 2010-04-08 |
| 1023156759 | Mirka Normand | Occupational Therapist | 52 Hazelnut Hill Rd, Groton, CT 06340-3268 | 2007-02-02 |
| 1821600750 | Maura Wainio | Occupational Therapist | 52 Hazelnut Hill Rd, Groton, CT 06340-3268 | 2020-08-21 |
| 1669084042 | Jennifer Lombardo | Occupational Therapist | 52 Hazelnut Hill Rd, Groton, CT 06340-3268 | 2020-08-18 |
| 1306455019 | Mariana Tamayo | Occupational Therapist | 1145 Poquonnock Rd, Groton, CT 06340-4620 | 2020-07-28 |
| 1770112708 | Amanda Kathleen Dobyns | Occupational Therapist | 1 Wahoo Ave, Groton, CT 06349-2324 | 2020-04-02 |
| 1841761970 | Emily Louise Amaral | Occupational Therapist | 1145 Poquonnock Rd, Groton, CT 06340-4698 | 2018-12-16 |
| Find all providers in GROTON | ||||
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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.