JILL M. EDLIN (NPI# 1295941771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295941771 |
| Entity Type | Individual |
| Full Name | JILL M. EDLIN |
| Practice Address |
315 Rosewood St Lebanon KY 40033-8128 |
| Practice Telephone | 2706992776 |
| Practice Fax Number | 2706992780 |
| Mailing Telephone | 2706992776 |
| Mailing Fax Number | 2706992780 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2016-08-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 134718 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | KY-R3058 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | FIRST STEPS PROVIDER | 2245 | 01 |
| KY | FIRST STEPS PROVIDER | 1649 | 01 |
| Street Address |
315 ROSEWOOD ST |
| City | LEBANON |
| State | KY |
| Zip Code | 40033-8128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073635751 | Greenwell & Greenwell, Inc. | Occupational Therapist | 315 Rosewood St, Lebanon, KY 40033-8128 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538636311 | One Cross Health Clinic, Inc. | Clinic/Center | 305 Koehler Drive, Lebanon, KY 40033 | 2018-10-30 |
| 1467848952 | Kelly Renee Deatley | Family Medicine | 325 W Walnut St Ste 600, Lebanon, KY 40033 | 2015-04-10 |
| 1003204892 | Mmhh, LLC | Clinic/Center | 135 E. Martin Luther King Ave., Lebanon, KY 40033 | 2014-12-31 |
| 1194964510 | Gregory W. Schall, Do, Pllc | Family Medicine | 312 W High Street, Lebanon, KY 40033 | 2009-02-09 |
| 1780859553 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 2136 Campbellsville Road, Lebanon, KY 40033 | 2008-04-23 |
| 1144491234 | William Duley IIi | Dentist | 219 West Main St, Lebanon, KY 40033 | 2008-03-17 |
| 1891965927 | Dana Michelle Logsdon | Nurse Practitioner | 727 W. Main St., Lebanon, KY 40033 | 2008-03-05 |
| 1669523684 | The Childrens Clinic, Pllc. | Pediatrics | 420 Loretta Road, Lebanon, KY 40033 | 2007-01-16 |
| 1215022348 | Marion County Anesthesia Associates Pllc | Nurse Anesthetist, Certified Registered | 320 Loretto Road, Lebanon, KY 40033 | 2006-10-04 |
| 1568479426 | Daniel Earl Bailey Jr. | Specialist | 420 Loretto Rd, Suite 600, Lebanon, KY 40033 | 2006-08-02 |
| Find all providers in zip 40033 | ||||
| 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 |
|---|---|---|---|---|
| 1447866611 | Independent Physical Therapy, LLC | Occupational Therapist | 920 S Hartmann Dr Ste 330, Lebanon, TN 37090-4136 | 2020-09-22 |
| 1508482266 | Brooke Ashley White | Occupational Therapist | 4104 Belle Terrace Ln, Lebanon, OH 45036-8241 | 2020-06-18 |
| 1972081206 | Alesha Nicole Elder | Occupational Therapist | 1740 Miller Pike, Lebanon, KY 40033-9257 | 2018-07-30 |
| 1659883312 | Sara K Poole | Occupational Therapist | 408 Fields Ave., Lebanon, VA 24266 | 2017-11-02 |
| 1063945699 | Kelsey Bush | Occupational Therapist | 238 Green Valley Rd, Lebanon, VA 24266-6161 | 2017-04-10 |
| 1740636521 | Dawn Shepherd | Occupational Therapist | 875 Wassom St, Lebanon, OR 97355-1169 | 2016-05-10 |
| 1487043998 | Catherine Pawlak | Occupational Therapist | 1098 Heritage Trace, Lebanon, OH 45036-8598 | 2015-01-21 |
| 1649671868 | Debra Hanson | Occupational Therapist | 30072 120 Rd, Lebanon, KS 66952-8854 | 2014-09-07 |
| 1972922771 | Sarah Mather | Occupational Therapist | 825 Hart Rd, Lebanon, OH 45036-8699 | 2014-04-09 |
| 1699108191 | Elizabeth Mary Beal Johnson | Occupational Therapist | 484 Jim Grant Rd, Lebanon, ME 04027-4340 | 2013-08-20 |
| Find all providers in LEBANON | ||||
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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.