EDEMA PARTNERS (NPI# 1306214903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306214903 |
| Entity Type | Organization |
| Organization Name | EDEMA PARTNERS |
| Practice Address |
1169 Eastern Pkwy Suite 2313 Louisville KY 40217-1417 |
| Mailing Address |
Po Box 3276 Evansville IN 47731-3276 |
| Practice Telephone | 5023099800 |
| Practice Fax Number | 5023099797 |
| Mailing Telephone | 8124730181 |
| Mailing Fax Number | 8124735822 |
| Enumeration Date | 2015-09-13 |
| Last Update Date | 2020-08-20 |
| Authorized Official Name | MRS. MARY BETH EVANS (OWNER) |
| Authorized Official Telephone | 5023099800 |
| Authorized Official Credential | PT, CLT-LANA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
001579 | KY | Ambulatory Health Care Facilities |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM BCBS | 000000972249 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EDEMA PARTNERS | 1169 Eastern Pkwy Ste 2313, Louisville, KY 40217-1444 |
| Street Address |
1169 EASTERN PKWY SUITE 2313 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40217-1417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942202288 | Dennis S Gray | Family Medicine | 1169 Eastern Pkwy, Ste 1111, Louisville, KY 40217-1462 | 2005-06-01 |
| 1124667696 | Kayla Denise Wheatley | Social Worker | 1169 Eastern Pkwy, Louisville, KY 40217-1417 | 2020-01-02 |
| 1265070775 | Arianne Renee Eads | Behavioral Analyst | 1169 Eastern Pkwy, Louisville, KY 40217-1417 | 2019-12-16 |
| 1457811721 | James M Beams | Hearing Instrument Specialist | 1169 Eastern Pkwy, Louisville, KY 40217-1417 | 2019-03-22 |
| 1376015941 | Yusra Shabbir | Behavior Technician | 1169 Eastern Pkwy, Louisville, KY 40217-1417 | 2018-12-20 |
| 1093287674 | Khoi K Do | Behavior Technician | 1169 Eastern Pkwy, Louisville, KY 40217-1417 | 2018-12-20 |
| 1962907519 | Ashley Abrams | Behavior Technician | 1169 Eastern Pkwy, Louisville, KY 40217-1417 | 2018-03-27 |
| 1487172664 | Liltoyntia Jones-dikuwa | Social Worker | 1169 Eastern Pkwy, Suite # 3364, Louisville, KY 40217 | 2017-09-07 |
| 1720520745 | Sandra Gallagher | Marriage & Family Therapist | 1169 Eastern Pkwy, Suite 3364, Louisville, KY 40217-1417 | 2016-11-08 |
| 1982079059 | A Greater Alternative Inc | Case Management | 1169 Eastern Pkwy, Suite 1138, Louisville, KY 40217-1417 | 2015-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720564016 | Kaela Marie Turley | Nurse Practitioner | 2355 Poplar Level Rd Ste 405, Louisville, KY 40217 | 2018-07-19 |
| 1740710623 | Landmark of Louisville Rehabilitation and Nursing Center | Skilled Nursing Facility | 1155 Eastern Parkway, Louisville, KY 40217 | 2017-06-14 |
| 1386185437 | Meredith Brooke Ervin | Counselor | 1169 Eastern Pkwy Ste 3310, Louisville, KY 40217 | 2017-03-08 |
| 1437507621 | Kendra Pickerill | Speech-Language Pathologist | 906 Delor Avenue, Louisville, KY 40217 | 2016-05-27 |
| 1275947186 | Gary Muncy | Massage Therapist | 607 East Brandeis Ave, Louisville, KY 40217 | 2014-06-18 |
| 1912318791 | Stacey Charlotte Elmes | Case Manager/Care Coordinator | 2338 Alexanderave, Louisville, KY 40217 | 2014-05-14 |
| 1275819831 | April Mecasha Cox | Pharmacist | 808 Eastern Parkway, Louisville, KY 40217 | 2011-10-27 |
| 1831346204 | Nikki Renee Wilson | Registered Nurse | 1169 Eastern Pkwy Ste 1226, Louisville, KY 40217 | 2008-08-27 |
| 1497925440 | Sarah Beth Murrow | Chiropractor | 1100 Milton St, Louisville, KY 40217 | 2008-03-06 |
| 1457560302 | Ferenc Pantaleone Nagy | Surgery | 3 Audubon Plaza Dr Ste 220, Louisville, KY 40217 | 2007-05-21 |
| Find all providers in zip 40217 | ||||
| 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 |
|---|---|---|---|---|
| 1255939468 | Amanda Anderson | Occupational Therapist | 5323 Haventree Pl, Louisville, KY 40229-2259 | 2020-10-12 |
| 1023624061 | Danette Moran | Occupational Therapist | 10503 Vista Hills Blvd, Louisville, KY 40291-4940 | 2020-09-16 |
| 1720699929 | Bridget Virginia Carrithers | Occupational Therapist | 13510 Terrace Creek Dr Apt 201, Louisville, KY 40245-5842 | 2020-08-11 |
| 1346850096 | Annie White | Occupational Therapist | 1627 Nightingale Rd, Louisville, KY 40213-1007 | 2020-08-07 |
| 1336758333 | Kristin Sha Bowen | Occupational Therapist | 11610 Apex View Dr Apt 202, Louisville, KY 40229-8308 | 2020-07-26 |
| 1356967301 | Sarah Camille Moseley | Occupational Therapist | 1924 Roanoke Ave, Louisville, KY 40205-1416 | 2020-06-24 |
| 1639701261 | Dustin Hayden | Occupational Therapist | 6005 Highplace Dr, Louisville, KY 40291-2264 | 2020-02-11 |
| 1467082792 | Megan Holderman | Occupational Therapist | 1236 Hull St, Louisville, KY 40204-1116 | 2020-01-26 |
| 1982242731 | Morgan Hudgens | Occupational Therapist | 1005 Willow Springs Dr, Louisville, KY 40242-7943 | 2019-12-11 |
| 1164067708 | Benchmark Physical Therapy of Ky LLC | Occupational Therapist | 1917 Blankenbaker Pkwy, Louisville, KY 40299-2403 | 2019-11-07 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40217 |
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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.