MISS JACLYN K BOVINO (NPI# 1316255318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316255318 |
| Entity Type | Individual |
| Full Name | MISS JACLYN K BOVINO |
| Credential | COTA/L |
| Practice Address |
950 Travelers Blvd Summerville SC 29485-8287 |
| Mailing Address |
950 Travelers Blvd Summerville SC 29483-3030 |
| Practice Telephone | 8436383239 |
| Mailing Telephone | 8436383239 |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2017-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 3692 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 224Z00000X | Occupational Therapy Assistant | 001191 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
950 TRAVELERS BLVD |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29485-8287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083712590 | Diane M Lodge | Physical Therapist | 950 Travelers Blvd, Summerville, SC 29485-8213 | 2006-09-20 |
| 1730434564 | Ruth J Sigmon | Speech-Language Pathologist | 950 Travelers Blvd, Summerville, SC 29485-8287 | 2012-07-18 |
| 1053679688 | Terri L Tierney | Physical Therapist | 950 Travelers Blvd, Summerville, SC 29485-8287 | 2012-05-02 |
| 1437469145 | Lauren Brooke Shinnick | Occupational Therapist | 950 Travelers Blvd, Summerville, SC 29485-8287 | 2010-10-15 |
| 1871827733 | Raichelle Cruz | Physical Therapist | 950 Travelers Blvd, Summerville, SC 29485-8287 | 2009-09-25 |
| 1033359237 | Nancy Pritchard Jackson | Physical Therapist | 950 Travelers Blvd, Summerville, SC 29485-8213 | 2009-02-27 |
| 1558508416 | Coleman Reid Hyatt | Physical Therapist | 950 Travelers Blvd, Summerville, SC 29485-8213 | 2009-01-14 |
| 1902043326 | Dana Lynn Lacavera | Occupational Therapist | 950 Travelers Blvd, Summerville, SC 29485-8213 | 2009-01-08 |
| 1881848992 | Robin M Lopez | Occupational Therapist | 950 Travelers Blvd, Summerville, SC 29485-8213 | 2008-11-17 |
| 1477753523 | Brandi L Greene | Physical Therapy Assistant | 950 Travelers Blvd, Summerville, SC 29485-8213 | 2007-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267365 | Cp Dentistry, LLC | Dentist | 9919 Dorchester Road, Summerville, SC 29485 | 2020-08-28 |
| 1922622604 | Rachel Elaine Digiacomo | Physical Therapist | 10160 Dorchester Road, Summerville, SC 29485 | 2020-05-29 |
| 1396220034 | Amanda W Peebles | Nurse Practitioner | 4278 Ladson Rd., Summerville, SC 29485 | 2018-09-28 |
| 1396230728 | Gerald Darnell Woods | Counselor | 10825 Dorchester Rd. #3077, Summerville, SC 29485 | 2018-06-27 |
| 1063901072 | Elite Barber Spa, LLC | Specialist | 850 E Bacons Bridge Road, Suite 303, Summerville, SC 29485 | 2018-05-04 |
| 1598253528 | Daniel Joseph Neitzke | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Drive, Charleston, SC 29485 | 2018-04-25 |
| 1700315447 | Donna Marie White | Counselor | 9214 Ayscough Road, Summerville, SC 29485 | 2017-06-07 |
| 1043763212 | Brockman Davis Smith | Dentist | 1710 B Trolley Road, Summerville, SC 29485 | 2016-07-25 |
| 1336508530 | Meca Home Health, LLC | Home Health | 415 Savannah River Rd, Summerville, SC 29485 | 2016-02-16 |
| 1609241033 | Dental Professionals of South Carolina, PC | Dentist | 9510 Dorchester Rd, Suite 400, North Charleston, SC 29485 | 2015-12-10 |
| Find all providers in zip 29485 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477190429 | Joseph Haynie | Occupational Therapy Assistant | 1213 Bradley Daniel Blvd, Summerville, SC 29486-8658 | 2019-12-09 |
| 1508424458 | Misty Myrick Copeland | Occupational Therapy Assistant | 318 Keen Rd, Summerville, GA 30747-6379 | 2019-06-04 |
| 1407274467 | Megan Kelly | Occupational Therapy Assistant | 411 Huntington Rd, Summerville, SC 29483-9726 | 2014-04-06 |
| 1770836959 | Shannon Nicole Cote | Occupational Therapy Assistant | 221 Forest Cir, Summerville, SC 29483-2805 | 2012-10-24 |
| 1831796994 | Mattie Devin Elliott | Occupational Therapy Assistant | 1801 Old Trolley Rd Ste 203, Summerville, SC 29485-8283 | 2020-10-02 |
| 1174184691 | Kimberly Lowder Anderson | Occupational Therapy Assistant | 201 W 9th North St, Summerville, SC 29483-6721 | 2019-06-25 |
| 1558921122 | Stacey Sessions | Occupational Therapy Assistant | 201 W 9th North St, Summerville, SC 29483-6721 | 2019-06-17 |
| 1770048969 | Sarah Graham | Occupational Therapy Assistant | 201 W 9th North St, Summerville, SC 29483-6721 | 2019-02-01 |
| 1780149971 | Susan Clark | Occupational Therapy Assistant | 201 W 9th North St, Summerville, SC 29483-6721 | 2019-02-01 |
| 1992260145 | Kim Marie Elliott | Occupational Therapy Assistant | 201 W 9th North St, Summerville, SC 29483-6721 | 2019-02-01 |
| Find all providers in SUMMERVILLE | ||||
| City | SUMMERVILLE |
| Zip Code | 29485 |
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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.