KIMBERLIE ANN PAYNE (NPI# 1356686992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356686992 |
| Entity Type | Individual |
| Full Name | KIMBERLIE ANN PAYNE |
| Credential | COTA |
| Practice Address |
13209 Fountain Dr Waterford CA 95386-8858 |
| Practice Telephone | 8089373172 |
| Mailing Telephone | 8089373172 |
| Enumeration Date | 2012-12-08 |
| Last Update Date | 2012-12-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OC60114073 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
13209 FOUNTAIN DR |
| City | WATERFORD |
| State | CA |
| Zip Code | 95386-8858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366857658 | Diana Hollingshead-parker | Registered Nurse | 421 Tim Bell Rd, Waterford, CA 95386 | 2014-06-25 |
| 1497817407 | James Yamamoto | Dentist | 12142 Yosemite Blvd, Waterford, CA 95386 | 2006-12-15 |
| 1588664684 | Don Michael Endress | General Practice | 12700 Welch St, Waterford, CA 95386-8765 | 2005-07-29 |
| 1649527664 | Eric Gust Benson | Registered Nurse | 12700 Welch St, Waterford, CA 95386-8765 | 2012-08-08 |
| 1326106501 | Don Michael Endress M.d. | General Practice | 12700 Welch St, Waterford, CA 95386-8765 | 2006-12-04 |
| 1518423631 | Gill Pharmacy Inc | Pharmacy | 12648 Bentley St, Waterford, CA 95386-9009 | 2019-02-13 |
| 1639709520 | Ravi Gandhi | Pharmacy | 12648 Bentley St, Waterford, CA 95386-9009 | 2020-01-20 |
| 1528433588 | Livingston Community Health | Clinic/Center | 12619 Bentley St, Waterford, CA 95386-9011 | 2015-12-02 |
| 1336176122 | Maximilian A. Schanderl | Pharmacist | 12641 Bentley St, Waterford, CA 95386-9011 | 2006-06-27 |
| 1518992031 | Tower Pharmacy, Inc. | Pharmacy | 12641 Bentley St, Waterford, CA 95386-9011 | 2006-07-12 |
| Find all providers in zip 95386 | ||||
| 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 |
|---|---|---|---|---|
| 1174979702 | Shannon Breen | Occupational Therapy Assistant | 27 Murray Ave, Waterford, NY 12188-1625 | 2016-05-12 |
| 1568857381 | Terri Runser | Occupational Therapy Assistant | 10339 Lake Pleasant Rd, Waterford, PA 16441-2533 | 2015-03-30 |
| 1598178949 | Rebecca Gwin | Occupational Therapy Assistant | 3368 Warringham Ave, Waterford, MI 48329-3054 | 2014-06-03 |
| 1356885545 | Ashley Skadra | Occupational Therapy Assistant | 11 Lawrence St, Waterford, NY 12188-1803 | 2016-12-07 |
| 1477939072 | Melissa Rivera | Occupational Therapy Assistant | 301 Rope Ferry Rd, Waterford, CT 06385-2610 | 2015-08-05 |
| 1407232002 | Ann Suplicki | Occupational Therapy Assistant | 301 Rope Ferry Rd, Waterford, CT 06385-2610 | 2015-08-05 |
| 1245616382 | Karen Marquardt | Occupational Therapy Assistant | 301 Rope Ferry Rd, Waterford, CT 06385-2610 | 2015-07-30 |
| 1043610918 | Sommer V Collins | Occupational Therapy Assistant | 5601 Hatchery Rd, Waterford, MI 48329-3451 | 2014-08-28 |
| 1568861078 | Daniel Mallory | Occupational Therapy Assistant | 5601 Hatchery Rd, 248) 674-9292, Waterford, MI 48329-3451 | 2014-08-20 |
| 1346663630 | Lisa Gorski | Occupational Therapy Assistant | 5601 Hatchery Rd, Waterford, MI 48329-3451 | 2014-01-23 |
| Find all providers in WATERFORD | ||||
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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.