JUSTIN NELSON (NPI# 1396381554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396381554 |
| Entity Type | Individual |
| Full Name | JUSTIN NELSON |
| Credential | OTD, OTR/L, LAT, ATC |
| Practice Address |
1415 W Mound Rd Decatur IL 62526-1263 |
| Mailing Address |
1536 S Douglas Ave Springfield IL 62704-3516 |
| Practice Telephone | 2176153741 |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2019-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 875 W Mckinley Ave, Decatur, IL 625263287 | 2178721282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043781503 | Justin Patrick Nelson | Physical Therapist | 4498 Main St. Suite 24, Amherst, NY 14226 | 2018-12-10 |
| 1417367194 | Justin Nelson | Counselor | 3932 Yellow Mandarin Ave, N Las Vegas, NV 89081-4018 | 2014-05-02 |
| 1699869024 | Justin James Nelson | Chiropractor | 2730 County Road D E, White Bear Lake, MN 55110-5624 | 2006-10-02 |
| 1013416825 | Justin Nelson | Counselor | 491 Main St, Athol, MA 01331-1846 | 2018-02-07 |
| 1295258317 | Justin Wayne Nelson | Chiropractor | 8614 Little Rd, New Port Richey, FL 34654-4945 | 2017-07-20 |
| 1326455239 | Justin Nelson | Radiology | 250 Thompson St., St. Paul, MN 55102 | 2014-07-14 |
| 1548689342 | Justin Nelson | Specialist/Technologist | 2321 Stout Rd, Menomonie, WI 54751-7003 | 2014-04-09 |
| 1396047007 | Justin J Nelson | Social Worker | 17840 Cumberland Rd, Noblesville, IN 46060-5409 | 2010-12-01 |
| 1124184916 | Justin Nelson | Dentist | 5935 Se Alexander St, Hillsboro, OR 97123-8575 | 2006-12-28 |
| 1164434742 | Justin Marcus Nelson | Dentist | 577 Sternberg Ave, Usa Dentac, Ft Eustis, VA 23604-5311 | 2006-08-12 |
| Street Address |
1415 W MOUND RD |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-1263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033749080 | Carla A Tippitt | Occupational Therapist | 1415 W Mound Rd, Decatur, IL 62526-1263 | 2020-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| 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 |
|---|---|---|---|---|
| 1689132342 | Arvin Quicho | Occupational Therapist | 3911 E Camelot Cir Apt 102, Decatur, IL 62526-6917 | 2019-03-12 |
| 1700381159 | Aegis Group Practice LLC | Occupational Therapist | 218 E Trinity Pl Ste A, Decatur, GA 30030-3410 | 2018-03-28 |
| 1356841332 | Rebecca Marie Davis | Occupational Therapist | 251 Johnston St Se Ste 200, Decatur, AL 35601-2515 | 2018-02-16 |
| 1366961765 | Maria O'farrell | Occupational Therapist | 495 Winn Way Ste 210, Decatur, GA 30030-1710 | 2017-09-18 |
| 1164962437 | Kristen Julian | Occupational Therapist | 341 Winn Way, Decatur, GA 30030-2120 | 2017-03-06 |
| 1396292025 | Africa Mincey | Occupational Therapist | 711 Twin Oaks Dr, Apartment 3, Decatur, GA 30030-4001 | 2016-09-11 |
| 1184096000 | Sarah Ingrid Stromsdorfer | Occupational Therapist | 460 Medlock Rd, Decatur, GA 30030-1508 | 2015-10-30 |
| 1730556655 | Johnaca Templeton | Occupational Therapist | 3088 Centerpoint Rd, Decatur, TN 37322-4631 | 2015-08-26 |
| 1528441185 | Jonathan Bullen | Occupational Therapist | 425 Winn Way, Decatur, GA 30030-1732 | 2015-07-01 |
| 1063826568 | Kelly Caviness | Occupational Therapist | 6344 S Fm 730, Decatur, TX 76234-8702 | 2014-06-12 |
| Find all providers in DECATUR | ||||
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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.