MRS. PATRICIA M. VAN DEN KIEBOOM (NPI# 1417934308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417934308 |
Entity Type | Individual |
Full Name | MRS. PATRICIA M. VAN DEN KIEBOOM |
Credential | OTR |
Practice Address |
6700 N. Port Washington Rd. C/o St. Francis Children's Center Glendale WI 53217 |
Practice Telephone | 4143518850 |
Practice Fax Number | 4143518846 |
Mailing Telephone | 4143518850 |
Mailing Fax Number | 4143518846 |
Enumeration Date | 2005-12-30 |
Last Update Date | 2010-10-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 3263-026 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 40862700 | 05 |
Street Address |
6700 N. PORT WASHINGTON RD. C/O ST. FRANCIS CHILDREN'S CENTER |
City | GLENDALE |
State | WI |
Zip Code | 53217 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245408715 | Julia Mattek | Speech-Language Pathologist | 6700 N. Port Washington Rd., C/o St. Francis Children's Center, Glendale, WI 53217-3919 | 2008-02-18 |
1497946719 | Kellie Marie Lanza | Speech-Language Pathologist | 6700 N. Port Washington Rd., C/o St. Francis Children's Center, Glendale, WI 53217-3919 | 2007-08-05 |
1043334535 | Elizabeth Laura Cloyd | Speech-Language Pathologist | 6700 N. Port Washington Rd., St. Francis Children's Center, Glendale, WI 53217-3919 | 2007-03-19 |
1912943796 | Nicole C. Bailke | Physical Therapist | 6700 N. Port Washington Rd., St. Francis Children's Center, Glendale, WI 53217-3919 | 2006-06-21 |
1912940511 | Anne B. Scannell | Speech-Language Pathologist | 6700 N. Port Washington Rd., C/o St. Francis Children's Center, Glendale, WI 53217-3919 | 2006-06-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
Find all providers in zip 53217 |
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 |
---|---|---|---|---|
1689272858 | Zelda Luu | Occupational Therapist | 132 N Artsakh Ave, Glendale, CA 91206-4094 | 2020-10-11 |
1467063933 | Naomi Ann Engels | Occupational Therapist | 6315 W Port Au Prince Ln, Glendale, AZ 85306-3217 | 2020-08-10 |
1093343121 | Edgar Gallego | Occupational Therapist | 7139 68th St # 2, Glendale, NY 11385-7061 | 2020-04-01 |
1609409754 | Alexandra Nicole Cammarata | Occupational Therapist | 5757 W Thunderbird Rd Ste E465, Glendale, AZ 85306-4650 | 2020-02-18 |
1295378719 | Anna Britta Lombard | Occupational Therapist | 1304 Stanley Ave, Glendale, CA 91206-4638 | 2019-10-28 |
1982170932 | Rhonda Janessa Harrell | Occupational Therapist | 4521 W Paradise Ln, Glendale, AZ 85306-2729 | 2018-10-17 |
1225525587 | Melissa Jazmines-broersma | Occupational Therapist | 1714 Arlington Ave, Glendale, CA 91208-1523 | 2018-04-21 |
1386164747 | Samantha Rothman | Occupational Therapist | 18001 N 79th Ave Ste A3, Glendale, AZ 85308-8389 | 2017-06-26 |
1518496835 | Steven Vrchota | Occupational Therapist | 4550 E Cherry Creek South Dr Apt 710, Glendale, CO 80246-1540 | 2017-06-08 |
1295263671 | Aisha Johari Johnson | Occupational Therapist | 18001 N 79th Ave Ste 3, Glendale, AZ 85308-8388 | 2017-05-30 |
Find all providers in GLENDALE |
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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.