DONNA BRISTOL-GOEBEN (NPI# 1447685730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447685730 |
| Entity Type | Individual |
| Full Name | DONNA BRISTOL-GOEBEN |
| Credential | COTA/L |
| Practice Address |
62 Torrington Ave Collinsville CT 06019-3324 |
| Practice Telephone | 8606931560 |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2013-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 0000211 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
62 TORRINGTON AVE |
| City | COLLINSVILLE |
| State | CT |
| Zip Code | 06019-3324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912532953 | Canton Geriatrics Pllc | Clinic/Center | 461 Cherry Brook Road, Canton, CT 06019 | 2020-03-10 |
| 1245877638 | Cara Noel Donahue | Social Worker | Farmington Valley Counseling Center, 111 Simsbury Rd, Avon, CT 06019 | 2019-12-04 |
| 1629614953 | Reformed Nutrition LLC | Dietitian, Registered | 220 Albany Turnpike, Unit 1, Canton, CT 06019 | 2019-11-21 |
| 1144607367 | Jordan Sileo Wasik | Counselor | 20 Depot St., Collinsville, CT 06019 | 2015-04-27 |
| 1578957361 | Glaser Helpers, Inc. | Home Health | 6 Wickhams Fancy, Collinsville, CT 06019 | 2015-03-19 |
| 1346686136 | Anna Sastre | Family Medicine | 117 Albany Turnpike, Canton, CT 06019 | 2013-05-20 |
| 1356698856 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 111 Albany Turnpike, Canton, CT 06019 | 2012-08-14 |
| 1881858959 | Connecticut Foot Specialists PC | Podiatrist | 259 Albany Turnpike, Suite C, Canton, CT 06019 | 2008-07-17 |
| 1073734505 | Matthew Keefe | Dentist | 191 Albany Turnpike, Canton, CT 06019 | 2007-05-01 |
| 1710092432 | Gerard Edward-zackary Bogucki | Dentist | 66 Maple Avenue, Collinsville, CT 06019 | 2006-08-20 |
| Find all providers in zip 06019 | ||||
| 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 |
|---|---|---|---|---|
| 1174664122 | Connie Sue Brown | Occupational Therapy Assistant | 109 Cottage Dr, Collinsville, IL 62234-4416 | 2007-02-11 |
| 1770113771 | Erika Dawn Rector | Occupational Therapy Assistant | 2300 W Broadway St, Collinsville, OK 74021-1625 | 2020-01-19 |
| 1487136271 | Amy Sue Haverkamp | Occupational Therapy Assistant | 501 N Main St, Collinsville, TX 76233-5106 | 2018-08-29 |
| 1114263605 | Amy Lynn Thompson | Occupational Therapy Assistant | 201 W Clay St, Collinsville, IL 62234-3219 | 2013-01-02 |
| 1770828295 | Leslyn Ann Sutton | Occupational Therapy Assistant | 2300 W Broadway St, Collinsville, OK 74021-1625 | 2012-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396123 | Evelyn Karen Roman | Occupational Therapy Assistant | 2120 S Britain Rd, Southbury, CT 06488-1203 | 2020-11-03 |
| 1730788431 | Michelle Cano | Occupational Therapy Assistant | 65 Commercial Blvd, Torrington, CT 06790-3097 | 2020-10-22 |
| 1093314940 | Zoada Sahn | Occupational Therapy Assistant | 140 Fulkerson Dr Apt 12e, Waterbury, CT 06708-1441 | 2020-10-21 |
| 1508465808 | Debbie Cooke Charpentier | Occupational Therapy Assistant | 22 Dwight St, Bristol, CT 06010-4105 | 2020-10-19 |
| 1912505470 | Cera Spyros | Occupational Therapy Assistant | 73 Woodland Dr, Southington, CT 06489-4020 | 2020-10-15 |
| 1558977181 | Monika N/a Skubisz | Occupational Therapy Assistant | 25 Woodsedge Dr Apt 3b, Newington, CT 06111-4280 | 2020-09-18 |
| 1487279717 | Brooke Faircloth Bluege | Occupational Therapy Assistant | 138 Green Hill Rd, Killingworth, CT 06419-2219 | 2020-06-12 |
| 1447800297 | Keri Jacobs | Occupational Therapy Assistant | 101 Summerhill Rd, Wallingford, CT 06492-3476 | 2019-09-13 |
| 1487204343 | Kristie Jean Quinn | Occupational Therapy Assistant | 74 Whalehead Rd, Gales Ferry, CT 06335-1326 | 2019-09-12 |
| 1154984367 | Jonathan Scott Stadler | Occupational Therapy Assistant | 7 Meadowlark Ln, East Lyme, CT 06333-1335 | 2019-04-15 |
| Find all providers with the same taxonomy | ||||
| City | COLLINSVILLE |
| Zip Code | 06019 |
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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.