ELIZABETH CHRISTINE COSTELLO (NPI# 1457982811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457982811 |
| Entity Type | Individual |
| Full Name | ELIZABETH CHRISTINE COSTELLO |
| Credential | COTA |
| Practice Address |
1720 Vieth Dr Jefferson City MO 65109-2056 |
| Mailing Address |
909 Owen Point Rd Camdenton MO 65020-2520 |
| Practice Telephone | 5736356193 |
| Mailing Telephone | 3143150880 |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2020-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 2013021532 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588103600 | Elizabeth Anne Costello | Pharmacist | 747 Pine Street, Bristol, CT 06010 | 2017-02-22 |
| 1548538119 | Elizabeth Ruth Costello | Registered Nurse | 11 West Third Street, Corning Free Academy, Corning, NY 14830 | 2011-12-09 |
| 1831693878 | Elizabeth Costello | Dietitian, Registered | 4603 John Garry Dr Ste 10, Columbia, MO 65203-6834 | 2018-03-23 |
| 1619304680 | Elizabeth Maren Costello | Physician Assistant | 1990 Dover Rd, Suite 201, Epsom, NH 03234-4146 | 2013-10-04 |
| 1073644738 | Elizabeth M Costello | Speech-Language Pathologist | 604 W Washington St, Bradford, PA 16701-2646 | 2007-03-07 |
| 1609849363 | Elizabeth C Costello | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-02-10 |
| Street Address |
1720 VIETH DR |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109-2056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376549592 | Pamala S Swartz | Nurse Practitioner | 1720 Vieth Dr, Jefferson City, MO 65109-2056 | 2005-06-22 |
| 1154957579 | Justin Lauf | Occupational Therapist | 1720 Vieth Dr, Jefferson City, MO 65109-2056 | 2020-03-17 |
| 1366072688 | Jeffery Orr | Physical Therapist | 1720 Vieth Dr, Jefferson City, MO 65109-2056 | 2020-01-26 |
| 1578035051 | Mariah R Zahnter | Physical Therapy Assistant | 1720 Vieth Dr, Jefferson City, MO 65109-2056 | 2018-12-21 |
| 1275004210 | Nicole Brook Roach | Physical Therapy Assistant | 1720 Vieth Dr, Jefferson City, MO 65109-2056 | 2018-12-17 |
| 1215409198 | Jill Dennis | Physical Therapy Assistant | 1720 Vieth Dr, Jefferson City, MO 65109-2056 | 2018-12-17 |
| 1346719176 | Cali Inez Boessen | Physical Therapy Assistant | 1720 Vieth Dr, Jefferson City, MO 65109-2056 | 2018-11-22 |
| 1962507459 | Jefferson City Manor Inc | Skilled Nursing Facility | 1720 Vieth Dr, Jefferson City, MO 65109-2056 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| Find all providers in zip 65109 | ||||
| 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 |
|---|---|---|---|---|
| 1902362544 | Lauren Danielle Denny | Occupational Therapy Assistant | 323 Eastwood Dr, Jefferson City, MO 65101-3927 | 2019-02-19 |
| 1245603372 | Vickie Klempke | Occupational Therapy Assistant | 3218 Southwood Ter, Jefferson City, MO 65101-5913 | 2015-11-11 |
| 1548542525 | Shakia Lasha Dupree | Occupational Therapy Assistant | 117 Ventura Avenue Apt. 11, Jefferson City, MO 65109-0595 | 2011-09-15 |
| 1790937381 | Susanne Cecil | Occupational Therapy Assistant | 208 Michelle Dr, Jefferson City, MO 65109-0136 | 2008-10-15 |
| 1790384824 | Lindsey Hagerman | Occupational Therapy Assistant | 1002 W Main St, Jefferson City, MO 65109-6901 | 2020-10-20 |
| 1639374531 | Helen Bock | Occupational Therapy Assistant | 1030 Edmonds St, Jefferson City, MO 65109-5213 | 2007-06-19 |
| 1205951803 | Beth Erin Hunter | Occupational Therapy Assistant | 1221 Southgate Ln, Jefferson City, MO 65109-2465 | 2007-03-20 |
| 1801931092 | Natalie M Green | Occupational Therapy Assistant | 1125 Madison St, Jefferson City, MO 65101-5227 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294361 | Carolyn Marie Placht | Occupational Therapy Assistant | 4019 Shenandoah Ave, Saint Louis, MO 63110-3928 | 2020-10-26 |
| 1053927129 | Kirk Zimmermann | Occupational Therapy Assistant | 1907 Congress St, Saint Louis, MO 63118-1705 | 2020-09-23 |
| 1942814363 | Marquita S Powell | Occupational Therapy Assistant | 9444 Duenke Dr, Saint Louis, MO 63137-1212 | 2020-09-02 |
| 1740806025 | Ashely Moore | Occupational Therapy Assistant | 27 Reinke Rd, Ellisville, MO 63021-4700 | 2020-06-22 |
| 1619505534 | Bethany Rice | Occupational Therapy Assistant | 124 Nw 90th Rd, Lamar, MO 64759-8154 | 2020-03-27 |
| 1366076929 | Kourtney Brooke Anderson | Occupational Therapy Assistant | 710 Newton Ave, Kahoka, MO 63445-1009 | 2020-02-23 |
| 1619508561 | Halley Jean Hawkins | Occupational Therapy Assistant | 9221 N Garfield Ave, Kansas City, MO 64155-3260 | 2020-01-29 |
| 1518503895 | Chavone Bonwell | Occupational Therapy Assistant | 13000 Corrington Ave, Grandview, MO 64030-2732 | 2019-11-21 |
| 1134763816 | Allyson Kristine Barone | Occupational Therapy Assistant | 5178 King St, Imperial, MO 63052-4000 | 2019-11-05 |
| 1962046862 | Kimberly Sue Bollinger | Occupational Therapy Assistant | 2085 Bluestone Dr, Saint Charles, MO 63303-6726 | 2019-11-04 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
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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.