KAITY CORLISS MITCHELL (NPI# 1467068775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467068775 |
| Entity Type | Individual |
| Full Name | KAITY CORLISS MITCHELL |
| Credential | COTA |
| Practice Address |
3016 Portage Ave South Bend IN 46628-3501 |
| Mailing Address |
2452 Kerry Dr Valparaiso IN 46385-0028 |
| Practice Telephone | 5748001305 |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3016 PORTAGE AVE |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46628-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982249090 | Shannan C Vincent | Physical Therapist | 3016 Portage Ave, South Bend, IN 46628-3501 | 2019-11-12 |
| 1760096317 | Mariah Kay Hatkevich | Occupational Therapist | 3016 Portage Ave, South Bend, IN 46628-3501 | 2020-09-01 |
| 1255949541 | Candice Pranger | Physical Therapy Assistant | 3016 Portage Ave, South Bend, IN 46628-3501 | 2020-07-22 |
| 1639709785 | Bonnie Lucille Meyer | Physical Therapy Assistant | 3016 Portage Ave, South Bend, IN 46628-3501 | 2020-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700419249 | Mahogany Maternity | Doula | 22500 Lincoln Way West, South Bend, IN 46628 | 2020-02-12 |
| 1093126120 | Julie Collier | Pharmacist | 3600 Northportage Road, South Bend, IN 46628 | 2014-05-12 |
| 1588075717 | J Curylo | Pharmacist | 3600 N Portage Rd, South Bend, IN 46628 | 2014-05-09 |
| 1609287986 | Thomas Daniels | Pharmacist | 3600 North Portage Rd., South Bend, IN 46628 | 2014-05-08 |
| 1639467277 | United Seating and Mobility LLC | Durable Medical Equipment & Medical Supplies | 3371 Cleveland Rd Ste 310, South Bend, IN 46628 | 2011-07-18 |
| 1497891014 | Danielle Colleen Luten | Homemaker | 1830 N Brookfield, South Bend, IN 46628 | 2007-01-30 |
| 1700885498 | Stephen D Kennedy | Family Medicine | 5838 W Brick Rd Ste 106, South Bend, IN 46628 | 2005-07-15 |
| 1205440666 | Kristin Lynette Stringer | Registered Nurse | 53174 Flowing Stream Ct, South Bend, IN 46628 | 2020-09-03 |
| 1033489844 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3600 Portage Rd, South Bend, IN 46628 | 2012-01-10 |
| 1467687277 | Leah Diane Craft | Family Medicine | 2235 Cleveland Rd, South Bend, IN 46628 | 2009-05-22 |
| Find all providers in zip 46628 | ||||
| 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 |
|---|---|---|---|---|
| 1295270411 | Kelly Jenkins | Occupational Therapy Assistant | 1231 Woodfield Ave, South Bend, IN 46615-3803 | 2016-12-23 |
| 1861757767 | Mackenzie Lucius | Occupational Therapy Assistant | 2012 Ironwood Cir Ste 230, South Bend, IN 46635-1889 | 2012-07-07 |
| 1407120546 | Leah Paule Walker | Occupational Therapy Assistant | 23060 Benson Ct, South Bend, IN 46628-9040 | 2012-03-07 |
| 1649541558 | Tadesa Allen | Occupational Therapy Assistant | 1006 N Brookfield St, South Bend, IN 46628-2604 | 2012-01-24 |
| 1043542780 | Michelle Barkley | Occupational Therapy Assistant | 738 S 28th St, South Bend, IN 46615-2222 | 2010-02-05 |
| 1710219613 | Debra Vasquez | Occupational Therapy Assistant | 1950 Ridgedaleroad, South Bend, IN 46615 | 2010-02-03 |
| 1003071960 | Sarina Sherry | Occupational Therapy Assistant | 52270 Myrtle Ave, South Bend, IN 46637-3834 | 2008-07-21 |
| 1447439625 | Christopher J Hipsher | Occupational Therapy Assistant | 926 E Wayne St, South Bend, IN 46617-3000 | 2007-10-24 |
| 1114528437 | Montana M Hunter | Occupational Therapy Assistant | 17475 Dugdale Dr, South Bend, IN 46635-1545 | 2020-11-03 |
| 1114526589 | Rebecca Ann Chilcote | Occupational Therapy Assistant | 53940 Carmichael Dr, South Bend, IN 46635-1564 | 2020-10-18 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46628 |
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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.