MS. SHELLEY BERNADETTE JUERN MCKAUGHAN


Address: 1011 Jeffords St, Suite C, Clearwater, FL 33756-4070
Phone: 7274465993

MS. SHELLEY BERNADETTE JUERN MCKAUGHAN (NPI# 1467780023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467780023
Entity Type Individual
Full Name MS. SHELLEY BERNADETTE JUERN MCKAUGHAN
Credential O.T.
Practice Address 1011 Jeffords St
Suite C
Clearwater
FL 33756-4070
Practice Telephone 7274465993
Practice Fax Number 7274464477
Mailing Telephone 7274465993
Mailing Fax Number 7274464477
Enumeration Date 2009-11-19
Last Update Date 2009-11-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist OT10921 FL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1011 JEFFORDS ST
SUITE C
City CLEARWATER
State FL
Zip Code 33756-4070

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497749246 Howard Louis Schuele Orthopaedic Surgery 1011 Jeffords St, Suite C, Clearwater, FL 33756-4070 2005-09-08
1295102051 Allison Burgess Physician Assistant 1011 Jeffords St, Suite D, Clearwater, FL 33756-4070 2015-08-27
1225358377 Operative Reinforcements, LLC Physician Assistant 1011 Jeffords St, Suite D, Clearwater, FL 33756-4070 2010-06-10
1235365107 Winston P. Biltz Physical Therapist 1011 Jeffords St, Suite C, Clearwater, FL 33756-4070 2009-06-05
1912171737 Christopher Goff Neal Physician Assistant 1011 Jeffords St, Suite D, Clearwater, FL 33756-4070 2008-04-14
1154450898 Marianne Bushman Physical Therapist 1011 Jeffords St, Suite B, Clearwater, FL 33756-4070 2007-03-05
1770684193 Orthopaedic Specialties of Tampa Bay Inc Orthopaedic Surgery 1011 Jeffords St, Suite C, Clearwater, FL 33756-4070 2006-09-26
1144278300 Anthony L Marcotte Orthopaedic Surgery 1011 Jeffords St, Suite C, Clearwater, FL 33756-4070 2006-05-04
1063472108 Richard Victor Abdo Orthopaedic Surgery 1011 Jeffords St, Suite C, Clearwater, FL 33756-4070 2006-03-24
1790745842 John Sudler Hood Orthopaedic Surgery 1011 Jeffords St, Suite C, Clearwater, FL 33756-4070 2006-03-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659998060 Guidewell Emergency Medicine Doctors, LLC Clinic/Center 1603 Missouri Ave, Clearwater, FL 33756 2020-07-01
1578104527 M.k. El-yousef, M.d. LLC Psychiatry & Neurology 1555 S. Ft Harrison Ave, Clearwater, FL 33756 2019-10-01
1124672670 Kayla Marie Flook Counselor 1106 Druid Rd S Suite 201, Clearwater, FL 33756 2019-08-01
1285192989 Amy Elizabeth Dickson Social Worker 1260 S Mlk Jr Ave Ste D, Clearwater, FL 33756 2019-03-12
1548789951 J. Carson Woolwine O.d. Pllc. Optometrist 912 S. Missouri Ave., Clearwater, FL 33756 2017-09-18
1760912349 Kelly Morrissey Counselor 1240 South Fort Harrison Ave., Clearwater, FL 33756 2017-06-15
1972033744 Edward Lewis Smith Audiologist-Hearing Aid Fitter 820 S Fort Harrison, Clearwater, FL 33756 2017-06-14
1700310422 Dedicated Senior Medical Center Clearwater, LLC. Non-Pharmacy Dispensing Site 855 S Highland Avenue, Dedicated Senior Medical Center St. Clearwater, LLC., Clearwater, FL 33756 2017-04-19
1306268339 Theresa Anne Ritz Counselor 1260 S Martin Luther King Jr Ave Ste D, Clearwater, FL 33756 2014-01-10
1649513276 Kerry Eileen Reller Family Medicine 708 Druid Rd. E, Clearwater, FL 33756 2013-04-02
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Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861005415 Cassidy White Occupational Therapist 2690 Drew St Apt 855, Clearwater, FL 33759-3111 2020-08-24
1013532423 Brenna Ann Spellissy Occupational Therapist 2213 Kent Pl, Clearwater, FL 33764-6624 2020-06-11
1487118501 Adam Mullikin Occupational Therapist 14986 Cromwell Dr, Clearwater, FL 33764-7008 2019-01-23
1962933739 Robert Hudson Occupational Therapist 3463 Northridge Dr, Clearwater, FL 33761 2017-03-23
1720528953 Kimberly Yetman Occupational Therapist 2568 Redwood Way, Clearwater, FL 33761-3914 2017-03-07
1407399769 Ernesto Baticados Jr. Occupational Therapist 3277 Pine Haven Dr, Clearwater, FL 33761-2232 2016-11-18
1629313861 Elizabeth Anne Delahunty Occupational Therapist 3337 Masters Dr, Clearwater, FL 33761-1825 2012-11-28
1013262146 Doris Georgia Brown Occupational Therapist 6700 150th Ave N, Lot 439, Clearwater, FL 33764-7186 2012-07-15
1538454954 Elizabeth M Smith Occupational Therapist 4902 Creekside Drive Suite A, Clearwater, FL 33759 2011-06-14
1780973727 Phoxay Ngo Occupational Therapist 2717 Seville Blvd Apt 11101, Clearwater, FL 33764-1174 2011-03-30
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City CLEARWATER
Zip Code 33756

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Dataset Information

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.

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