PENELOPE NOELL FULLER


Address: 3420 Holloway St, Durham, NC 27703-3522
Phone: 9195969464

PENELOPE NOELL FULLER (NPI# 1467963785) 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) 1467963785
Entity Type Individual
Full Name PENELOPE NOELL FULLER
Credential COTA
Practice Address 3420 Holloway St
Durham
NC 27703-3522
Mailing Address 4308 Abbey Pl
Durham
NC 27707-5601
Practice Telephone 9195969464
Mailing Telephone 9199713194
Enumeration Date 2017-10-12
Last Update Date 2017-10-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224Z00000X Occupational Therapy Assistant 11161 NC Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 3420 HOLLOWAY ST
City DURHAM
State NC
Zip Code 27703-3522

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417152109 Susan Johnson Physical Therapy Assistant 3420 Holloway St, Durham, NC 27703-3522 2007-06-20
1982228714 Christine Irons-yeager Nurse Practitioner 3420 Holloway St, Durham, NC 27703-3522 2020-06-08
1811510571 Matthew Kirk Physical Therapy Assistant 3420 Holloway St, Durham, NC 27703-3522 2020-05-28
1871128702 Aronya Kay Curtis Occupational Therapy Assistant 3420 Holloway St, Durham, NC 27703-3522 2020-03-11
1750914032 Erin Michelle Skinner Occupational Therapy Assistant 3420 Holloway St, Durham, NC 27703-3522 2020-02-14
1841708922 Mary Cole Occupational Therapist 3420 Holloway St, Durham, NC 27703-3522 2018-01-11
1710490958 Sydney Elizabeth Solis Occupational Therapist 3420 Holloway St, Durham, NC 27703-3522 2017-11-09
1811408388 Matthew Irish Physical Therapist 3420 Holloway St, Durham, NC 27703-3522 2017-10-23
1891235446 Terrell Anderson Occupational Therapy Assistant 3420 Holloway St, Durham, NC 27703-3522 2017-03-01
1265974075 Rucha Shah Physical Therapist 3420 Holloway St, Durham, NC 27703-3522 2016-11-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285235218 Joseph Omalemigbo Abgateyiniro Durable Medical Equipment & Medical Supplies 1810 Shiva Court, Durham, NC 27703 2020-11-05
1326654278 Step By Step In Home Care LLC Home Health Imperial Business Park, 4819 Emperor Blvd Suite 400, Durham, NC 27703 2020-09-16
1023598463 Impact Therapy Services Speech-Language Pathologist 6 Winnabow Court, Durham, NC 27703 2018-08-15
1326536327 Renal Treatment Centers - Mid-atlantic, Inc. Clinic/Center 1100 N Miami Blvd Ste 500a, Durham, NC 27703 2018-04-25
1033621719 Duke University Preventive Medicine 4825 Creekstone Drive, Suite 105, Durham, NC 27703 2017-11-02
1023535564 Walgreen Co Durable Medical Equipment & Medical Supplies 3725 Wake Forest Hwy, Durham, NC 27703 2017-08-25
1487194171 Shivani L. Chudasama Social Worker 5475 Lumley Rd Ste 103, Durham, NC 27703 2017-03-01
1356886030 Rgh Enterprises, Inc. Durable Medical Equipment & Medical Supplies 4234 Surles Court, Suite 100, Durham, NC 27703 2017-01-04
1780032821 Victory Speech Therapy Services, Pllc Speech-Language Pathologist 1533 Ellis Rd., Apt J208, Durham, NC 27703 2016-05-31
1124422373 Helene Azimbi Fonebi Pharmacist 8 Gandhi Dr, Durham, NC 27703 2014-10-17
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Taxonomy Information

Taxonomy Code 224Z00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapy Assistant

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154987824 Kevin Dante' Houston Occupational Therapy Assistant 1725 Tw Alexander Dr Unit 603, Durham, NC 27703-7938 2019-05-17
1144612136 Richard Mascardi Occupational Therapy Assistant 205 Emeral Pond Lane, Durham, NC 27705-6051 2015-02-27
1568729630 Lori C Mitchell Occupational Therapy Assistant 1802 Crystal Creek Dr, Durham, NC 27712-2482 2012-04-13
1003060187 Erin Tanisha Hughes Occupational Therapy Assistant 615 Ashburn Ln, Durham, NC 27703-9618 2008-11-16
1679772826 Karen T Johnson Occupational Therapy Assistant 3000 Erwin Road, Durham, NC 27710-4934 2007-07-17
1962454496 Sarah D Folsom Occupational Therapy Assistant 22 Arrowwood Ct, Durham, NC 27712-8966 2006-05-16
1871128702 Aronya Kay Curtis Occupational Therapy Assistant 3420 Holloway St, Durham, NC 27703-3522 2020-03-11
1831722537 Kelsie Rae Leffue Occupational Therapy Assistant 2701 Pickett Rd, Durham, NC 27705-5688 2020-02-20
1750914032 Erin Michelle Skinner Occupational Therapy Assistant 3420 Holloway St, Durham, NC 27703-3522 2020-02-14
1265080634 Kimberly Walters Beaver Occupational Therapy Assistant 6000 Fayetteville Rd, Durham, NC 27713-9754 2019-08-29
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Competitor

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City DURHAM
Zip Code 27703

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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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