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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 11161 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3420 HOLLOWAY ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27703-3522 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 27703 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers in DURHAM | ||||
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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.