MRS. KRISTIN SUZANNE SODERHOLM (NPI# 1487931622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487931622 |
Entity Type | Individual |
Full Name | MRS. KRISTIN SUZANNE SODERHOLM |
Credential | OTR |
Practice Address |
1107 Hart Blvd Monticello MN 55362-8538 |
Practice Telephone | 7632956878 |
Practice Fax Number | 7632716860 |
Mailing Telephone | 7632956878 |
Mailing Fax Number | 7632716860 |
Enumeration Date | 2011-11-15 |
Last Update Date | 2011-11-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 101509 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1107 HART BLVD |
City | MONTICELLO |
State | MN |
Zip Code | 55362-8538 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538128731 | Jennifer Lynn Fisher | Occupational Therapist | 1107 Hart Blvd, Monticello, MN 55362-8538 | 2006-03-17 |
1013437110 | Evan Lucas Dyce | Nurse Practitioner | 1107 Hart Blvd, Monticello, MN 55362-8538 | 2017-06-21 |
1558897322 | Neil De Cleene | Physical Therapist | 1107 Hart Blvd, Monticello, MN 55362-8538 | 2017-05-11 |
1598140881 | Kristy Peterfeso | Nurse Practitioner | 1107 Hart Blvd, Monticello, MN 55362-8538 | 2015-07-28 |
1568845238 | Kelsey J King | Nurse Practitioner | 1107 Hart Blvd, Monticello, MN 55362-8538 | 2015-06-30 |
1629484449 | Thomas Lyscio | Physical Therapist | 1107 Hart Blvd, Suite 10, Monticello, MN 55362-8538 | 2014-07-02 |
1396159976 | Shelly A..j. Neiman | Nurse Practitioner | 1107 Hart Blvd, Monticello, MN 55362-8538 | 2014-06-11 |
1467877688 | Ali Margaret Wells | Nurse Practitioner | 1107 Hart Blvd, Monticello, MN 55362-8538 | 2014-02-25 |
1558600874 | Centracare Health System-nr LLC | Clinic/Center | 1107 Hart Blvd, Monticello, MN 55362-8538 | 2013-02-06 |
1629240809 | Karmyn Larson | Occupational Therapist | 1107 Hart Blvd, Suite 10, Monticello, MN 55362-8538 | 2008-03-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275034886 | Great River Endodontics | Dentist | 9381 Cedar St., Monticello, MN 55362 | 2018-02-28 |
1467994962 | Jessica Borgstrom | Advanced Practice Midwife | 1001 Hart Blvd #100, Monticello, MN 55362 | 2016-11-15 |
1972922078 | Ashby Optometry PC | Optometrist | 1447 East 7th Street, Monticello, MN 55362 | 2014-04-16 |
1740612621 | Sarah Rowe | Physical Therapist | 1260 Mn-25, Monticello, MN 55362 | 2013-08-02 |
1144573775 | Kelley M Mcgowan | Physical Therapist | 211 Hwy 25, Monticello, MN 55362 | 2012-10-19 |
1275801581 | Roger William Hedtke | Pharmacist | 135 East Broadway, Monticello, MN 55362 | 2011-12-01 |
1811299019 | Pamela Marie Bertram | Social Worker | 228 W Broadway St, Monticello, MN 55362 | 2010-11-22 |
1265768220 | Back 2 Health Chiropractic, P.a. | Chiropractor | 1125 South Cedar St, Suite 109, Monticello, MN 55362 | 2009-10-27 |
1538328059 | Lakeland Family Dental | Dentist | 106 Broadway Street East, Monticello, MN 55362 | 2008-06-09 |
1205038163 | Buffalo Dental Center | Dentist | 106 1 In A Half W Broadway, Monticello, MN 55362 | 2007-06-04 |
Find all providers in zip 55362 |
Taxonomy Code | 225X00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapist |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518576966 | Whitney Ann Mcknight | Occupational Therapist | 345 Mims Rd, Monticello, FL 32344-5613 | 2020-07-30 |
1417590522 | Tincy Jordan | Occupational Therapist | 494 Meadowview Dr, Monticello, AR 71655-3818 | 2019-10-21 |
1942674007 | William Taylor Middleton | Occupational Therapist | 1037 Scogin Dr, Monticello, AR 71655-9710 | 2015-11-30 |
1174916894 | Regina Abbott | Occupational Therapist | 275 Dogwood Trl, Monticello, KY 42633-3816 | 2015-03-05 |
1659760387 | Stephanie Roach | Occupational Therapist | 11858 N 900 W, Monticello, IN 47960-7801 | 2015-01-19 |
1437403722 | Pamela Hanway | Occupational Therapist | 502 W Broadway St, Monticello, IN 47960-2005 | 2012-11-08 |
1922322791 | Kenneth Errol Leeman | Occupational Therapist | 419 Great Oaks Blvd, Monticello, FL 32344-5933 | 2010-03-22 |
1750517942 | Linda Coste | Occupational Therapist | 522 Southwoods Dr, Monticello, NY 12701-7231 | 2009-06-02 |
1205089919 | Vicki Yvonne Basham | Occupational Therapist | 514 Lakepoint View Rd, Monticello, KY 42633-4466 | 2008-10-24 |
1144477928 | Angie Sue Blevins | Occupational Therapist | 37 Beth Dr, Monticello, KY 42633-3807 | 2008-08-22 |
Find all providers in MONTICELLO |
City | MONTICELLO |
Zip Code | 55362 |
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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.