KRYSTAL GAIDIS SMALL (NPI# 1508401464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508401464 |
| Entity Type | Individual |
| Full Name | KRYSTAL GAIDIS SMALL |
| Credential | OTR/L |
| Practice Address |
70 Butler St Salem NH 03079-3925 |
| Mailing Address |
16 Roberts Rd Dover NH 03820-4624 |
| Practice Telephone | 6038932900 |
| Mailing Telephone | 6035124320 |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2019-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 1771 | NH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16 Roberts Rd, Dover, NH 038204624 | 6035124320 |
| Street Address |
70 BUTLER ST |
| City | SALEM |
| State | NH |
| Zip Code | 03079-3925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447247630 | James A Whitlock | Psychiatry & Neurology | 70 Butler St, Salem, NH 03079-3925 | 2005-10-03 |
| 1538776703 | Venetia Yanna Grimes | Physical Therapist | 70 Butler St, Salem, NH 03079-3974 | 2020-09-30 |
| 1629683883 | Mackenzie Kolanda | Physical Therapist | 70 Butler St, Salem, NH 03079-3925 | 2020-09-14 |
| 1457965741 | Jarett Lee Miller | Physical Therapist | 70 Butler St, Salem, NH 03079-3925 | 2020-09-03 |
| 1730798083 | Rachel Macneill | Physical Therapist | 70 Butler St, Salem, NH 03079-3925 | 2020-07-23 |
| 1518583814 | Sarah Ward | Physical Therapist | 70 Butler St, Salem, NH 03079-3974 | 2020-06-23 |
| 1992321608 | Brionne Turcotte | Physical Therapist | 70 Butler St, Salem, NH 03079-3925 | 2020-06-18 |
| 1477175487 | Justine Razzaboni | Occupational Therapist | 70 Butler St, Salem, NH 03079-3925 | 2020-05-13 |
| 1235750845 | Tpcody Md, LLC | Physical Medicine & Rehabilitation | 70 Butler St, Salem, NH 03079-3925 | 2020-05-05 |
| 1780223826 | Julie Nicole Lepage | Specialist/Technologist | 70 Butler St, Salem, NH 03079-3974 | 2020-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689156945 | Susan Lou Harris | Social Worker | 56 Zion Hill Rd, Salem, NH 03079 | 2018-09-04 |
| 1861970972 | Norrine Mcnelley | Nurse Practitioner | 25 Beechwood Rd, Salem, NH 03079 | 2018-07-31 |
| 1275024135 | Rhode Island Optometrics, LLC | Optometrist | 42 Samoset Dr, Salem, NH 03079 | 2018-05-25 |
| 1003338666 | Rachel Blazich | Specialist/Technologist | 25 General Pulaski Drive, Salem, NH 03079 | 2017-07-14 |
| 1902327935 | Brenda Michelle Karibian | Nurse Practitioner | 9 Gardner Ave, Salem, NH 03079 | 2017-06-29 |
| 1730559154 | Jessica Meredith Cooper | Naturopath | 23 Stiles Rd Ste 210, Salem, NH 03079 | 2015-09-28 |
| 1659754257 | Shuja U Saleem, M.d. | Obstetrics & Gynecology | 23 Stiles Rd., #217, Salem, NH 03079 | 2015-07-01 |
| 1457739724 | Marisa O'brien | Registered Nurse | 2 Keewayin Drive, Salem, NH 03079 | 2015-05-07 |
| 1215360805 | Jeffrey Malone | Counselor | 103 Cluff Crossing, P-3, Salem, NH 03079 | 2013-08-19 |
| 1184964546 | Larissa Grace Pickett | Specialist | 195 North Broadway, Salem Sports and Rehab, Salem, NH 03079 | 2013-02-21 |
| Find all providers in zip 03079 | ||||
| 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 |
|---|---|---|---|---|
| 1336752062 | Kimberly Lawrence | Occupational Therapist | 25025 75th St, Salem, WI 53168 | 2020-08-24 |
| 1336764075 | Alexa Wilson | Occupational Therapist | 59 Stiles Rd Ste 106, Salem, NH 03079-2886 | 2020-06-09 |
| 1104456516 | Madison Phillips | Occupational Therapist | 844 Red Ln, Salem, VA 24153-2726 | 2020-01-24 |
| 1598322372 | Carey Hovis Bradley | Occupational Therapist | 4129 Alleghany Dr, Salem, VA 24153-8155 | 2019-05-28 |
| 1063972099 | Phillip King | Occupational Therapist | 225 Sunbridge Dr., Salem, WV 26426 | 2019-03-25 |
| 1922501402 | Arielle Crist | Occupational Therapist | 3000 Market St Ne Ste 507, Salem, OR 97301-1807 | 2018-03-12 |
| 1225562572 | Melissa Sue Chadbourne | Occupational Therapist | 7855 Pleasant Valley Ct, Salem, OH 44460 | 2017-04-13 |
| 1134666852 | Sharon E Provencher | Occupational Therapist | 5 Claremont Rd, Salem, MA 01970-2412 | 2017-01-20 |
| 1992162945 | Gail Hudson | Occupational Therapist | 757 Sphinx Ct Ne, Salem, OR 97301-2284 | 2016-01-21 |
| 1902278971 | Tudor Home Therapies, Inc | Occupational Therapist | 1098 N Ellsworth Ave, Suite A, Salem, OH 44460-1536 | 2015-10-29 |
| Find all providers in SALEM | ||||
Please comment or provide details below to improve the information on KRYSTAL GAIDIS SMALL.
| 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.