JENIFER MANDEVILLE (NPI# 1528488582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528488582 |
| Entity Type | Individual |
| Full Name | JENIFER MANDEVILLE |
| Credential | COTA |
| Practice Address |
2114 N 127th St E Wichita KS 67206-3003 |
| Practice Telephone | 3165008800 |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2015-01-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 18-00199 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2114 N 127TH ST E |
| City | WICHITA |
| State | KS |
| Zip Code | 67206-3003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770888364 | Megan Camiell Young | Specialist | 2114 N 127th St E, Wichita, KS 67206-3003 | 2011-01-13 |
| 1982140505 | Linda Meyer | Physical Therapist | 2114 N 127th St E, Wichita, KS 67206-3003 | 2017-01-07 |
| 1336685932 | St Anthonys Senior Care Hospital, LLC | Psychiatric Hospital | 2114 N 127th St E, Suite 100, Wichita, KS 67206-3003 | 2017-01-06 |
| 1962863969 | Dawn Hungate | Occupational Therapist | 2114 N 127th St E, Wichita, KS 67206-3003 | 2016-03-17 |
| 1538532304 | Genevieve Kilgen-henry | Occupational Therapist | 2114 N 127th St E, Wichita, KS 67206-3003 | 2015-11-03 |
| 1366854739 | Leslie Frederick | Speech-Language Pathologist | 2114 N 127th St E, Wichita, KS 67206-3003 | 2014-05-20 |
| 1033542295 | Lori Diane Ribaudo | Occupational Therapist | 2114 N 127th St E, Wichita, KS 67206-3003 | 2013-08-12 |
| 1528490844 | Pooja Aseeja | Physical Therapist | 2114 N 127th St E, Wichita, KS 67206-3003 | 2013-08-09 |
| 1972935658 | Rehab Care | Skilled Nursing Facility | 2114 N 127th St E, Wichita, KS 67206-3003 | 2013-08-05 |
| 1144567405 | Melissa Duncan | Occupational Therapy Assistant | 2114 N 127th St E, Wichita, KS 67206-3003 | 2013-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020846 | Founders Surgery Center, LLC | Clinic/Center | 1961 N Founders Circle, Wichita, KS 67206 | 2019-12-19 |
| 1174006613 | Courtney Dawn Simon | Physical Therapist | 9360 E Central Ave Ste 100, Wichita, KS 67206 | 2018-09-11 |
| 1902308919 | Center At Waterfront LLC | Skilled Nursing Facility | 1541 North Lindberg Circle, Wichita, KS 67206 | 2018-03-06 |
| 1750804597 | Katelyn Aguiar | Psychologist | 250 N Rock Rd Ste 210, Wichita, KS 67206 | 2017-07-24 |
| 1457888778 | Mona Kay Cherryholmes | Social Worker | 1223 N. Rock Rd, Bldg A. Suite 100, Wichita, KS 67206 | 2017-05-17 |
| 1164899415 | Elizabeth Herl | Marriage & Family Therapist | 250 N Rock Rd Ste 150, Wichita, KS 67206 | 2015-08-21 |
| 1851715510 | Ndjj Corp | Custodial Care Facility | 6403 E Marjore, Wichita, KS 67206 | 2014-02-14 |
| 1801238217 | Courtney Ann Lang | Physical Therapist | 1603 North Chapel Hill Street, Suite 400, Wichita, KS 67206 | 2013-07-26 |
| 1194063032 | Peak Performance Health Pa | Chiropractor | 10111 E 21st St, #106, Wichita, KS 67206 | 2013-01-28 |
| 1750629002 | Rachel Marie Conrad | Speech-Language Pathologist | 1861 N. Rock Rd, Ste 101, Wichita, KS 67206 | 2013-01-22 |
| Find all providers in zip 67206 | ||||
| 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 |
|---|---|---|---|---|
| 1992363691 | Johanna Tsubaki | Occupational Therapy Assistant | 2317 W 25th St N, Wichita, KS 67204-5457 | 2019-05-29 |
| 1164940730 | Donita Hock | Occupational Therapy Assistant | 622 N. Edgemoor St., Wichita, KS 67208 | 2017-09-05 |
| 1902337702 | Avril Davis | Occupational Therapy Assistant | 11701 W Dora St, Wichita, KS 67209-4243 | 2017-03-23 |
| 1831557453 | Sarah Bah | Occupational Therapy Assistant | 1229 S.paige St, Wichita, KS 67207-3343 | 2016-02-10 |
| 1114385051 | Deserae Bruns | Occupational Therapy Assistant | 2921 S Millwood Ave, Wichita, KS 67217-2443 | 2016-02-07 |
| 1750772331 | Peggy Schremmer | Occupational Therapy Assistant | 4407 N Cimarron St, Wichita, KS 67205-8620 | 2015-02-18 |
| 1801285432 | Kathryn Tipton | Occupational Therapy Assistant | 12838 E Cherry Creek Ct, Wichita, KS 67230-7556 | 2015-01-20 |
| 1649668054 | Krystal Marie Aldrich | Occupational Therapy Assistant | 2111 S Pershing St, Wichita, KS 67218-5037 | 2015-01-07 |
| 1093103525 | Jennifer Briley | Occupational Therapy Assistant | 7610 E 32nd St N, Apt 104, Wichita, KS 67226-1279 | 2015-01-06 |
| 1013311430 | Adrian Matta | Occupational Therapy Assistant | 1915 Farmstead Street, Wichita, KS 67208 | 2014-10-14 |
| Find all providers in WICHITA | ||||
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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.