LYNETTE PETERSON (NPI# 1588780787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588780787 |
| Entity Type | Individual |
| Full Name | LYNETTE PETERSON |
| Credential | COTA |
| Practice Address |
421 Doris Ave Joliet IL 60433-2569 |
| Mailing Address |
16413 Harold St Oak Forest IL 60452-4203 |
| Practice Telephone | 8157278776 |
| Practice Fax Number | 8157749152 |
| Mailing Telephone | 7082803302 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
421 DORIS AVE |
| City | JOLIET |
| State | IL |
| Zip Code | 60433-2569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063505006 | County of Will | Skilled Nursing Facility | 421 Doris Ave, Joliet, IL 60433-2569 | 2006-10-02 |
| 1932732583 | Shafali Hegde | Physical Therapist | 421 Doris Ave, Joliet, IL 60433-2569 | 2020-02-21 |
| 1053543041 | Wynn E. Kanten | Physical Therapist | 421 Doris Ave, Joliet, IL 60433-2569 | 2009-08-10 |
| 1346362282 | Nicole K Dunn | Speech-Language Pathologist | 421 Doris Ave, Joliet, IL 60433-2569 | 2007-04-04 |
| 1407973522 | Laura Cassata | Speech-Language Pathologist | 421 Doris Ave, Joliet, IL 60433-2569 | 2007-03-23 |
| 1033235858 | Tisha Len Hailey | Occupational Therapist | 421 Doris Ave, Joliet, IL 60433-2569 | 2007-03-22 |
| 1275658429 | Joy Lim | Physical Therapist | 421 Doris Ave, Joliet, IL 60433-2569 | 2007-03-20 |
| 1437274677 | Jacqueline Kinney | Physical Therapy Assistant | 421 Doris Ave, Joliet, IL 60433-2569 | 2007-03-20 |
| 1336264191 | Dominick Zaravia | Occupational Therapist | 421 Doris Ave, Joliet, IL 60433-2569 | 2007-03-20 |
| 1871618611 | Kimberly Hines | Physical Therapist | 421 Doris Ave, Joliet, IL 60433-2569 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710105978 | Aparna Gottumukkula | Dentist | 1106 Neal Avenue, Joliet, IL 60433 | 2007-04-23 |
| 1932114758 | County of Will | Clinic/Center | 501 Ella Ave, Joliet, IL 60433 | 2006-07-30 |
| 1346481082 | Will County Health Dept | Clinic/Center | 501 Ella Ave, Joliet, IL 60433 | 2009-03-10 |
| 1588819544 | Will County Health Department | Clinic/Center | 501 Ella Ave, Joliet, IL 60433 | 2008-11-18 |
| 1982176285 | Anita Lomax | Assistant Behavior Analyst | 206 E Washington St Apt A, Joliet, IL 60433-1006 | 2018-12-26 |
| 1447723275 | Aba Everyday LLC | Community/Behavioral Health | 206 E Washington St Apt A, Joliet, IL 60433-1006 | 2019-01-03 |
| 1245366483 | Morningstar Counseling | Counselor | 350 E Washington St, Joliet, IL 60433-1150 | 2007-02-24 |
| 1053911479 | Demitrius Brackett | Clinic/Center | 350 E Washington St, Joliet, IL 60433-1150 | 2020-10-26 |
| 1326541566 | Ready To Go LLC | Non-emergency Medical Transport (VAN) | 119 Logan Ave, Joliet, IL 60433-1262 | 2018-03-14 |
| 1215223755 | Kodo Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1522 E Washington St, Joliet, IL 60433-1365 | 2011-06-23 |
| Find all providers in zip 60433 | ||||
| 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 |
|---|---|---|---|---|
| 1821447830 | Chaleisa S Walker | Occupational Therapy Assistant | 2207 Spencer Rd, Joliet, IL 60433-8405 | 2016-06-09 |
| 1831337609 | Shelia Gorman | Occupational Therapy Assistant | 2906 Grand Prairie Dr, Joliet, IL 60431-9213 | 2009-01-31 |
| 1669500609 | Hillmann Pediatric Therapy | Occupational Therapy Assistant | 815 N. Larkin, Suite 200, Joliet, IL 60435 | 2007-03-01 |
| 1710015052 | Sarah A. Kaczmarski | Occupational Therapy Assistant | 823 129th Infantry Dr, Joliet, IL 60435-8346 | 2007-02-28 |
| 1538785373 | Melissa Swiatlo | Occupational Therapy Assistant | 212 Barney Dr, Joliet, IL 60435-5271 | 2020-06-17 |
| 1952946709 | Ashley Landers | Occupational Therapy Assistant | 750 Essington Rd, Joliet, IL 60435-4912 | 2019-11-14 |
| 1851857536 | Kaitlin Marie Bomba | Occupational Therapy Assistant | 212 Barney Dr, Joliet, IL 60435-5271 | 2019-02-18 |
| 1538632823 | Ann M Walker | Occupational Therapy Assistant | 750 Essington Rd, Joliet, IL 60435-4912 | 2019-01-09 |
| 1265966931 | Colleen Johnson | Occupational Therapy Assistant | 801 S Briggs St, 2nd Floor, Joliet, IL 60433-9591 | 2017-04-19 |
| 1497205496 | Thomas Williamson | Occupational Therapy Assistant | 801 S Briggs St, 2nd Floor, Joliet, IL 60433-9591 | 2016-10-13 |
| Find all providers in JOLIET | ||||
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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.