KELSEY SMITH (NPI# 1609300300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609300300 |
| Entity Type | Individual |
| Full Name | KELSEY SMITH |
| Credential | MS, OTR/L |
| Practice Address |
3111 124th Ave Nw Ste 123 Coon Rapids MN 55433-4573 |
| Practice Telephone | 7632367337 |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2019-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 105341 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164075636 | Kelsey Morgan Smith | Occupational Therapist | 1059 W Laguna Azul Ave, Mesa, AZ 85210-7125 | 2019-07-23 |
| 1912420381 | Kelsey Smith | Speech-Language Pathologist | 30362 Crepe Myrtle Ct, Daphne, AL 36527-8613 | 2017-07-18 |
| 1659801108 | Kelsey Smith | Chiropractor | 2300 Matlock Rd Ste 4, Mansfield, TX 76063-5018 | 2017-06-18 |
| 1114453123 | Kelsey Smith | Social Worker | 14535 3/4 Dickens St, Sherman Oaks, CA 91403-3761 | 2017-05-11 |
| 1114536190 | Kelsey Marie Smith | Massage Therapist | 5 N Main St, Englewood, OH 45322-1326 | 2020-07-27 |
| 1750905964 | Kelsey Deborah Smith | Optometrist | 1075 N Academy Blvd, Colorado Springs, CO 80909-4401 | 2020-06-03 |
| 1962035451 | Kelsey Dee Smith | Physical Therapy Assistant | 209 Fitness Way Ste D, Athens, AL 35611-2452 | 2020-02-13 |
| 1588296081 | Kelsey Smith | Behavior Technician | 632 Eastern Blvd, Clarksville, IN 47129-2463 | 2020-02-12 |
| 1992337042 | Kelsey Margaret Smith | Physical Therapist | 600 Country Club Rd, Eugene, OR 97401-2240 | 2020-02-06 |
| 1790336857 | Kelsey Smith | Student in an Organized Health Care Education/Training Program | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2019-09-20 |
| Street Address |
3111 124TH AVE NW STE 123 |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433-4573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134699572 | Debra Ann Holmquist | Speech-Language Pathologist | 3111 124th Ave Nw Ste 123, Coon Rapids, MN 55433-4573 | 2018-11-28 |
| 1477037752 | Jenna Marie Matteson Laabs | Occupational Therapist | 3111 124th Ave Nw Ste 123, Coon Rapids, MN 55433-4573 | 2018-09-21 |
| 1194202077 | Kelsie Jo Hagelin | Physical Therapist | 3111 124th Ave Nw Ste 123, Coon Rapids, MN 55433-4573 | 2018-07-24 |
| 1275029118 | Kristy Knutson | Speech-Language Pathologist | 3111 124th Ave Nw Ste 123, Coon Rapids, MN 55433-4573 | 2018-07-03 |
| 1114413077 | Lisa Marie Rickert | Speech-Language Pathologist | 3111 124th Ave Nw Ste 123, Coon Rapids, MN 55433-4573 | 2018-07-03 |
| 1447745575 | Brooke Alexander | Physical Therapist | 3111 124th Ave Nw Ste 123, Coon Rapids, MN 55433-4573 | 2018-07-01 |
| 1811488711 | Kathryn Lee Meryhew | Physical Therapist | 3111 124th Ave Nw Ste 123, Coon Rapids, MN 55433-4573 | 2018-05-25 |
| 1144731332 | Victoria Bystedt | Occupational Therapist | 3111 124th Ave Nw Ste 123, Coon Rapids, MN 55433-4573 | 2017-10-16 |
| 1033646922 | Katherine Marie Shephard | Physical Therapist | 3111 124th Ave Nw Ste 123, Coon Rapids, MN 55433-4573 | 2017-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| 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 |
|---|---|---|---|---|
| 1871961532 | Samantha Thayer | Occupational Therapist | 320 Coon Rapids Blvd Nw Ste 100, Coon Rapids, MN 55433-5640 | 2015-09-10 |
| 1720331960 | Kristi J Rueckert | Occupational Therapist | 13060 Arrowhead St Nw, Coon Rapids, MN 55448-1209 | 2012-10-25 |
| 1821368184 | Ashley S Melbostad | Occupational Therapist | 2104 Northdale Blvd Nw Ste 100, Coon Rapids, MN 55433-3045 | 2012-01-04 |
| 1033385398 | Michelle A Gollobit | Occupational Therapist | 1138 Oriole Ave, Coon Rapids, IA 50058-7518 | 2008-05-06 |
| 1841414794 | Alicia Jo Marten | Occupational Therapist | 300 Coon Rapids Blvd Nw Ste 200, Coon Rapids, MN 55433-5645 | 2007-04-12 |
| 1124158753 | Lance David Zarimba | Occupational Therapist | 2014 Northdale Blvd, Coon Rapids, MN 55433 | 2007-03-06 |
| 1932195807 | Jarrod C Handy | Occupational Therapist | 2104 Northdale Blvd Nw, Coon Rapids, MN 55433-3005 | 2005-09-26 |
| 1730789629 | Ellen Grace Barnhart | Occupational Therapist | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2020-10-29 |
| 1811505829 | Macaila Hinker | Occupational Therapist | 11800 Xeon Blvd Nw, Coon Rapids, MN 55448-2061 | 2020-07-15 |
| 1942829148 | Kelsey Steinbrecher | Occupational Therapist | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2020-04-09 |
| Find all providers in COON RAPIDS | ||||
| City | COON RAPIDS |
| Zip Code | 55433 |
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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.