DEANNA WALLACE (NPI# 1609365873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609365873 |
| Entity Type | Individual |
| Full Name | DEANNA WALLACE |
| Practice Address |
4915 Charlestown Rd New Albany IN 47150-9426 |
| Mailing Address |
8577 Corydon Ridge Rd Lanesville IN 47136-9434 |
| Practice Telephone | 8129455221 |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609222579 | Deanna Wallace | Internal Medicine | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2016-05-10 |
| 1861631004 | Deanna Elena Wallace | Physician Assistant | 12553 Gulf Fwy, Houston, TX 77034-4509 | 2009-02-11 |
| Street Address |
4915 CHARLESTOWN RD |
| City | NEW ALBANY |
| State | IN |
| Zip Code | 47150-9426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992792303 | Mercy Long Term Care Initiatives, Inc. | Nursing Facility/Intermediate Care Facility | 4915 Charlestown Rd, New Albany, IN 47150-9426 | 2005-09-30 |
| 1073073987 | Tanner Scanlon | Occupational Therapist | 4915 Charlestown Rd, New Albany, IN 47150-9426 | 2019-03-25 |
| 1457833113 | Bradley Kruer | Physical Therapist | 4915 Charlestown Rd, New Albany, IN 47150-9426 | 2018-08-29 |
| 1306322821 | Bradley Martin Kimbel | Speech-Language Pathologist | 4915 Charlestown Rd, New Albany, IN 47150-9426 | 2018-07-17 |
| 1699264721 | Natalie Brooke Smith | Physical Therapist | 4915 Charlestown Rd, New Albany, IN 47150-9426 | 2018-05-03 |
| 1013404888 | Kumiko Peoples | Occupational Therapy Assistant | 4915 Charlestown Rd, New Albany, IN 47150-9426 | 2018-04-17 |
| 1891152583 | Melissa Gettelfinger | Occupational Therapist | 4915 Charlestown Rd, New Albany, IN 47150-9426 | 2016-01-26 |
| 1124485214 | Rachel Loran | Occupational Therapist | 4915 Charlestown Rd, New Albany, IN 47150-9426 | 2016-01-21 |
| 1033576277 | Amy Marie Braun | Occupational Therapist | 4915 Charlestown Rd, New Albany, IN 47150-9426 | 2016-01-19 |
| 1841625662 | Daviess County Hospital | Nursing Facility/Intermediate Care Facility | 4915 Charlestown Rd, New Albany, IN 47150-9426 | 2013-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385050 | Essential Pediatrics | Physical Therapist | 1614 Slate Run Road, New Albany, IN 47150 | 2020-01-10 |
| 1871075234 | Katie Lyn Vincent | Speech-Language Pathologist | 845 Park Place, New Albany, IN 47150 | 2018-09-02 |
| 1326528811 | Donna Casey Laduke | Respiratory Therapist, Registered | Baptist Health Floyd, 1850 State Street, New Albany, IN 47150 | 2018-08-15 |
| 1003307232 | Shelby Paige Buffin | Social Worker | 1612 Dewey St., Bld. 6 Apt. 2, New Albany, IN 47150 | 2018-05-23 |
| 1104315902 | Whitney Nicole Malloy | Physician Assistant | 2108 State Street, New Albany, IN 47150 | 2018-05-07 |
| 1942728472 | Cleanse Clinic Jeffersonville LLC | Psychiatry & Neurology | 2818 Grant Line Rd Ste 2, New Albany, IN 47150 | 2017-09-05 |
| 1881110765 | Kristy Marie Delaney | Social Worker | 1144 Creekview Circle, New Albany, IN 47150 | 2017-08-22 |
| 1891217030 | Sarah H. Wilson | Physician Assistant | 1919 State St Ste 362, New Albany, IN 47150 | 2017-07-10 |
| 1861939290 | Lauren Brenneman Pollock | Audiologist | 3211 Grant Line Rd St. #37, New Albany, IN 47150 | 2017-01-24 |
| 1861850414 | Kiley Madaleno | Speech-Language Pathologist | 4915 Charlestown Road, New Albany, IN 47150 | 2016-02-10 |
| Find all providers in zip 47150 | ||||
| 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 |
|---|---|---|---|---|
| 1255962692 | Aaron Tyler Brooks | Occupational Therapist | 1278 Fareharm Dr, New Albany, OH 43054-9238 | 2020-02-03 |
| 1003461898 | Erika Prescott | Occupational Therapist | 5181 Charlestown Crossing Way, New Albany, IN 47150-9473 | 2019-08-07 |
| 1720643497 | Caitlin Moser | Occupational Therapist | 1121 Lafayette Dr, New Albany, IN 47150-1944 | 2019-05-07 |
| 1790253474 | Jennifer Haller | Occupational Therapist | 1165 Northwood Cir, New Albany, OH 43054-9057 | 2018-11-11 |
| 1285078840 | Christopher Robert Bellucci | Occupational Therapist | 3626 Grant Line Rd Ste 105, New Albany, IN 47150-2399 | 2013-04-24 |
| 1023326444 | Ginger Harrell Adair | Occupational Therapist | 127b W Bankhead St, New Albany, MS 38652-3314 | 2010-09-20 |
| 1043493091 | Robin Bryant | Occupational Therapist | 4212 Charlestown Rd Ste 3, New Albany, IN 47150-9487 | 2007-12-13 |
| 1821138793 | Scott Allen Secrest | Occupational Therapist | 7703 Alpath Rd, New Albany, OH 43054-9629 | 2007-02-08 |
| 1699853895 | Rachel Nolan | Occupational Therapist | 103 Sidney Ct, New Albany, IN 47150-4252 | 2006-11-02 |
| 1245838895 | Demi Marie Jahn | Occupational Therapist | 2525 Charlestown Rd, New Albany, IN 47150-2556 | 2020-10-15 |
| Find all providers in NEW ALBANY | ||||
| City | NEW ALBANY |
| Zip Code | 47150 |
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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.