MR. DEREK THOMAS EDLIN (NPI# 1619174729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619174729 |
| Entity Type | Individual |
| Full Name | MR. DEREK THOMAS EDLIN |
| Credential | COTA |
| Practice Address |
814 Old Ekron Rd Brandenburg KY 40108-1149 |
| Mailing Address |
99 Madison Avenue Brandenburg KY 40108 |
| Practice Telephone | 2704222148 |
| Mailing Telephone | 2708288059 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | A3750 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
814 OLD EKRON RD |
| City | BRANDENBURG |
| State | KY |
| Zip Code | 40108-1149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336212034 | Extendicare Homes, Inc. | Skilled Nursing Facility | 814 Old Ekron Rd, Brandenburg, KY 40108-1149 | 2006-11-17 |
| 1467937748 | Brandenburg Opco LLC | Skilled Nursing Facility | 814 Old Ekron Rd, Brandenburg, KY 40108-1149 | 2018-10-02 |
| 1942560305 | Brandenburg Health Facilities Lp | Skilled Nursing Facility | 814 Old Ekron Rd, Brandenburg, KY 40108-1149 | 2012-05-20 |
| 1891992905 | Kathleen Nicole Terry | Physical Therapy Assistant | 814 Old Ekron Rd, Brandenburg, KY 40108-1149 | 2007-07-02 |
| 1255538351 | Calandra Stark Edlin | Occupational Therapist | 814 Old Ekron Rd, Brandenburg, KY 40108-1149 | 2007-07-02 |
| 1750588000 | Lisa G Tindell | Speech-Language Pathologist | 814 Old Ekron Rd, Brandenburg, KY 40108-1149 | 2007-06-29 |
| 1609073980 | Dana Carol Buren | Occupational Therapist | 814 Old Ekron Rd, Brandenburg, KY 40108-1149 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468036 | Elisabeth Shoulders | Specialist/Technologist | 1010 Turner Road, Brandenburg, KY 40108 | 2017-07-03 |
| 1760890958 | Kimberly Ryan | Social Worker | 2020 Bypass Rd, Brandenburg, KY 40108 | 2014-07-31 |
| 1962790600 | Meade Family Eye, Pllc | Optometrist | 664 By Pass Rd, Brandenburg, KY 40108 | 2011-07-15 |
| 1295066934 | Raymond Lewis Mathis | Family Medicine | 65 Cedar Vista Dr, Brandenburg, KY 40108 | 2010-01-20 |
| 1790951804 | Elizabeth Mary Wright | Physical Therapist | 1155 Old Ekron Rd, Brandenburg, KY 40108 | 2008-05-08 |
| 1427240704 | Bluegrass Massage Theraputics | Clinic/Center | 365 East Broadway Suite 2, Brandenburg, KY 40108 | 2007-08-10 |
| 1710969316 | Lincoln Trail District Health Dept | Public Health or Welfare | 520 Hillcrest Dr, Brandenburg, KY 40108 | 2005-11-18 |
| 1437676475 | Ack Healthcare Management, LLC | Nurse Practitioner | 2025 Bypass Rd Ste 205, Brandenburg, KY 40108 | 2017-08-29 |
| 1598135055 | Forefront Dermatology, S.c. | Dermatology | 100 Commerce Dr, C/o Brandenburg Diagnostic Center, Brandenburg, KY 40108 | 2015-09-28 |
| 1457479396 | Robert Eugene Smith | Family Medicine | 534 Hillcrest Drive, Brandenburg, KY 40108 | 2007-03-27 |
| Find all providers in zip 40108 | ||||
| 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 |
|---|---|---|---|---|
| 1023627007 | Brianna Keen Wood | Occupational Therapy Assistant | 944 Fields Dr # 102, Bowling Green, KY 42104-5341 | 2020-07-27 |
| 1164054573 | Kaelin Deanna Gulla | Occupational Therapy Assistant | 2259 Bluegrama Dr, Burlington, KY 41005-6801 | 2020-02-04 |
| 1386282903 | Kristy Lynn Bell | Occupational Therapy Assistant | 2414 Todd Street Flatwoods, Flatwoods, KY 41139 | 2019-12-13 |
| 1922645803 | Sophia Johnson | Occupational Therapy Assistant | 204 E Jacob St, Louisville, KY 40203-2342 | 2019-12-10 |
| 1912550377 | Leslie Bardo | Occupational Therapy Assistant | 131 Lackawanna Rd, Lexington, KY 40503-1939 | 2019-07-24 |
| 1629530597 | Hannah Cheyenne Lambert | Occupational Therapy Assistant | 12 Dover Dr, Georgetown, KY 40324 | 2019-04-01 |
| 1851857288 | Shelby Cantrell | Occupational Therapy Assistant | 805 Brock Ave, Hopkinsville, KY 42240-1125 | 2019-02-11 |
| 1497228886 | Sn Kentuckiana Rehab, LLC | Occupational Therapy Assistant | 12000 Aiken Rd, Louisville, KY 40243-2413 | 2019-01-08 |
| 1932670726 | Kaylyn Renee Turner | Occupational Therapy Assistant | 4823 Imperial Ter, Louisville, KY 40216-2363 | 2018-12-06 |
| 1245708783 | Lynsey Milburn | Occupational Therapy Assistant | 1653 Flatlick Rd, Mt Washington, KY 40047-7009 | 2018-11-02 |
| Find all providers with the same taxonomy | ||||
| City | BRANDENBURG |
| Zip Code | 40108 |
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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.