KELLI MARIE MCCLINTOCK (NPI# 1639453616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639453616 |
| Entity Type | Individual |
| Full Name | KELLI MARIE MCCLINTOCK |
| Credential | COTA/L |
| Practice Address |
502 N 9th Ave Vinton IA 52332 |
| Mailing Address |
2968 62nd St Trail Shellsburg IA 52332 |
| Practice Telephone | 3194726372 |
| Mailing Telephone | 3194362104 |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2011-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 00691 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
502 N 9TH AVE |
| City | VINTON |
| State | IA |
| Zip Code | 52332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104827732 | Virginia Gay Hospital Inc. | Home Health | 502 N 9th Ave, Vinton, IA 52349-2254 | 2005-08-04 |
| 1184223125 | Virginia Gay Hospital Inc. | Clinical Medical Laboratory | 502 N 9th Ave, Vinton, IA 52349-2254 | 2020-10-21 |
| 1700410685 | Usrc Eastern Iowa, LLC | Clinic/Center | 502 N 9th Ave, Vinton, IA 52349-2254 | 2020-02-28 |
| 1346880697 | Wesley Corliss Lyons | Physician Assistant | 502 N 9th Ave, Vinton, IA 52349-2254 | 2020-01-14 |
| 1659934180 | Cedar Valley Medical Specialists PC | Durable Medical Equipment & Medical Supplies | 502 N 9th Ave, Vinton, IA 52349-2254 | 2019-04-19 |
| 1750850095 | Shawna Sue Wilson | Physical Medicine & Rehabilitation | 502 N 9th Ave, Vinton, IA 52349-2254 | 2018-11-15 |
| 1265918635 | Brandt Corcran | Physical Therapy Assistant | 502 N 9th Ave, Vinton, IA 52349-2254 | 2018-07-18 |
| 1912402967 | Sara Marie Wattnem | Dietitian, Registered | 502 N 9th Ave, Vinton, IA 52349-2254 | 2018-03-29 |
| 1215435136 | Trevor Beck Nelson | Physician Assistant | 502 N 9th Ave, Vinton, IA 52349-2254 | 2018-01-25 |
| 1174031819 | Brendan Dean Leiran | Physician Assistant | 502 N 9th Ave, Vinton, IA 52349-2299 | 2018-01-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851839153 | Iowa Physicians Clinic Medical Foundation | Family Medicine | 131 Main Street Nw, Shellsburg, IA 52332-9554 | 2017-02-07 |
| 1063432953 | Deborah H Ralston | Family Medicine | 6007 33rd Avenue Dr, Shellsburg, IA 52332-9569 | 2006-07-20 |
| 1093105975 | Shellsburg Associates | Custodial Care Facility | 401 Canton St Nw, Shellsburg, IA 52332-9624 | 2015-01-29 |
| 1093872301 | Vinton-shellsburg Community School District | Local Education Agency (LEA) | 203 Cottage St Nw # C, Shellsburg, IA 52332-9644 | 2007-01-03 |
| 1245288661 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 400 Canton St Nw, Ste B, Shellsburg, IA 52332-9645 | 2006-05-05 |
| 1033619804 | St Luke's Jones Regional Medical Center | Family Medicine | 131 Main St Nw, Shellsburg, IA 52332-9728 | 2018-02-18 |
| 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 |
|---|---|---|---|---|
| 1003934662 | James Begasse | Occupational Therapy Assistant | 2503 Fountain Ln, Vinton, VA 24179-1575 | 2007-03-26 |
| 1912386384 | Tanya Ellis | Occupational Therapy Assistant | 502 N 9th Ave, Vinton, IA 52349-2254 | 2015-05-19 |
| 1588075345 | Tiffany Reaves | Occupational Therapy Assistant | 502 N 9th Ave, Vinton, IA 52349-2254 | 2014-05-15 |
| 1932548013 | Molly J Gardemann | Occupational Therapy Assistant | 502 N 9th Ave, Vinton, IA 52349-2254 | 2013-06-21 |
| 1841549748 | Amy Lee Herwehe | Occupational Therapy Assistant | 502 N 9th Ave, Vinton, IA 52349-2254 | 2012-09-06 |
| 1689820250 | Danette Lynn Hromidko | Occupational Therapy Assistant | 502 N 9th Ave, Vinton, IA 52349-2254 | 2008-08-14 |
| 1760505200 | Robin Dee Pippert | Occupational Therapy Assistant | 502 N 9th Ave, Vinton, IA 52349-2254 | 2007-04-09 |
| 1790808251 | Kelly J Tilson | Occupational Therapy Assistant | 502 N 9th Ave, Vinton, IA 52349-2254 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405525 | Stephanie Lynn Magner | Occupational Therapy Assistant | 1026 Ne 57th Ln, Ankeny, IA 50021-6919 | 2020-10-23 |
| 1104430842 | Caroline Lee Stevens | Occupational Therapy Assistant | 3510 Nw Abilene Rd, Ankeny, IA 50023-4878 | 2020-09-01 |
| 1215559158 | Musa Kibyegon Koech | Occupational Therapy Assistant | 14921 Summit Dr, Clive, IA 50325-7830 | 2020-05-14 |
| 1417588823 | Whitney Roling | Occupational Therapy Assistant | 210 N Salina St, Mc Causland, IA 52758-2301 | 2020-02-04 |
| 1699306050 | Anna Bauer | Occupational Therapy Assistant | 1549 34th St, Des Moines, IA 50311-2602 | 2020-02-03 |
| 1386282994 | United Presbyterian Home | Occupational Therapy Assistant | 31 Maple Lane, Washington, IA 52353 | 2019-12-13 |
| 1629613716 | Rachel Cummer | Occupational Therapy Assistant | 17128 Northern Hills Drive, Dubuque, IA 52002-5200 | 2019-11-12 |
| 1104473917 | Taylor Harriman | Occupational Therapy Assistant | 3097 J Ave, North English, IA 52316-8553 | 2019-08-26 |
| 1932668332 | Kellie Hynick | Occupational Therapy Assistant | 909 S 9th St, Oskaloosa, IA 52577-3444 | 2019-03-15 |
| 1366900516 | Tina Marie Knight | Occupational Therapy Assistant | 509 Kruger St, Ottumwa, IA 52501-2757 | 2019-03-06 |
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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.