MISS BROOKE SHEREE BACKSEN (NPI# 1649329103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649329103 |
| Entity Type | Individual |
| Full Name | MISS BROOKE SHEREE BACKSEN |
| Credential | MOT, OTR/L, RYT |
| Practice Address |
111 E Main St St Charles IL 60174-1948 |
| Mailing Address |
1921 W Wilson St Batavia IL 60510-3194 |
| Practice Telephone | 3128410993 |
| Mailing Telephone | 3128410993 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2013-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
056.007942 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
111 E MAIN ST |
| City | ST CHARLES |
| State | IL |
| Zip Code | 60174-1948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003465600 | Christine Anne O'toole | Social Worker | 111 E Main St, St Charles, IL 60174-1948 | 2019-09-05 |
| 1639727340 | Samantha Nicole Dedic | Social Worker | 111 E Main St, St Charles, IL 60174-1948 | 2019-08-27 |
| 1497311914 | Elizabeth Nakad | Social Worker | 111 E Main St, St Charles, IL 60174-1948 | 2019-05-10 |
| 1013471051 | Stephanie Santo | Social Worker | 111 E Main St, St Charles, IL 60174-1948 | 2019-01-23 |
| 1467926964 | Jennifer L Leibforth | Social Worker | 111 E Main St, St Charles, IL 60174-1948 | 2019-01-17 |
| 1396215687 | Mary Stanek | Social Worker | 111 E Main St, St Charles, IL 60174-1948 | 2018-11-28 |
| 1326549718 | Kristin Petitti | Social Worker | 111 E Main St, St Charles, IL 60174-1948 | 2018-02-22 |
| 1427411982 | Colleen Cooper | Counselor | 111 E Main St, St Charles, IL 60174-1948 | 2016-04-01 |
| 1679939110 | Holly Simpson | Social Worker | 111 E Main St, St Charles, IL 60174-1948 | 2016-01-14 |
| 1023488640 | Edith Wirtz | Counselor | 111 E Main St, St Charles, IL 60174-1948 | 2015-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306474192 | Halinas Residential Home Care | Registered Nurse | 825 North Fifth Avenue, St. Charles, IL 60174 | 2020-03-29 |
| 1205354503 | Connor Lavallie | Chiropractor | 240 W River Dr, St Charles, IL 60174 | 2017-09-07 |
| 1427579952 | Melanie Elizabeth Long | Counselor | 5n147 Oak Leaf Ct, St Charles, IL 60174 | 2017-07-06 |
| 1255860656 | Hannah Elizabeth Gambrel | Counselor | 12 South 7th Avenue, St. Charles, IL 60174 | 2017-06-08 |
| 1275981490 | Anju Patel | Pharmacist | 2038 Praire St, St. Charles, IL 60174 | 2016-05-27 |
| 1316328529 | Allison Jensen | Dentist | 11 S. 2nd Ave #11, St. Charles, IL 60174 | 2015-06-12 |
| 1225466576 | Chelsea Wright | Social Worker | 522 W Main St Unit 2d, St Charles, IL 60174 | 2013-10-24 |
| 1114261427 | Bryan R. Cichon Dds PC | Dentist | 700 S. Randall Rd., Suite #1, St. Charles, IL 60174 | 2012-11-27 |
| 1124372289 | Stacey Lynn Conner | Developmental Therapist | 910 Manley Rd, St. Charles, IL 60174 | 2012-10-28 |
| 1093070567 | St. Charles Service Corporation | Physical Therapist | 1615 W. Main Street, St. Charles, IL 60174 | 2012-07-10 |
| Find all providers in zip 60174 | ||||
| Taxonomy Code | 225XP0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Pediatrics |
| Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083882229 | Heather Sandall | Occupational Therapist | 3815 E Main St Ste B, St Charles, IL 60174-2488 | 2008-02-11 |
| 1437264397 | M. Marget Wincent | Occupational Therapist | 2011 Dean St, St Charles, IL 60174-4802 | 2006-08-20 |
| 1831665017 | Sarah Sophia Cali | Occupational Therapist | 3815 E Main St Ste B, St Charles, IL 60174-2488 | 2018-10-16 |
| 1356702955 | Marissa Markham | Occupational Therapist | 40w310 Lafox Rd, St Charles, IL 60175-6588 | 2016-03-10 |
| 1871841528 | Christina M Hensel | Occupational Therapist | 40w310 Lafox Rd Unit A1-b1, St Charles, IL 60175-6588 | 2012-08-28 |
| 1548517139 | Gretta Kristan Scholten | Occupational Therapist | 40w310 Lafox Rd Unit A1, St Charles, IL 60175-6591 | 2012-08-14 |
| 1407103666 | Jeffrey Baker | Occupational Therapist | 3815 E Main St Ste B, St Charles, IL 60174-2488 | 2012-08-07 |
| 1104172022 | Eileen Marie Thorp | Occupational Therapist | 226 State St, St Charles, IL 60174-1864 | 2012-07-29 |
| 1891849857 | Ellen Jean Bonine | Occupational Therapist | 40w310 Lafox Rd Unit A1, St Charles, IL 60175-6591 | 2007-01-23 |
| 1427105535 | Susan Marie Lange | Occupational Therapist | 40w310 Lafox Rd, Suite 1a, St Charles, IL 60175-6588 | 2007-01-04 |
| Find all providers in ST CHARLES | ||||
| City | ST CHARLES |
| Zip Code | 60174 |
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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.