MS. TADESA ALLEN


Address: 1006 N Brookfield St, South Bend, IN 46628-2604
Phone: 5743005645

MS. TADESA ALLEN (NPI# 1649541558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649541558
Entity Type Individual
Full Name MS. TADESA ALLEN
Credential COTA
Practice Address 1006 N Brookfield St
South Bend
IN 46628-2604
Mailing Address 53027 Juday Creek Blvd
Granger
IN 46530-9463
Practice Telephone 5743005645
Mailing Telephone 5743005645
Enumeration Date 2012-01-24
Last Update Date 2019-11-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224Z00000X Occupational Therapy Assistant 057003476 IL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1006 N BROOKFIELD ST
City SOUTH BEND
State IN
Zip Code 46628-2604

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700419249 Mahogany Maternity Doula 22500 Lincoln Way West, South Bend, IN 46628 2020-02-12
1093126120 Julie Collier Pharmacist 3600 Northportage Road, South Bend, IN 46628 2014-05-12
1588075717 J Curylo Pharmacist 3600 N Portage Rd, South Bend, IN 46628 2014-05-09
1609287986 Thomas Daniels Pharmacist 3600 North Portage Rd., South Bend, IN 46628 2014-05-08
1639467277 United Seating and Mobility LLC Durable Medical Equipment & Medical Supplies 3371 Cleveland Rd Ste 310, South Bend, IN 46628 2011-07-18
1497891014 Danielle Colleen Luten Homemaker 1830 N Brookfield, South Bend, IN 46628 2007-01-30
1700885498 Stephen D Kennedy Family Medicine 5838 W Brick Rd Ste 106, South Bend, IN 46628 2005-07-15
1205440666 Kristin Lynette Stringer Registered Nurse 53174 Flowing Stream Ct, South Bend, IN 46628 2020-09-03
1033489844 Meijer Stores Limited Partnership Durable Medical Equipment & Medical Supplies 3600 Portage Rd, South Bend, IN 46628 2012-01-10
1467687277 Leah Diane Craft Family Medicine 2235 Cleveland Rd, South Bend, IN 46628 2009-05-22
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Taxonomy Information

Taxonomy Code 224Z00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapy Assistant

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295270411 Kelly Jenkins Occupational Therapy Assistant 1231 Woodfield Ave, South Bend, IN 46615-3803 2016-12-23
1861757767 Mackenzie Lucius Occupational Therapy Assistant 2012 Ironwood Cir Ste 230, South Bend, IN 46635-1889 2012-07-07
1407120546 Leah Paule Walker Occupational Therapy Assistant 23060 Benson Ct, South Bend, IN 46628-9040 2012-03-07
1043542780 Michelle Barkley Occupational Therapy Assistant 738 S 28th St, South Bend, IN 46615-2222 2010-02-05
1710219613 Debra Vasquez Occupational Therapy Assistant 1950 Ridgedaleroad, South Bend, IN 46615 2010-02-03
1003071960 Sarina Sherry Occupational Therapy Assistant 52270 Myrtle Ave, South Bend, IN 46637-3834 2008-07-21
1447439625 Christopher J Hipsher Occupational Therapy Assistant 926 E Wayne St, South Bend, IN 46617-3000 2007-10-24
1114528437 Montana M Hunter Occupational Therapy Assistant 17475 Dugdale Dr, South Bend, IN 46635-1545 2020-11-03
1114526589 Rebecca Ann Chilcote Occupational Therapy Assistant 53940 Carmichael Dr, South Bend, IN 46635-1564 2020-10-18
1467068775 Kaity Corliss Mitchell Occupational Therapy Assistant 3016 Portage Ave, South Bend, IN 46628-3501 2020-09-22
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City SOUTH BEND
Zip Code 46628

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Dataset Information

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.

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