MISS KATHERINE ELEANOR PETERSEN (NPI# 1649694191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649694191 |
| Entity Type | Individual |
| Full Name | MISS KATHERINE ELEANOR PETERSEN |
| Credential | OTR/L |
| Practice Address |
1055 175th St Homewood IL 60430-4610 |
| Mailing Address |
8987 Coppergate Rd Woodridge IL 60517-7558 |
| Practice Telephone | 7089578326 |
| Mailing Telephone | 6307095759 |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 056010436 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386034932 | Katherine Marie Petersen | Student in an Organized Health Care Education/Training Program | 2613 E Solar Ave, Fresno, CA 93720-4619 | 2015-02-03 |
| 1598263485 | Katherine Ann Petersen | Physical Therapist | 141 Hampton Cir, Rochester Hills, MI 48307-4103 | 2018-01-25 |
| 1861847972 | Katherine Jane Petersen | Occupational Therapist | 780 Nw Garden Valley Blvd Ste 310, Roseburg, OR 97471-2298 | 2016-04-26 |
| 1033511365 | Katherine Petersen | Dietitian, Registered | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2014-09-18 |
| 1023399474 | Katherine Renee Petersen | Pharmacist | 12 Main St, Epping, NH 03042-2425 | 2011-08-30 |
| 1861786469 | Katherine Petersen | Case Manager/Care Coordinator | 1502 Mary Kay Blvd, Benton, AR 72015-8909 | 2011-06-01 |
| 1508170457 | Katherine A Petersen | Anesthesiology | 800 Rose St # N217, Lexington, KY 40536-0293 | 2010-08-03 |
| 1992996946 | Katherine R. Petersen | Dentist | 400 S Highway 27, Stanley, NC 28164 | 2007-08-06 |
| 1902826258 | Katherine A Petersen | Nurse Practitioner | 225 Smith Ave N, Suite 300, Saint Paul, MN 55102-2533 | 2006-07-20 |
| Street Address |
1055 175TH ST |
| City | HOMEWOOD |
| State | IL |
| Zip Code | 60430-4610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982776571 | Jean Terese Vandersanden | Physical Therapist | 1055 175th St, Suite 101, Homewood, IL 60430-4610 | 2006-11-15 |
| 1437412350 | Laura J Cortez | Speech-Language Pathologist | 1055 175th St, Suite 101, Homewood, IL 60430-4610 | 2012-06-18 |
| 1912180480 | Patricia Bishop | Community Health Worker | 1055 175th St, Suite 101, Homewood, IL 60430-4610 | 2007-12-07 |
| 1922287465 | Rehabilitation Institute of Chicago | Rehabilitation Hospital | 1055 175th St, Suite 101, Homewood, IL 60430-4610 | 2007-11-01 |
| 1477741288 | Laura Wodarski | Occupational Therapist | 1055 175th St, Homewood, IL 60430-4610 | 2007-10-05 |
| 1336354232 | Maryleen K Jones | Physical Therapist | 1055 175th St, #101, Homewood, IL 60430-4610 | 2007-05-14 |
| 1033274006 | Ann Elizabeth Lee | Occupational Therapist | 1055 175th St, Suite 101, Homewood, IL 60430-4610 | 2006-12-27 |
| 1144385584 | Amy Leigh Nelson | Speech-Language Pathologist | 1055 175th St, Suite 101, Homewood, IL 60430-4610 | 2006-12-26 |
| 1700941366 | Karen J Grube | Physical Therapist | 1055 175th St, 101, Homewood, IL 60430-4610 | 2006-12-26 |
| 1861554503 | Julie Jo Johnson | Occupational Therapy Assistant | 1055 175th St, Suite 101, Homewood, IL 60430-4610 | 2006-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1619431020 | Jewish Child and Family Services | Clinic/Center | 1800 Ridge Road, Unit 204, Suite 4, Homewood, IL 60430 | 2019-01-30 |
| 1437636966 | Miracle Healthcare LLC | Clinic/Center | 2024 Hickory Rd Ste 306, Homewood, IL 60430 | 2018-07-26 |
| 1518443381 | Elizabeth Carol Rodgers | Developmental Therapist | 2820 Willow Rd, Homewood, IL 60430 | 2018-07-16 |
| 1114431764 | Kyla Shaneek O'neal | Counselor | 935 175th St Ste 300, Homewood, IL 60430 | 2017-11-17 |
| 1699221986 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 17723 S Halsted St, Homewood, IL 60430 | 2016-08-28 |
| 1528420155 | Nathan Patrick Lagacy | Counselor | 3650 W. 183rd St., Homewood, IL 60430 | 2016-03-23 |
| 1891175725 | Quaneta Gates | Homeopath | 18216 Harwood Ave Unit 1 S, Homewood, IL 60430 | 2015-06-05 |
| 1164817334 | Shachi Pandya | Family Medicine | 18350 Kedzie Ave Ste 101, Homewood, IL 60430 | 2015-04-03 |
| 1790182327 | Floss Dental Care LLC | Preferred Provider Organization | 18650 Dixie Highway, Homewood, IL 60430 | 2014-11-25 |
| Find all providers in zip 60430 | ||||
| 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 |
|---|---|---|---|---|
| 1215560784 | Jalyn Willis | Occupational Therapist | 18224 Dolphin Lake Dr, Homewood, IL 60430-1507 | 2020-02-12 |
| 1649810722 | Jacob Alspaugh | Occupational Therapist | 2410 Patricia Ln, Homewood, IL 60430-1612 | 2020-01-07 |
| 1174970222 | Sarah Smith | Occupational Therapist | 1402 Sutherland Pl, Homewood, AL 35209-2329 | 2016-05-18 |
| 1588974273 | Jasmin Renee' Travis | Occupational Therapist | 1319 Jill Ter, Homewood, IL 60430-4045 | 2010-10-14 |
| 1114237195 | Juanikee Mitchell | Occupational Therapist | 19115 Jonathan Ln, Homewood, IL 60430-4412 | 2010-10-08 |
| 1124351515 | Jennifer Anne Ault | Occupational Therapist | 85 Bagby Drive, Suite 104, Homewood, AL 35209 | 2009-09-16 |
| 1326173485 | Paula Louise Stafford | Occupational Therapist | 1836 182nd Pl, Homewood, IL 60430-2302 | 2007-02-22 |
| 1790826576 | Therapy Providers South Inc. | Occupational Therapist | 18636 Dixie Hwy, Therapy Providers South, Homewood, IL 60430-3741 | 2007-02-12 |
| 1881732477 | Kathleen Matushek | Occupational Therapist | 1356 Evergreen Rd, Homewood, IL 60430-3411 | 2007-02-03 |
| 1497817399 | Deborah Greenberg | Occupational Therapist | 17929 Gottschalk Ave, Homewood, IL 60430-1709 | 2006-12-15 |
| Find all providers in HOMEWOOD | ||||
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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.