ELIZABETH PEDERSON (NPI# 1669622411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669622411 |
| Entity Type | Individual |
| Full Name | ELIZABETH PEDERSON |
| Credential | OT |
| Practice Address |
1650 Tri Park Way Suite A Appleton WI 54914-1652 |
| Practice Telephone | 9208306697 |
| Practice Fax Number | 9208306707 |
| Mailing Telephone | 9208306697 |
| Mailing Fax Number | 9208306707 |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2008-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 3622 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | 103139 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1650 TRI PARK WAY SUITE A |
| City | APPLETON |
| State | WI |
| Zip Code | 54914-1652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467552620 | Richard W Schurman | Physical Therapist | 1650 Tri Park Way, Suite A, Appleton, WI 54914-1652 | 2006-09-25 |
| 1679921647 | Bobay Vangroll | Occupational Therapist | 1650 Tri Park Way, Appleton, WI 54914-1652 | 2016-05-31 |
| 1265800411 | Janna Drickey | Occupational Therapist | 1650 Tri Park Way, Appleton, WI 54914-1652 | 2015-09-04 |
| 1205213931 | Jayme-nell Tipple | Occupational Therapist | 1650 Tri Park Way, Suite A, Appleton, WI 54914-1652 | 2015-05-01 |
| 1073824595 | Theresa Rita Mayer | Occupational Therapist | 1650 Tri Park Way, Appleton, WI 54914-1652 | 2010-06-30 |
| 1104158427 | Sally Smigielski | Occupational Therapist | 1650 Tri Park Way, Appleton, WI 54914-1652 | 2010-02-11 |
| 1992933683 | Ida Cole | Physical Therapist | 1650 Tri Park Way, Suite A, Appleton, WI 54914-1652 | 2009-07-01 |
| 1659506087 | Kelli Cossette | Occupational Therapist | 1650 Tri Park Way, Suite A, Appleton, WI 54914-1652 | 2009-05-29 |
| 1891920260 | Maria Kusel | Physical Therapist | 1650 Tri Park Way, Suite A, Appleton, WI 54914-1652 | 2009-05-28 |
| 1982839353 | Rebecca Barbosa | Occupational Therapist | 1650 Tri Park Way, Suite A, Appleton, WI 54914-1652 | 2009-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572429 | Claire Schuh | Social Worker | 3416 Association Ln, Appleton, WI 54914 | 2020-09-09 |
| 1568099729 | Access Elevator, Inc. | Contractor | 1314 W. College Ave, Appleton, WI 54914 | 2020-03-26 |
| 1124677885 | Sharon Darla Cornell | Technician | 3117 N. Mistwood Lane, Appleton, WI 54914 | 2019-09-05 |
| 1235647793 | Midwest Monitoring, LLC | Psychiatry & Neurology | 4321 W College Ave Ste 200, Appleton, WI 54914 | 2018-01-18 |
| 1356863252 | Uvanta Pharmacy LLC | Pharmacy | 1050 S Grider St, Suite C, Appleton, WI 54914 | 2017-07-12 |
| 1255860912 | Appleton Counseling Management LLC | Counselor | 477 S Nicolet Rd., Appleton, WI 54914 | 2017-06-07 |
| 1609269489 | Shane Scott Urban | Social Worker | 444 N. Westhill Blvd., Appleton, WI 54914 | 2015-03-18 |
| 1699184580 | Michelle Becker | Nurse Practitioner | 4435 West Lawrence St., Appleton, WI 54914 | 2014-08-05 |
| 1972857514 | Jean Flesch | Pharmacist | 1000 W. Northland Ave., Appleton, WI 54914 | 2012-11-05 |
| 1477845147 | Mallory Barbara Herrin | Counselor | 820 W. College Ave, Appleton, WI 54914 | 2011-05-12 |
| Find all providers in zip 54914 | ||||
| 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 |
|---|---|---|---|---|
| 1881217057 | Orthopedic Therapy Specialists, LLC | Occupational Therapist | 4535 N Habitat Way, Appleton, WI 54913-6727 | 2020-05-22 |
| 1225388184 | Meredith Pokel | Occupational Therapist | 122 E College Ave, Appleton, WI 54911-5794 | 2012-09-18 |
| 1063677078 | Angela Gehrt | Occupational Therapist | 3303 W Twin Willow Ct, Appleton, WI 54914-6648 | 2008-07-20 |
| 1700040870 | Heidi Jo Van Toll | Occupational Therapist | 1335 S Oneida Street, Appleton, WI 54915 | 2008-07-17 |
| 1275718884 | Christine Gosz | Occupational Therapist | 1936 N Mason St, Appleton, WI 54914-2285 | 2008-01-02 |
| 1649459801 | Christine Rose Kromenaker | Occupational Therapist | 1506 S. Oneida St, Appleton, WI 54915-1305 | 2007-10-24 |
| 1689869950 | Tammy Lynn Hall | Occupational Therapist | W6016 Cameo Ct, Appleton, WI 54915-7460 | 2007-09-10 |
| 1760698054 | Kristen Elizabeth Shackelford | Occupational Therapist | 598 Searsmont Rd, Appleton, ME 04862-6405 | 2007-05-15 |
| 1891916532 | Janice Elaine Noffke | Occupational Therapist | 3301 E Canary St, Appleton, WI 54915-6126 | 2007-05-01 |
| 1396721320 | Nicholas P Heinritz | Occupational Therapist | 279 Altenhofen Dr, Appleton, WI 54913 | 2005-12-21 |
| Find all providers in APPLETON | ||||
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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.