MRS. CAROL YVONNE PETTUS (NPI# 1720356470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720356470 |
| Entity Type | Individual |
| Full Name | MRS. CAROL YVONNE PETTUS |
| Credential | COTA |
| Practice Address |
14631 Floyd St Overland Park KS 66223-2244 |
| Practice Telephone | 9134889848 |
| Practice Fax Number | 9138970248 |
| Mailing Telephone | 9134889848 |
| Mailing Fax Number | 9138970248 |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2011-12-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 18-00006 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
14631 FLOYD ST |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66223-2244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750792073 | Katie Pettus | Physical Therapy Assistant | 14631 Floyd St, Overland Park, KS 66223-2244 | 2014-05-09 |
| 1992073647 | Mark Noel Pettus | Physical Therapist | 14631 Floyd St, Overland Park, KS 66223-2244 | 2011-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205313566 | Midwest Orthopedic Network Kansas | Neuromusculoskeletal Medicine, Sports Medicine | 6500 W 143rd Street, Overland Park, KS 66223 | 2018-07-19 |
| 1073018446 | Davidson Family Chiropractic LLC | Chiropractor | 7951 West 160th Street, Suite 500, Overland Park, KS 66223 | 2018-03-28 |
| 1104354794 | Blue Valley Dermatology | Dermatology | 7840 W 165th Street, Suite 260, Overland Park, KS 66223 | 2017-05-26 |
| 1417495797 | Eye Associates of South Overland Park | Optometrist | 8029 W 159th St., Overland Park, KS 66223 | 2017-02-07 |
| 1255876652 | Shawnee Mission Medical Center Inc | General Acute Care Hospital | 7820 W 165th Street, Overland Park, KS 66223 | 2016-12-21 |
| 1679921902 | Jake Westley Davidson | Chiropractor | 7951 W 160th Street, Suite 500, Overland Park, KS 66223 | 2016-05-26 |
| 1356709281 | Peak Health, LLC | Physical Medicine & Rehabilitation | 7555 W 150th St Ste A, Overland Park, KS 66223 | 2016-02-06 |
| 1881068179 | Jalaleddin Zakeri | Chiropractor | 7504 W 156 St, Overland Park, KS 66223 | 2015-11-24 |
| 1972999688 | Karen Gell | Pharmacy Technician | 8101 West 151st Street, Overland Park, KS 66223 | 2015-04-09 |
| 1861812869 | Acute Spinal Rehab Pa | Chiropractor | 7555 W 150th Street, Overland Park, KS 66223 | 2014-04-17 |
| Find all providers in zip 66223 | ||||
| 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 |
|---|---|---|---|---|
| 1306467568 | Abigail Beaty | Occupational Therapy Assistant | 6104 Foster St Apt 106, Overland Park, KS 66202-3123 | 2020-04-29 |
| 1487219846 | Samantha Cline | Occupational Therapy Assistant | 6406 College Blvd, Overland Park, KS 66211-1507 | 2019-05-01 |
| 1043727175 | Casey Platt | Occupational Therapy Assistant | 8522 Goodman St, Overland Park, KS 66212-2856 | 2018-01-10 |
| 1700304789 | Kalli Dee Karmann | Occupational Therapy Assistant | 6814 W 72nd St, Overland Park, KS 66204 | 2017-08-30 |
| 1194103283 | Bardavon Health Innovations, LLC | Occupational Therapy Assistant | 6701 W 64th St, Building 5, Suite 125, Overland Park, KS 66202-4123 | 2015-05-11 |
| 1144610510 | Rebecca Guzman | Occupational Therapy Assistant | 6125 Newton St, Overland Park, KS 66202-3045 | 2015-01-23 |
| 1477941318 | Shelley Watts | Occupational Therapy Assistant | 6712 W 72nd Street, Overland Park, KS 66204 | 2014-12-30 |
| 1841626629 | Jacquelyn Pitts | Occupational Therapy Assistant | 12151 W 136th St, Apt#632, Overland Park, KS 66221-7402 | 2013-09-24 |
| 1962846980 | Jessica Sue Pipkin | Occupational Therapy Assistant | 4602 W 122nd St Apt 627, Overland Park, KS 66209-4217 | 2013-04-21 |
| 1003008194 | Cindy Clark | Occupational Therapy Assistant | 10420 Barton St, Overland Park, KS 66214-3009 | 2007-08-13 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66223 |
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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.