MISS KATRINA MORTA DAVID (NPI# 1750601605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750601605 |
| Entity Type | Individual |
| Full Name | MISS KATRINA MORTA DAVID |
| Credential | OTRL |
| Practice Address |
2320 Pebblestone Way Bolingbrook IL 60490-5059 |
| Practice Telephone | 8157824619 |
| Mailing Telephone | 8157824619 |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2012-12-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 056.007949 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2320 PEBBLESTONE WAY |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60490-5059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477055945 | Myeyedr Optometry of Illinois, LLC | Optometrist | 310 S Weber Road, Bolingbrook, IL 60490 | 2018-03-01 |
| 1609391812 | Christian Joy Lazaro Pangan | Physical Therapist | 306 Chick Evans St, Bolingbrook, IL 60490 | 2017-08-09 |
| 1922522515 | David-jamahl Ardison | Physical Therapist | 194 N Weber Road, Bolingbrook, IL 60490 | 2017-07-26 |
| 1508261298 | Haytham El-genedy | Chiropractor | 319 Veterans Pakwy Bolingbrook, Bolingbrook, IL 60490 | 2014-10-24 |
| 1568710465 | Anthony M Buonamici | Specialist/Technologist | 313 North Weber Road, Bolingbrook, IL 60490 | 2012-08-27 |
| 1235329384 | Fayez Mekhael Nagib Mekhael | Family Medicine | 2136 Mark Cir, Bolingbrook, IL 60490 | 2007-07-25 |
| 1841350584 | Mary M. Grimwood | Optometrist | 141 N. Weber Rd., Bolingbrook, IL 60490 | 2006-12-11 |
| 1154337962 | Nurses On Calls, Inc. | Home Health | 1475 Basswood Dr, Bolingbrook, IL 60490 | 2006-08-01 |
| 1801841150 | David E Zacher | Pharmacist | 1920 Danube Way, Bolingbrook, IL 60490 | 2006-05-24 |
| 1144229816 | Patricia Lee Colledge | Nurse Practitioner | 149 N Weber Rd, Bolingbrook, IL 60490 | 2005-07-15 |
| Find all providers in zip 60490 | ||||
| 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 |
|---|---|---|---|---|
| 1528682416 | Shazia Siddiqi | Occupational Therapist | 1655 Farmside Ln, Bolingbrook, IL 60490-4964 | 2020-06-05 |
| 1649829631 | Laqueishia Cummins | Occupational Therapist | 105 Pilgrim Ct, Bolingbrook, IL 60440-2909 | 2019-09-11 |
| 1508300567 | Nicholas Rodriguez | Occupational Therapist | 334 Stafford Way, Bolingbrook, IL 60440-2128 | 2016-12-10 |
| 1033570676 | Eric Isip Magat | Occupational Therapist | 573 Pinebrook Dr, Bolingbrook, IL 60490-3173 | 2016-03-09 |
| 1720469307 | Kelan Patel | Occupational Therapist | 400 N Schmidt Rd Ste 201, Bolingbrook, IL 60440-1795 | 2015-06-09 |
| 1851734172 | Breanna Kaitlyn Carlson | Occupational Therapist | 168 Beaconridge Dr, Bolingbrook, IL 60440-2936 | 2013-04-17 |
| 1083982078 | Kelly Supataraporn | Occupational Therapist | 388 Twin Creeks Dr, Bolingbrook, IL 60440-1070 | 2011-12-06 |
| 1164739728 | Lauren Len Weigle | Occupational Therapist | 439 Justine Ave, Bolingbrook, IL 60440-2220 | 2010-09-02 |
| 1437484110 | Jefferson James Mahinay Licup | Occupational Therapist | 226 Tiger St, Bolingbrook, IL 60490-2053 | 2009-10-13 |
| 1871745349 | Audrey Nelson Arowolo | Occupational Therapist | 879 Brompton Circle, Bolingbrook, IL 60440 | 2008-10-16 |
| Find all providers in BOLINGBROOK | ||||
| City | BOLINGBROOK |
| Zip Code | 60490 |
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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.