MRS. KATIE FIONA JERDEE (NPI# 1760633937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760633937 |
| Entity Type | Individual |
| Full Name | MRS. KATIE FIONA JERDEE |
| Credential | COTA |
| Practice Address |
3205 Wood Rd Racine WI 53406-5048 |
| Mailing Address |
806 Madison Ave South Milwaukee WI 53172-2622 |
| Practice Telephone | 1262598914 |
| Mailing Telephone | 4147643628 |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 1921-027 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MEDICAID PROGRAM NON BILLING PROVIDER NUMBER | 40892500 | 01 |
| Street Address |
3205 WOOD RD |
| City | RACINE |
| State | WI |
| Zip Code | 53406-5048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649275991 | Racine County | Skilled Nursing Facility | 3205 Wood Rd, Racine, WI 53406-5048 | 2005-06-14 |
| 1720564578 | Candice Ann Hackbarth | Speech-Language Pathologist | 3205 Wood Rd, Racine, WI 53406-5048 | 2018-07-16 |
| 1346763729 | Complete Care At Ridgewood LLC | Skilled Nursing Facility | 3205 Wood Rd, Racine, WI 53406-5048 | 2017-07-18 |
| 1952740433 | Jessica Leckie | Occupational Therapy Assistant | 3205 Wood Rd, Racine, WI 53406-5048 | 2013-06-18 |
| 1548539323 | Ridgewood | Skilled Nursing Facility | 3205 Wood Rd, Racine, WI 53406-5048 | 2011-12-22 |
| 1316215031 | Gladys Marie Yuenkel | Health Educator | 3205 Wood Rd, Racine, WI 53406-5048 | 2011-12-08 |
| 1104143809 | Marie A Sager | Physical Therapist | 3205 Wood Rd, Racine, WI 53406 | 2010-04-21 |
| 1598088908 | Nichole Marie Escalera | Physical Therapy Assistant | 3205 Wood Rd, Racine, WI 53406-5048 | 2010-03-12 |
| 1598097818 | Karen Sue Allen | Occupational Therapy Assistant | 3205 Wood Rd, Racine, WI 53406-5048 | 2010-02-11 |
| 1902133010 | Gretchen May Nofsinger | Speech-Language Pathologist | 3205 Wood Rd, Racine, WI 53406-5048 | 2009-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
| 1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
| 1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
| 1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| Find all providers in zip 53406 | ||||
| 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 |
|---|---|---|---|---|
| 1730416769 | Tracy Rae Johanneck-utphall | Occupational Therapy Assistant | 3248 Shortridge Dr, Racine, WI 53402-1367 | 2009-11-12 |
| 1275754848 | Sara Beth Schattner | Occupational Therapy Assistant | 1700 C.a. Becker Drive, Racine, WI 53406 | 2007-05-01 |
| 1225256605 | Danielle Marie Weber | Occupational Therapy Assistant | 1700 C A Becker Dr, Racine, WI 53406-4714 | 2007-04-23 |
| 1851861504 | Ashley Liebe | Occupational Therapy Assistant | 1320 S Green Bay Road, Racine, WI 53406 | 2018-11-26 |
| 1841738028 | Mary Harris | Occupational Therapy Assistant | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2017-02-07 |
| 1114306214 | Lionel Thompson | Occupational Therapy Assistant | 6101 16th St, Racine, WI 53406-4467 | 2015-05-21 |
| 1144621574 | Jennifer Neisner | Occupational Therapy Assistant | 1700 C A Becker Dr, Racine, WI 53406-4714 | 2014-09-04 |
| 1760819734 | Matthew Dennis Lefever | Occupational Therapy Assistant | 6101 16th St, Racine, WI 53406-4467 | 2013-10-04 |
| 1952740433 | Jessica Leckie | Occupational Therapy Assistant | 3205 Wood Rd, Racine, WI 53406-5048 | 2013-06-18 |
| 1598097818 | Karen Sue Allen | Occupational Therapy Assistant | 3205 Wood Rd, Racine, WI 53406-5048 | 2010-02-11 |
| Find all providers in RACINE | ||||
Please comment or provide details below to improve the information on MRS. KATIE FIONA JERDEE.
| 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.