CASSIDY RENEE MCCULLOUGH


Address: 412 N Broadway Ave, Shawnee, OK 74801-6922
Phone: 4052731523

CASSIDY RENEE MCCULLOUGH (NPI# 1760993067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760993067
Entity Type Individual
Full Name CASSIDY RENEE MCCULLOUGH
Other Name CASSIDY RENEE SULLIVAN
Credential OTR/L
Practice Address 412 N Broadway Ave
Shawnee
OK 74801-6922
Practice Telephone 4052731523
Practice Fax Number 4052731743
Mailing Telephone 4052731523
Mailing Fax Number 4052731743
Enumeration Date 2017-10-13
Last Update Date 2017-10-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225XP0200X Occupational Therapist
Specialization: Pediatrics 		2128 OK Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 412 N BROADWAY AVE
City SHAWNEE
State OK
Zip Code 74801-6922

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316999360 Lisa Anne Knight Physical Therapist 412 N Broadway Ave, Shawnee, OK 74801-6922 2006-05-17
1235511544 Rebecca Wilson Physical Therapy Assistant 412 N Broadway Ave, Shawnee, OK 74801-6922 2015-06-23
1275923294 Mirimma Nwosu Occupational Therapy Assistant 412 N Broadway Ave, Shawnee, OK 74801-6922 2015-01-29
1063774586 Select Physical Therapy Holdings, Inc. Clinic/Center 412 N Broadway Ave, Number 416, Shawnee, OK 74801-6922 2012-06-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538609037 Melissa Lanier Specialist 801 N. Louisa, Shawnee, OK 74801 2017-03-02
1518365287 Melanie A. Croy Counselor 1605 N. Harrison, Shawnee, OK 74801 2014-12-12
1134532229 Megan Malouf Registered Nurse 2307 Gordon Cooper Dr., Shawnee, OK 74801 2014-06-05
1063836609 Daniel Antwain Shaw Counselor 605 S. Pottenger Ave, Shawnee, OK 74801 2014-02-18
1639514862 Cheryl Jeannette Left Hand Counselor 101 N. Union, Shawnee, OK 74801 2013-05-01
1881948644 Lena I Samilton Counselor 319 S. Kennedy Ave., Apt.112, Shawnee, OK 74801 2012-11-01
1235433681 Jenifer Sloan Case Manager/Care Coordinator 2029 S. Gordon Cooper Dr., Shawnee, OK 74801 2010-12-28
1295854958 Jack C Luman Dentist 1410 N Harrison St, Shawnee, OK 74801 2007-03-27
1942375274 M Gerald Ball Psychologist 819 North Kickapoo, Shawnee, OK 74801 2006-11-21
1205912573 Regina Steciak Tanner Physical Therapist 909 N Kickapoo, Shawnee, OK 74801 2006-10-31
Find all providers in zip 74801

Taxonomy Information

Taxonomy Code 225XP0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Pediatrics

Taxonomy Definition

Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
  • Professional degree or equivalent in occupational therapy.
  • Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
  • Minimum of 5 years of practice as an occupational therapist.
  • Minimum of 5,000 hours of experience as an occupational therapist in the certification area in the last 7 calendar years.
  • Minimum of 500 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 5 calendar years. Service delivery may be paid or voluntary.
  • Verification of employment.
AOTA Specialized Knowledge and Skills Paper: Occupational Therapy Practice in the Neonatal Intensive Care Unity (2006); AOTA Fact Sheets: Children and the Tsunami, OT for Children Birth to 3 Years of Age, OT's Role with Autism, OT in Educational Settings Under the Individuals with Disabilities Education Act, Transforming Caseload to Workload in School Based and Early Intervention OT Services, OT in Preschool Settings.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003038985 Denise M Campbell Occupational Therapist 12917 W 76th Ter, Shawnee, KS 66216-3103 2007-05-02
1740313386 Magen Mcconnaughey Occupational Therapist 6786 Rene St, Shawnee, KS 66216-2395 2007-03-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1861008195 Leah Mashburn Occupational Therapist 1605 S Eucalyptus Ave Ste 200, Broken Arrow, OK 74012-5996 2020-09-22
1861044521 Step By Step Therapy Inc Occupational Therapist 5204 Jacquelyn Ln Ste 19, Bartlesville, OK 74006-7735 2019-07-12
1699242537 Epiphany Birth Services, LLC Occupational Therapist 1745 Nw 16th St Ste A, Oklahoma City, OK 73106-2078 2018-10-29
1396221594 Brighter Horizons Therapy Solutions, Pllc Occupational Therapist 1750 W Lakeaire Dr, Mustang, OK 73064-1117 2018-07-11
1346746740 Mary Mccormick Occupational Therapist 1200 Childrens Ave Ste 2j, Oklahoma City, OK 73104-4637 2018-04-04
1700324936 Kristen Smith and Associates Pllc Occupational Therapist 309 Nw 144th St, Edmond, OK 73013-2411 2017-02-08
1497116602 Andrea Hutchings Occupational Therapist 22655 Sams Dr, Edmond, OK 73025-2060 2016-03-15
1417335225 Quest Pediatric Therapy Occupational Therapist 607 N Western Ave, Oklahoma City, OK 73106-7413 2015-05-12
1366859910 Laura C. Robertson Occupational Therapist 2817 Monticello Dr, Bartlesville, OK 74006-5827 2014-07-15
1699190595 Mindy Karyl Mccoy Occupational Therapist 7256 Cr 2145, Bartlesville, OK 74003 2014-02-28
Find all providers with the same taxonomy

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City SHAWNEE
Zip Code 74801

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Dataset Information

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.

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