LYNNE C DEBOLT (NPI# 1770723173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770723173 |
| Entity Type | Individual |
| Full Name | LYNNE C DEBOLT |
| Credential | OTR/L |
| Practice Address |
540 North Pine Ridge Loop Wasilla AK 99654 |
| Mailing Address |
Po Box 872093 Wasilla AK 99687-2093 |
| Practice Telephone | 9073734943 |
| Practice Fax Number | 9073734943 |
| Mailing Telephone | 9073734943 |
| Mailing Fax Number | 9073734943 |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2011-08-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 1799 | AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
540 NORTH PINE RIDGE LOOP |
| City | WASILLA |
| State | AK |
| Zip Code | 99654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| 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 |
|---|---|---|---|---|
| 1477116580 | Flex Home Therapy Services, LLC | Occupational Therapist | 6200 E Beechcraft Rd, Wasilla, AK 99654-9332 | 2019-04-16 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| 1396221826 | Michelle Yvonne Warner | Occupational Therapist | 984 N Meridian Pl # A, Wasilla, AK 99654-7215 | 2018-07-18 |
| 1427595370 | Jamie Anderson | Occupational Therapist | 613 S Knik Goose Bay Rd, Suite E, Wasilla, AK 99654-8090 | 2017-01-30 |
| 1700260478 | Brittney Moreis | Occupational Therapist | 650 N Shoreline Dr Ste 100, Wasilla, AK 99654-6677 | 2015-07-13 |
| 1538591235 | Summit Therapeutics LLC | Occupational Therapist | 1700 E Bogard Rd Ste A101, Wasilla, AK 99654-6563 | 2013-08-05 |
| 1730422114 | Denali Occupational Therapy LLC | Occupational Therapist | 3725 E Wickersham Way, Wasilla, AK 99654-7557 | 2013-04-03 |
| 1154660272 | Elizabeth Rachael Palmer | Occupational Therapist | 1786 E Neil Cir, Apt 2, Wasilla, AK 99654-8240 | 2013-02-08 |
| 1295043958 | Jennifer Renee Dulz | Occupational Therapist | 1001 E Northstar Cir Apt 4, Wasilla, AK 99654-5773 | 2010-09-15 |
| 1780833624 | Marianne Jean Thompson | Occupational Therapist | 3716 E Serendipity Loop, Wasilla, AK 99654-2824 | 2008-09-16 |
| Find all providers in WASILLA | ||||
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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.