MRS. AMY BRENNAN TKACZYK (NPI# 1780298216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780298216 |
| Entity Type | Individual |
| Full Name | MRS. AMY BRENNAN TKACZYK |
| Credential | COTA/L |
| Practice Address |
22 Roller Coaster Rd Strafford NH 03884-6648 |
| Mailing Address |
30 Mill Pond Rd Northwood NH 03261-3240 |
| Practice Telephone | 6036642842 |
| Mailing Telephone | 6036089929 |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 0464 | NH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3080921 | 05 | |
| NH | 3080893 | 05 | |
| NH | 3081115 | 05 |
| Street Address |
22 ROLLER COASTER RD |
| City | STRAFFORD |
| State | NH |
| Zip Code | 03884-6648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588293930 | Alison Wichroski | Speech-Language Pathologist | 22 Roller Coaster Rd, Strafford, NH 03884-6648 | 2020-04-07 |
| 1104438175 | Joan M Ryan | Psychologist | 22 Roller Coaster Rd, Strafford, NH 03884-6648 | 2020-08-20 |
| 1114546975 | Rebecca J Harling | Speech-Language Pathologist | 22 Roller Coaster Rd, Strafford, NH 03884-6648 | 2020-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891846150 | Carole Hartigan | Social Worker | 759 1st Crown Point Rd, Strafford, NH 03884-6118 | 2007-01-15 |
| 1598210304 | Be Well Therapies | Occupational Therapist | 589 2nd Crown Point Rd, Strafford, NH 03884-6205 | 2016-08-22 |
| 1710506555 | Ashley Belbin | Student in an Organized Health Care Education/Training Program | 1292 Province Rd, Strafford, NH 03884-6565 | 2020-04-12 |
| 1013276526 | Accessibility for New England | Durable Medical Equipment & Medical Supplies | 328 Province Rd, Strafford, NH 03884-6644 | 2012-05-04 |
| 1780802181 | Strafford School District | Local Education Agency (LEA) | 22 Roller Coaster Rd Unit 1, Strafford, NH 03884-6648 | 2007-04-23 |
| 1497969968 | Laura H Smith | Physical Therapy Assistant | 38 Beechwood Dr, Strafford, NH 03884-6802 | 2007-05-10 |
| 1366443319 | Kathleen Marie Corcoran | Pediatrics | 27 Juniper Trail Way, Strafford, NH 03884-6820 | 2005-08-02 |
| 1407160989 | Janice Lecompte Stiles | Registered Nurse | 96 Tasker Hill Rd, Strafford, NH 03884-6857 | 2010-07-27 |
| 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 |
|---|---|---|---|---|
| 1407461395 | Erin Lee Fontaine | Occupational Therapy Assistant | Reeds Ferry Elementary School, 15 Lyons Road, Merrimack, NH 03054 | 2020-09-09 |
| 1598379703 | Michelle Anderson | Occupational Therapy Assistant | 15 Lyons Rd, Merrimack, NH 03054-2821 | 2020-09-04 |
| 1598386310 | Ruth M Ashley | Occupational Therapy Assistant | 317 Main St # 1, Somersworth, NH 03878-3099 | 2020-05-04 |
| 1831725639 | Lisa Thompson | Occupational Therapy Assistant | 7 Boomhower Rd, Woodsville, NH 03785-1400 | 2020-03-13 |
| 1275181232 | Bonnie Lynn Quinlan | Occupational Therapy Assistant | 6 Enterprise Way, Raymond, NH 03077-2454 | 2019-09-03 |
| 1962068825 | Amy Nowill | Occupational Therapy Assistant | 40 Farm Rd, Surry, NH 03431-4417 | 2019-05-16 |
| 1134648793 | Christine Lynch | Occupational Therapy Assistant | 86 Pendleton Ln, Londonderry, NH 03053-3607 | 2017-09-14 |
| 1548786015 | Amanda Marlys Langer | Occupational Therapy Assistant | Morrison Nursing Home, 6 Terrace Street, Whitefield, NH 03598 | 2017-08-16 |
| 1457899023 | Riley Walsh | Occupational Therapy Assistant | 75 Berry Rd, New Durham, NH 03855-2414 | 2017-02-03 |
| 1609313634 | Laurie Munro | Occupational Therapy Assistant | 12 Burt St, Merrimack, NH 03054-3132 | 2017-01-29 |
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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.