JENNA MARIE KINN (NPI# 1831686138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831686138 |
| Entity Type | Individual |
| Full Name | JENNA MARIE KINN |
| Credential | MOT, OTR |
| Practice Address |
4422 E State Blvd Fort Wayne IN 46815-6917 |
| Mailing Address |
3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 |
| Practice Telephone | 2604719263 |
| Practice Fax Number | 7654549759 |
| Mailing Telephone | 8553240885 |
| Mailing Fax Number | 7654549759 |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2019-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 31006592A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2513 W 2nd St, Marion, IN 469523241 | 7656620490 | 7654549759 |
| 4422 E State Blvd, Fort Wayne, IN 468156917 | 2604719263 | 7654549759 |
| Street Address |
4422 E STATE BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46815-6917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093074759 | Anne Schultz Metzger | Behavioral Analyst | 4422 E State Blvd, Fort Wayne, IN 46815-6917 | 2012-05-15 |
| 1194322263 | Courtney Elizabeth Selvia | Behavior Technician | 4422 E State Blvd, Fort Wayne, IN 46815-6917 | 2020-10-02 |
| 1144827163 | Megan Leigh Torrijos | Behavior Technician | 4422 E State Blvd, Fort Wayne, IN 46815-6917 | 2020-10-02 |
| 1205433224 | Deborah Baker Graham | Behavior Technician | 4422 E State Blvd, Fort Wayne, IN 46815-6917 | 2020-10-02 |
| 1275130353 | Brittany Nicole Bowers | Behavior Technician | 4422 E State Blvd, Fort Wayne, IN 46815-6917 | 2020-10-02 |
| 1134726367 | Grace Esther Barge | Behavior Technician | 4422 E State Blvd, Fort Wayne, IN 46815-6917 | 2020-10-01 |
| 1881291011 | Ryan Michael Blair | Behavior Technician | 4422 E State Blvd, Fort Wayne, IN 46815-6917 | 2020-10-01 |
| 1396352670 | Jacie Nicole Hartman | Behavior Technician | 4422 E State Blvd, Fort Wayne, IN 46815-6917 | 2020-09-30 |
| 1336756642 | Shardae Annt'e Wilson | Behavior Technician | 4422 E State Blvd, Fort Wayne, IN 46815-6917 | 2020-09-30 |
| 1649887951 | Caitlin Marie Ireland | Behavior Technician | 4422 E State Blvd, Fort Wayne, IN 46815-6917 | 2020-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306305438 | Sullivan Services, Inc. | In Home Supportive Care | 2789-b Maplecrest Rd, Fort Wayne, IN 46815 | 2019-03-18 |
| 1598250144 | Altermease Gleason | Massage Therapist | 3406 Thames Drive, Fort Wayne, IN 46815 | 2018-06-26 |
| 1881000222 | Denise Sparks | Specialist | 6415 Benham Drive, Fort Wayne, IN 46815 | 2014-07-07 |
| 1962823138 | Chad Distelrath | Physical Therapy Assistant | 1717 Maplecrest Rd, Apt 112, Fort Wayne, IN 46815 | 2013-12-13 |
| 1689943409 | Kendall Joan Labrash | Physical Therapist | 4251 Lahmeyer Rd., Fort Wayne, IN 46815 | 2011-12-22 |
| 1801179718 | Jayson Laube | Pharmacist | 6201 Stellhorn, Fort Wayne, IN 46815 | 2011-09-27 |
| 1720294432 | Muscle Therapy Clinic LLC | Massage Therapist | 6409 Georgetown North Blvd, Fort Wayne, IN 46815 | 2007-05-16 |
| 1427186436 | Legoras Conture Fashions | Prosthetic/Orthotic Supplier | 3316 Inwood Drive, Fort Wayne, IN 46815 | 2007-03-01 |
| 1932252772 | Fort Wayne Smiles PC | Dentist | 2031 Reed Road, Fort Wayne, IN 46815 | 2007-01-18 |
| 1811078538 | Timothy Doody Lynch | Dentist | 4207 Hobson Court, Fort Wayne, IN 46815 | 2006-10-18 |
| Find all providers in zip 46815 | ||||
| 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 |
|---|---|---|---|---|
| 1134746209 | Laurel Schroeder | Occupational Therapist | 1726 Bluffton Rd, Fort Wayne, IN 46809-1305 | 2020-07-06 |
| 1831715481 | Hannah Saprid Cho | Occupational Therapist | 3024 Emerald Lake Dr, Fort Wayne, IN 46804-2406 | 2020-06-19 |
| 1811510464 | Carmen Rosales | Occupational Therapist | 10331 Copper Tree Pl, Fort Wayne, IN 46804-4284 | 2020-05-18 |
| 1336772078 | Bradley Murphy | Occupational Therapist | 2626 St Joe Center Ed, Fort Wayne, IN 46825 | 2020-02-21 |
| 1073074571 | Melanie Blanchard | Occupational Therapist | 2626 Saint Joe Center Rd, Fort Wayne, IN 46825-5042 | 2019-03-27 |
| 1669939864 | Kristen Macy | Occupational Therapist | 201 E Rudisill Blvd Ste 301, Fort Wayne, IN 46806-1756 | 2019-02-23 |
| 1841769270 | Brian Bernard Conaway | Occupational Therapist | 7125 S Hanna St, Fort Wayne, IN 46816 | 2018-11-14 |
| 1073041901 | Julie Replogle | Occupational Therapist | 409 E Cook Rd Ste 100, Fort Wayne, IN 46825-3656 | 2017-05-23 |
| 1073998530 | Joshua Michael Oesterling | Occupational Therapist | 3030 Lake Ave Ste 8, Fort Wayne, IN 46805-5428 | 2015-07-27 |
| 1881072916 | Diane Lynn Zinn | Occupational Therapist | 8300 Maysville Rd, Fort Wayne, IN 46815-6619 | 2015-05-08 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46815 |
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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.