NICOLE KELLY (NPI# 1841703923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841703923 |
| Entity Type | Individual |
| Full Name | NICOLE KELLY |
| Practice Address |
65 Middle Rd Blue Point NY 11715-1918 |
| Practice Telephone | 6312943779 |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2017-11-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | P08721 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053849166 | Nicole Shavon Kelly | Contractor | 11 Misty Wood Cir Apt H, Timonium, MD 21093-1338 | 2017-06-02 |
| 1447863220 | Nicole Mary Kelly | Behavior Technician | 320 Saturn St N Ste A, Cosmos, MN 56228-9757 | 2020-08-31 |
| 1437790003 | Nicole Lynn Kelly | Physical Therapist | 411 N Middletown Rd, Media, PA 19063-4059 | 2019-10-03 |
| 1407316813 | Nicole Kelly | Student in an Organized Health Care Education/Training Program | 3959 Broadway, New York, NY 10032-1559 | 2019-03-21 |
| 1881153120 | Nicole Aneiros Kelly | Student in an Organized Health Care Education/Training Program | 505 S Main St Ste 525, Orange, CA 92868-4553 | 2019-03-17 |
| 1225515901 | Nicole Kelly | Counselor | 55 Dodge Rd, Getzville, NY 14068-1205 | 2018-07-25 |
| 1336523562 | Nicole Kelly | Physical Therapy Assistant | 35 N 28th St, Superior, WI 54880-5557 | 2015-07-17 |
| 1316326796 | Nicole Kelly | Acupuncturist | 420 Walnut Ave, San Diego, CA 92103-4987 | 2015-05-19 |
| 1093108581 | Nicole Kelly | Behavioral Analyst | 3214 W Mcgraw St Ste 212, Seattle, WA 98199-3239 | 2015-03-09 |
| 1013312339 | Nicole Kelly | Physician Assistant | 12340 S 450 E, Draper, UT 84020-8154 | 2014-10-29 |
| Street Address |
65 MIDDLE RD |
| City | BLUE POINT |
| State | NY |
| Zip Code | 11715-1918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649532250 | Suzanne Kelly | Specialist | 65 Middle Rd, Blue Point, NY 11715-1918 | 2012-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366998684 | Innocentia Nkeiruka Eke | Licensed Practical Nurse | Caring Hands Home Care Inc., 263 Blue Point Avenue, Blue Point, NY 11715 | 2016-08-28 |
| 1013381714 | Marie Solages | Licensed Practical Nurse | 263 Blue Point Avenue, Caring Hands Home Care, Blue Point, NY 11715 | 2015-11-18 |
| 1750750451 | Justine Pomponio | Early Intervention Provider Agency | 24 Norwood Drive, Blue Point, NY 11715 | 2015-09-23 |
| 1447663349 | Alicia Mantione | Behavioral Analyst | 86 Montauk Hwy, Blue Point, NY 11715 | 2014-06-09 |
| 1306013487 | S Paul Zola | Emergency Medicine | 38 W Harbour Dr, Blue Point, NY 11715 | 2008-05-08 |
| 1700924586 | David E. Konnick Jr. | Licensed Practical Nurse | 320 Bluepoint Rd., Bluepoint, NY 11715 | 2007-02-02 |
| 1417093741 | Patricia Cullon Campanelli | Speech-Language Pathologist | 235a Blue Point Ave, Blue Point, NY 11715 | 2007-01-30 |
| 1922044635 | Alejandro Alfredo Godoy | Social Worker | 20 Montauk Highway, Blue Point, NY 11715 | 2006-06-21 |
| 1669909065 | Courtney Perrone | Speech-Language Pathologist | 235 Blue Point Ave, Blue Point, NY 11715 | 2017-05-16 |
| 1578098919 | Evelyn Dwumah | Registered Nurse | 263 Blue Point, Caring Hands Home Care, Blue Point, NY 11715 | 2017-04-24 |
| Find all providers in zip 11715 | ||||
| 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 |
|---|---|---|---|---|
| 1952878696 | Caitlin Patricia Mitchell | Occupational Therapist | 33 Namkee Rd, Blue Point, NY 11715-1818 | 2018-10-31 |
| 1659427367 | Laura Anne Trent | Occupational Therapist | 12 Corky Ct, Blue Point, NY 11715-1108 | 2007-01-26 |
| 1215491055 | Jessica Rourke | Occupational Therapist | 235 Blue Point Ave, Blue Point, NY 11715-1261 | 2019-01-25 |
| 1699287649 | Adriana Bertolino | Occupational Therapist | 235 Blue Point Ave, Blue Point, NY 11715-1261 | 2017-10-31 |
| 1891182788 | Gregory Glover | Occupational Therapist | 235 Blue Point Ave, # A, Blue Point, NY 11715-1261 | 2015-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952368 | Dimitry Gomberg | Occupational Therapist | 320 W 31st St, New York, NY 10001-2705 | 2020-11-06 |
| 1689275737 | Emily Christine Olander | Occupational Therapist | 9 Beech Dr, Painted Post, NY 14870-9090 | 2020-11-05 |
| 1588265698 | Kimberly Berganza | Occupational Therapist | 147 Parkdale Dr, North Babylon, NY 11703-3416 | 2020-11-04 |
| 1699376798 | Emily Anne Clark | Occupational Therapist | 3579 Bayview St, Seaford, NY 11783-3316 | 2020-11-04 |
| 1144821489 | Gabrielle Alyn Mcrae | Occupational Therapist | 348 Marshall Dr S Apt 3b, Brooklyn, NY 11209-8534 | 2020-11-03 |
| 1720689342 | Tamara Hirschler | Occupational Therapist | 146 Beach 9th St Apt 8b, Far Rockaway, NY 11691-5628 | 2020-11-02 |
| 1174123913 | Be The Change Occcupational Therapy PC | Occupational Therapist | Garden of Eden Home for Adults (ot/pt Office), 1608 Stillwell Ave, Brooklyn, NY 11223 | 2020-10-30 |
| 1588263065 | Katherine Ann Gaeta | Occupational Therapist | 600 Woodrow Rd, Staten Island, NY 10312-1230 | 2020-10-26 |
| 1710586292 | Isha Iyer | Occupational Therapist | 1013 Union St Apt 2, Brooklyn, NY 11225-1104 | 2020-10-26 |
| 1194325621 | Rosanne Lei | Occupational Therapist | 2447 E 12th St Fl 1, Brooklyn, NY 11235-5019 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
| City | BLUE POINT |
| Zip Code | 11715 |
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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.