MISS HALEY KIMBALL (NPI# 1841713906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841713906 |
| Entity Type | Individual |
| Full Name | MISS HALEY KIMBALL |
| Credential | COTA |
| Practice Address |
5871 Harbour View Blvd Suffolk VA 23435-3669 |
| Mailing Address |
5204 Hiwassee Cir Virginia Beach VA 23464-7984 |
| Practice Telephone | 7578195997 |
| Mailing Telephone | 7573482504 |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 0131-001814 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | COTA LICENSE | 0131001814 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 688 Kingsborough Sq, Chesapeake, VA 233204908 | 7575479111 |
| Street Address |
5871 HARBOUR VIEW BLVD |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23435-3669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609278373 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 5871 Harbour View Blvd, C/o Crossings At Harbour View, Suffolk, VA 23435-3669 | 2014-09-24 |
| 1770198673 | Ashley Coleman | Occupational Therapist | 5871 Harbour View Blvd, Suffolk, VA 23435-3669 | 2020-09-09 |
| 1821614850 | Alexa Kate Stucky | Occupational Therapy Assistant | 5871 Harbour View Blvd, Suffolk, VA 23435-3669 | 2020-06-25 |
| 1558994095 | Alice Harris | Speech-Language Pathologist | 5871 Harbour View Blvd, Suffolk, VA 23435-3669 | 2020-02-12 |
| 1992353932 | Lauren Ann Hollingsworth | Physical Therapy Assistant | 5871 Harbour View Blvd, Suffolk, VA 23435-3669 | 2019-09-03 |
| 1740750884 | Kelsey Bryant | Physical Therapy Assistant | 5871 Harbour View Blvd, Suffolk, VA 23435-3669 | 2018-12-02 |
| 1063934362 | Timothy Holden | Physical Therapy Assistant | 5871 Harbour View Blvd, Suffolk, VA 23435-3669 | 2017-07-09 |
| 1932649084 | Virginia Dougherty Rivenbark | Speech-Language Pathologist | 5871 Harbour View Blvd, Suffolk, VA 23435-3669 | 2017-03-07 |
| 1831544899 | Linda Craig-dennis | Occupational Therapist | 5871 Harbour View Blvd, Suffolk, VA 23435-3669 | 2016-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423700 | Sean Eric Surber | Physical Therapist | 5818 D Harbour View Blvd., Suite 150, Suffolk, VA 23435 | 2020-06-29 |
| 1871158691 | Lumen Flux Pllc | Dentist | 5501 Bennett's Pasture Road, Suite D, Suffolk, VA 23435 | 2019-05-07 |
| 1588175970 | Louisa Catherine Korte | Anesthesiology | 3107 Summerhouse Drive, Suffolk, VA 23435 | 2017-10-12 |
| 1134648686 | Nicole Short Brown | Non-emergency Medical Transport (VAN) | 782 D Bennetts Meadow Lane, Suffolk, VA 23435 | 2017-09-15 |
| 1104346923 | Southerncare, Inc. | Hospice Care, Community Based | 1037 Champions Way Ste 600, Suffolk, VA 23435 | 2017-06-22 |
| 1801245329 | Usn | Military Hospital | 3602 Traverse Circle, Suffolk, VA 23435 | 2016-06-06 |
| 1366836173 | Vernon Johnson | Counselor | 6805 Castlewood Avenue, Suffolk, VA 23435 | 2015-03-19 |
| 1265776751 | Sister's Developing Growth & Change, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6101 Bradford Drive #b, Suffolk, VA 23435 | 2012-11-21 |
| 1770899247 | Lefcoe, Weinstein, Sachs, Schiff & Associates | Dentist | 210 Meadow View Boulevard, Suffolk, VA 23435 | 2010-08-23 |
| 1770805178 | Nikkiah Wyatt Smith | Counselor | 5705 Lee Farm Ln Ste D, Suffolk, VA 23435 | 2010-02-25 |
| Find all providers in zip 23435 | ||||
| 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 |
|---|---|---|---|---|
| 1518477736 | Carrie Evans | Occupational Therapy Assistant | 4489 Burning Tree Ct, Suffolk, VA 23435-2833 | 2017-10-02 |
| 1265047617 | Danielle Liner | Occupational Therapy Assistant | 100 Anna Goode Way, Suffolk, VA 23434-9236 | 2020-09-12 |
| 1821614850 | Alexa Kate Stucky | Occupational Therapy Assistant | 5871 Harbour View Blvd, Suffolk, VA 23435-3669 | 2020-06-25 |
| 1114569399 | Jocelyn Aleece Griffin | Occupational Therapy Assistant | 2580 Pruden Blvd, Suffolk, VA 23434-4229 | 2019-10-09 |
| 1326603614 | Shaila Marcano-stewart | Occupational Therapy Assistant | 200 W Constance Rd, Suffolk, VA 23434-4413 | 2019-05-02 |
| 1184106460 | Reyna Forbes Wilson | Occupational Therapy Assistant | 2580 Pruden Blvd, Suffolk, VA 23434-4229 | 2018-09-03 |
| 1386158905 | Rebecca Bishop | Occupational Therapy Assistant | 100 N Main St, Suffolk, VA 23434 | 2017-11-17 |
| 1023561479 | Toby Pennell | Occupational Therapy Assistant | 100 N Main St, Suffolk, VA 23434-4529 | 2016-08-02 |
| 1710303789 | Candy Early | Occupational Therapy Assistant | 100 N Main St, Suffolk, VA 23434-4529 | 2014-03-13 |
| 1265725246 | Melvin Joseph Baker | Occupational Therapy Assistant | 200 W Constance Rd, Suffolk, VA 23434-4413 | 2011-05-24 |
| Find all providers in SUFFOLK | ||||
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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.