MS. AMANDA LYNN KETELSEN (NPI# 1851597983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851597983 |
| Entity Type | Individual |
| Full Name | MS. AMANDA LYNN KETELSEN |
| Credential | OTR |
| Practice Address |
11210 95th St Coal Valley IL 61240-9360 |
| Mailing Address |
26535 225th St Leclaire IA 52753-9720 |
| Practice Telephone | 3097993161 |
| Mailing Telephone | 5632892076 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 01734 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225X00000X | Occupational Therapist | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
11210 95TH ST |
| City | COAL VALLEY |
| State | IL |
| Zip Code | 61240-9360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962654962 | Sarah Elizabeth Mcshane | Physical Therapy Assistant | 11210 95th St, Coal Valley, IL 61240-9360 | 2008-10-21 |
| 1861669046 | Katrina Corgan | Physical Therapy Assistant | 11210 95th St, Coal Valley, IL 61240-9360 | 2008-05-15 |
| 1538333877 | Kathy Stegle | Physical Therapist | 11210 95th St, Coal Valley, IL 61240-9360 | 2008-04-17 |
| 1528241908 | Tracy J Sorrell | Physical Therapy Assistant | 11210 95th St, Coal Valley, IL 61240-9360 | 2007-12-09 |
| 1952590770 | Joan Marie Wright | Occupational Therapy Assistant | 11210 95th St, Coal Valley, IL 61240-9360 | 2007-10-17 |
| 1487843421 | Victoria Lee Lawson | Skilled Nursing Facility | 11210 95th St, Coal Valley, IL 61240-9360 | 2007-10-16 |
| 1184813222 | Emily Catherine Miller | Physical Therapy Assistant | 11210 95th St, Coal Valley, IL 61240-9360 | 2007-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962713495 | Coal Valley Fire Protection District | Ambulance | 103 W 18th Ave, Coal Valley, IL 61240 | 2010-06-30 |
| 1831354364 | Karen Ann Dhanens | Occupational Therapist | 1108 East 4th Street, Coal Valley, IL 61240 | 2008-07-24 |
| 1972667111 | Margarida R Laub | Dentist | 205 West First Avenue, Caol Valley, IL 61240 | 2006-12-21 |
| 1922059047 | Emil George Anthony | Contractor | 120 W 14th St, Coal Valley, IL 61240-8811 | 2006-05-13 |
| 1659528503 | Shellene Suzanne Fischer | Occupational Therapist | 507 E 13th Avenue Ct, Coal Valley, IL 61240-9128 | 2008-08-22 |
| 1730157322 | William C Mccabe | Personal Emergency Response Attendant | 1702 E 6th St, Coal Valley, IL 61240-9145 | 2006-03-09 |
| 1578542304 | Yogin J. Parikh | Specialist | 4 Sawgrass Dr, Coal Valley, IL 61240-9148 | 2006-01-11 |
| 1427573633 | Elizabeth S Heisler | Speech-Language Pathologist | 307 W 6th Avenue Ct, Coal Valley, IL 61240-9160 | 2017-08-09 |
| 1851370993 | Rodney Clifford Howell | Nurse Practitioner | 308 W 6th Avenue Ct, Coal Valley, IL 61240-9160 | 2006-01-16 |
| 1144419078 | Progressive Home Wound Care, Inc | Home Health | 308 W 6th Avenue Ct, Coal Valley, IL 61240-9160 | 2007-10-16 |
| Find all providers in zip 61240 | ||||
| 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 |
|---|---|---|---|---|
| 1659528503 | Shellene Suzanne Fischer | Occupational Therapist | 507 E 13th Avenue Ct, Coal Valley, IL 61240-9128 | 2008-08-22 |
| 1831354364 | Karen Ann Dhanens | Occupational Therapist | 1108 East 4th Street, Coal Valley, IL 61240 | 2008-07-24 |
| 1770765091 | Jennifer Marie Klocke | Occupational Therapist | 8523 55th St, Coal Valley, IL 61240-9671 | 2007-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144691 | Jessica Kubinski | Occupational Therapist | 1051 W, Us-6, Morris, IL 60450 | 2020-11-03 |
| 1083214019 | Kelly Shavonne Johnson-means | Occupational Therapist | 715 N Sawyer Ave, Chicago, IL 60624-1532 | 2020-10-28 |
| 1912506247 | Elizabeth L Hadhazy | Occupational Therapist | 5 W Boulder Ct Apt A, Palos Hills, IL 60465-2347 | 2020-10-19 |
| 1952909343 | Samantha E Grimm | Occupational Therapist | 1651 Amaryllis Dr, Romeoville, IL 60446-5131 | 2020-10-16 |
| 1467050708 | Dpt Holdings LLC | Occupational Therapist | 417 E Il Route 173 Unit 101, Antioch, IL 60002-9407 | 2020-10-09 |
| 1245837129 | Lisa Marie Park | Occupational Therapist | 4960 W Argyle St Apt 2, Chicago, IL 60630-4888 | 2020-10-05 |
| 1154928141 | Raymund Espiritu | Occupational Therapist | 559 W Millers Rd, Des Plaines, IL 60016-2674 | 2020-10-03 |
| 1720695158 | Christine Baumann | Occupational Therapist | 9421 Burlington Ave Apt 1n, Brookfield, IL 60513-1868 | 2020-09-29 |
| 1972119279 | Caitlin Wend | Occupational Therapist | 2317 E Lincoln Highway, Suite B, Sterling, IL 61081 | 2020-09-22 |
| 1518573260 | Kaila Ann Lange | Occupational Therapist | 4450 48th St Ct, Rock Island, IL 61202 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
| City | COAL VALLEY |
| Zip Code | 61240 |
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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.