SHAPING THE PATH LLC (NPI# 1861026718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861026718 |
| Entity Type | Organization |
| Organization Name | SHAPING THE PATH LLC |
| Practice Address |
651 Sojourn Rd New Lenox IL 60451-2396 |
| Practice Telephone | 8155317639 |
| Enumeration Date | 2020-03-01 |
| Last Update Date | 2020-03-01 |
| Authorized Official Name | ALLISON TRAVNIK (OWNER) |
| Authorized Official Telephone | 8155317639 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
651 SOJOURN RD |
| City | NEW LENOX |
| State | IL |
| Zip Code | 60451-2396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733322 | Nicole Karolich | Occupational Therapy Assistant | 651 Sojourn Rd, New Lenox, IL 60451-2396 | 2020-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126227 | Forever Family Dental of New Lenox | Dentist | 202 Vancina Lane, New Lenox, IL 60451 | 2020-02-13 |
| 1699245662 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 115 East Maple St, New Lenox, IL 60451 | 2018-12-03 |
| 1093204778 | New Lenox Anesthesia LLC | Anesthesiology | 678 Cedar Crossing Dr, New Lenox, IL 60451 | 2018-05-08 |
| 1578068698 | My Medicar | Non-emergency Medical Transport (VAN) | 21625 S. Schoolhouse Rd, New Lenox, IL 60451 | 2018-03-29 |
| 1134646771 | Julianne M. Goudzwaard | Registered Nurse | 841 Buckboard Drive, New Lenox, IL 60451 | 2017-08-24 |
| 1063947422 | Silver Cross Ambulatory Surgery Center, LLC | Clinic/Center | 1003 Pawlak Parkway, New Lenox, IL 60451 | 2017-04-24 |
| 1386090041 | Lindsey Reimer | Speech-Language Pathologist | 3515 Golf Ave, New Lenox, IL 60451 | 2016-05-11 |
| 1295105484 | Alison Elaine Burchardt | Nurse Practitioner | 1890 Silver Cross Boulevard, Pavilion A, Suite 240, New Lenox, IL 60451 | 2015-09-30 |
| 1700278959 | Dental Professionals of Illinois, P.c | Dentist | 561 E Lincoln Hwy, New Lenox, IL 60451 | 2015-02-25 |
| 1912319146 | Teresea Bargewell | Counselor | 1049 E. Lincoln Hwy, Decision Point Counseling and Career Center, New Lenox, IL 60451 | 2014-05-22 |
| Find all providers in zip 60451 | ||||
| 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 |
|---|---|---|---|---|
| 1063024321 | Kayla Jordan Freeman | Occupational Therapist | 2320 E Lincoln Hwy, New Lenox, IL 60451-9533 | 2020-08-18 |
| 1710504006 | Illinois Bone and Joint Institute LLC | Occupational Therapist | 1870 Silver Cross Blvd Ste 200b, New Lenox, IL 60451-8646 | 2020-07-02 |
| 1376178962 | Livestrong Therapy LLC | Occupational Therapist | 2772 Northern Lights Way, New Lenox, IL 60451-7503 | 2020-03-04 |
| 1710444906 | Jennifer Joyce | Occupational Therapist | 1610 Delmar Dr, New Lenox, IL 60451-2344 | 2019-02-25 |
| 1487184883 | Nancy E Graben | Occupational Therapist | 1023 S Cedar Rd, New Lenox, IL 60451-2645 | 2017-06-18 |
| 1124576921 | Ashley Blocker | Occupational Therapist | 2601 Riivendell Dr, New Lenox, IL 60451-1329 | 2016-09-21 |
| 1396174769 | Allison Travnik | Occupational Therapist | 300 Vine St, 741, New Lenox, IL 60451-1654 | 2013-11-06 |
| 1861832610 | Danielle Nicole Logan | Occupational Therapist | 1010 Shagbark Rd Apt 2c, New Lenox, IL 60451-2477 | 2013-06-25 |
| 1235479254 | Kimberly A Beall | Occupational Therapist | 1031 Southgate Rd, New Lenox, IL 60451-2675 | 2013-02-28 |
| 1578754800 | Kristen Waye Boros | Occupational Therapist | 14409 Edison Dr Unit I, New Lenox, IL 60451-3670 | 2007-08-01 |
| Find all providers in NEW LENOX | ||||
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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.