CARISSA ANN GREELY (NPI# 1881162568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881162568 |
| Entity Type | Individual |
| Full Name | CARISSA ANN GREELY |
| Practice Address |
1436 S Lincoln St Shawano WI 54166-3427 |
| Mailing Address |
2938 Williams Grant Dr De Pere WI 54115-9455 |
| Practice Telephone | 7155266111 |
| Mailing Telephone | 9208104931 |
| Enumeration Date | 2018-11-11 |
| Last Update Date | 2018-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 5552-27 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1436 S LINCOLN ST |
| City | SHAWANO |
| State | WI |
| Zip Code | 54166-3427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215984307 | Manor Care of Shawano Wi LLC | Skilled Nursing Facility | 1436 S Lincoln St, Shawano, WI 54166-3427 | 2006-05-27 |
| 1659989507 | Cassandra Peters | Speech-Language Pathologist | 1436 S Lincoln St, Shawano, WI 54166-3427 | 2020-07-16 |
| 1952876880 | Haley Marie Zakrzewski | Speech-Language Pathologist | 1436 S Lincoln St, Shawano, WI 54166-3427 | 2018-10-08 |
| 1578042297 | Heather Lynn Bannister | Physical Therapy Assistant | 1436 S Lincoln St, Shawano, WI 54166-3427 | 2018-08-13 |
| 1407212897 | Lindsey Vidmar | Physical Therapy Assistant | 1436 S Lincoln St, Shawano, WI 54166-3427 | 2016-01-14 |
| 1013386614 | Shawano Health Services LLC | Skilled Nursing Facility | 1436 S Lincoln St, Shawano, WI 54166-3427 | 2015-09-24 |
| 1417336520 | Sarah Evers | Occupational Therapist | 1436 S Lincoln St, Shawano, WI 54166-3427 | 2015-05-21 |
| 1164786802 | Elizabeth Ann Gaedtke | Speech-Language Pathologist | 1436 S Lincoln St, Shawano, WI 54166-3427 | 2012-06-27 |
| 1750603858 | Debra K Larson | Speech-Language Pathologist | 1436 S Lincoln St, Shawano, WI 54166-3427 | 2010-02-17 |
| 1942444112 | Janean Carol Brewington | Occupational Therapist | 1436 S Lincoln St, Shawano, WI 54166-3427 | 2009-04-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134641848 | Nicole Jeannine Klotzbuecher | Optometrist | 150 County Road B, Shawano, WI 54166 | 2017-07-13 |
| 1437605714 | Jennifer Marie Franke | Counselor | 504 Lakeland St, Shawano, WI 54166 | 2016-08-28 |
| 1699017913 | Benjamin D Schlais | Family Medicine | 100 County Hwy B, Shawano, WI 54166 | 2013-03-25 |
| 1154574366 | Luke T Johnson | Speech-Language Pathologist | N3684 River Road, Shawano, WI 54166 | 2008-10-31 |
| 1902054315 | Robert Joseph Bohr Jr. | Physical Therapy Assistant | N6590 Fox Lane, Shawano, WI 54166 | 2008-08-28 |
| 1790945863 | Patricia Rae Ainsworth | Physical Therapist | 1436 South Lincoln Street, Shawano, WI 54166 | 2008-06-12 |
| 1649491820 | Shawano-gresham School District | Local Education Agency (LEA) | 1050 South Union Street, Shawano, WI 54166 | 2007-05-02 |
| 1114043387 | Thomas G Peterson | Optometrist | 150a County Road B, Shawano, WI 54166 | 2007-03-21 |
| 1740343086 | John Milton Dovorany | Dentist | 1488 E Green Bay St, Shawano, WI 54166 | 2006-12-18 |
| 1265526305 | Charles E Lamarche | Counselor | 420 E Green Bay St, Ste 201, Shawano, WI 54166 | 2006-10-03 |
| Find all providers in zip 54166 | ||||
| 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 |
|---|---|---|---|---|
| 1992086128 | Kelly E Rogers | Occupational Therapy Assistant | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2011-09-01 |
| 1497906226 | Terry Wiley | Occupational Therapy Assistant | 116 N Main St, Shawano, WI 54166-2356 | 2008-10-10 |
| 1962665323 | Denise Renee Bartels | Occupational Therapy Assistant | 1436 South Lincoln Street, Shawano, WI 54166 | 2008-07-07 |
| 1407063712 | Patricia Harriet Laffin | Occupational Therapy Assistant | 1250 S Evergreen St, Shawano, WI 54166-3514 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132201 | Melanie Richardson | Occupational Therapy Assistant | 1312 W Ann St, Kaukauna, WI 54130-3882 | 2020-10-21 |
| 1316546526 | Emma Lorn Klaboe-stephens | Occupational Therapy Assistant | 1425 N 12th Ave Apt 221, Wausau, WI 54401-2451 | 2020-10-19 |
| 1639781784 | Chang Herr | Occupational Therapy Assistant | 6824 N Burbank Ave, Milwaukee, WI 53224-4844 | 2020-08-19 |
| 1720617129 | Holly Fales | Occupational Therapy Assistant | 677 East Street, Burlington, WI 53105-1639 | 2020-04-07 |
| 1316573520 | Kiana D Spanbauer | Occupational Therapy Assistant | 3321 Logan Dr Apt 7, Oshkosh, WI 54901-1178 | 2020-03-19 |
| 1588295653 | Baylee M Noe | Occupational Therapy Assistant | Sage Meadow of Lake Geneva 6722 Wi-50, Lake Geneva, WI 53147 | 2020-01-28 |
| 1942851852 | Brittany Miller | Occupational Therapy Assistant | N35590 Weverstad Rd, Blair, WI 54616-8600 | 2019-09-23 |
| 1619526399 | Kelly Salas | Occupational Therapy Assistant | 701 Deming Way Ste 110, Madison, WI 53717-2916 | 2019-09-05 |
| 1073168019 | Kristen Koshalek | Occupational Therapy Assistant | 3541 Plover Rd # A, Wisconsin Rapids, WI 54494-2155 | 2019-08-06 |
| 1366004152 | Courtney Joy Langendorf | Occupational Therapy Assistant | W5528 N Shore Dr, New Lisbon, WI 53950-9034 | 2019-07-02 |
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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.