KELLY FISCHER (NPI# 1902213366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902213366 |
| Entity Type | Individual |
| Full Name | KELLY FISCHER |
| Credential | OTR/L, COMT, CLT |
| Practice Address |
15290 Pennock Ln Apple Valley MN 55124-7163 |
| Mailing Address |
5234 Credit River Rd Se Prior Lake MN 55372-2553 |
| Practice Telephone | 9529533711 |
| Mailing Telephone | 3205834002 |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2019-04-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 104712 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8100 Highwood Dr, Bloomington, MN 554381006 | 9528317500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679045280 | Kelly Fischer | Occupational Therapist | 1201 Brighton Ln, Bel Air, MD 21014-3308 | 2018-12-20 |
| 1750512067 | Kelly Hyde Fischer | Speech-Language Pathologist | 12701 Hinson Rd, Little Rock, AR 72212-3301 | 2009-08-04 |
| 1346396322 | Kelly C Fischer | Occupational Therapist | 2752 Storm Lake Dr, Saint Louis, MO 63129-5448 | 2007-01-25 |
| 1023051042 | Kelly Marie Fischer | Counselor | 6600 W Timbercrest Ln, Muncie, IN 47304-9386 | 2006-06-14 |
| 1538790530 | Kelly Fischer | Counselor | 111 10th St Sw, Waverly, IA 50677-2925 | 2020-01-28 |
| 1992297998 | Kelly S Fischer | Social Worker | 651 S Limestone St, Springfield, OH 45505-1965 | 2018-06-05 |
| 1184159980 | Kelly Fischer | Occupational Therapist | 1475 Se 100th Ave, Portland, OR 97216-2537 | 2017-04-29 |
| 1881062859 | Kelly Fischer | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2015-09-09 |
| 1215291323 | Kelly E Fischer | Early Intervention Provider Agency | 120 N Broadway, Apt 3d, Irvington, NY 10533-1239 | 2012-07-03 |
| Street Address |
15290 PENNOCK LN |
| City | APPLE VALLEY |
| State | MN |
| Zip Code | 55124-7163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700857018 | Thomas Michael King | Family Medicine | 15290 Pennock Ln, Apple Valley, MN 55124-7163 | 2006-01-27 |
| 1053807719 | John Boettger | Physician Assistant | 15290 Pennock Ln, Apple Valley, MN 55124 | 2018-07-06 |
| 1437688538 | Zaynab Rasheed | Family Medicine | 15290 Pennock Ln, Apple Valley, MN 55124-7163 | 2017-06-12 |
| 1992236194 | Erica Lee Mahlum | Physician Assistant | 15290 Pennock Ln, Apple Valley, MN 55124-7163 | 2017-03-21 |
| 1528483799 | Brita Emanuell Dahlquist | Physician Assistant | 15290 Pennock Ln, Apple Valley, MN 55124-7163 | 2014-02-25 |
| 1619311586 | Olusola Olasupo Adegoke | Family Medicine | 15290 Pennock Ln, Apple Valley, MN 55124-7163 | 2013-04-23 |
| 1497018055 | Daniel E Stein | Family Medicine | 15290 Pennock Ln, Apple Valley, MN 55124-7163 | 2012-06-19 |
| 1386910479 | Tracy Jo Irons-dieterle | Nurse Practitioner | 15290 Pennock Ln, Apple Valley, MN 55124-7163 | 2012-03-22 |
| 1457631517 | Neil James Johnson | Dentist | 15290 Pennock Ln, Apple Valley, MN 55124-7163 | 2011-08-22 |
| 1558597377 | Sushant Nangrani | Family Medicine | 15290 Pennock Ln, Apple Valley, MN 55124 | 2009-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574672 | Carol Susan Elstad | Counselor | Mn Mental Health Clinics, 15160 Foliage Ave Suite 140, Apple Valley, MN 55124 | 2020-09-23 |
| 1629612569 | Gadaa Care Transportation | Non-emergency Medical Transport (VAN) | 7296 157th St W, Apple Valley, MN 55124 | 2019-11-04 |
| 1356831515 | Dustin W Seabolt | Hearing Instrument Specialist | 15071 Dunwood Trl, Apple Valley, MN 55124 | 2018-05-14 |
| 1639687189 | Dentalign P.a. | Clinic/Center | 15875 Emperor Avenue, Apple Valley, MN 55124 | 2018-01-18 |
| 1982126926 | Apex Family Chiropractic LLC | Chiropractor | 15678 Pilot Knob Road, Suite 120, Apple Valley, MN 55124 | 2017-07-12 |
| 1821523028 | Robin Marie Parker | Nurse Practitioner | 14135 Cedar Avenue South, Suite 100, Apple Valley, MN 55124 | 2017-04-25 |
| 1134578826 | Ellen Denise Jacobson | Dentist | 14682 Pennock Avenue South, Apple Valley, MN 55124 | 2016-06-03 |
| 1831568708 | Clearriver Inc. | Home Health | 13790 Elkhart Rd, Apple Valley, MN 55124 | 2015-09-21 |
| 1265826879 | Next Level Fitness Co | Public Health or Welfare | 14645 Felton Ct, 104, Apple Valley, MN 55124 | 2015-03-20 |
| 1568872216 | Jon Butala | Marriage & Family Therapist | 4300 W 147th St., Suite 204, Apple Valley, MN 55124 | 2014-05-04 |
| Find all providers in zip 55124 | ||||
| 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 |
|---|---|---|---|---|
| 1518106566 | Kymn M Peacock | Occupational Therapist | 13390 Pennock Ave, Apple Valley, MN 55124-7359 | 2009-02-16 |
| 1184254823 | Jill Kathleen Felts | Occupational Therapist | 15160 Foliage Ave Ste 170, Apple Valley, MN 55124-5916 | 2020-01-22 |
| 1013409879 | Elizabeth Ann Flicek | Occupational Therapist | 14635 Pennock Ave Ste 300, Apple Valley, MN 55124-6588 | 2018-06-06 |
| 1528427093 | Brittany Joy Mccabe | Occupational Therapist | 15160 Foliage Ave Ste 170, Apple Valley, MN 55124-5916 | 2016-02-12 |
| 1467839852 | Ieecha Michalay Harvey | Occupational Therapist | 17800 Us Highway 18, Apple Valley, CA 92307-1221 | 2015-05-05 |
| 1003194879 | Lorraine Ann Arlington | Occupational Therapist | 17800 Us Highway 18, Apple Valley, CA 92307-1221 | 2011-07-28 |
| 1841506664 | Mary M Alexander | Occupational Therapist | 17800 Us Highway 18, Apple Valley, CA 92307-1221 | 2010-08-31 |
| 1568788024 | Gayle A Wray | Occupational Therapist | 17800 Us Highway 18, Apple Valley, CA 92307-1221 | 2010-04-08 |
| 1306080890 | Jaclyn Ashley Hillstrom | Occupational Therapist | 14635 Pennock Ave, Suite 300, Apple Valley, MN 55124-6430 | 2009-04-28 |
| 1689869604 | Traci Friede | Occupational Therapist | 14635 Pennock Ave, Suite #300, Apple Valley, MN 55124-6430 | 2007-09-12 |
| Find all providers in APPLE VALLEY | ||||
| City | APPLE VALLEY |
| Zip Code | 55124 |
Please comment or provide details below to improve the information on KELLY FISCHER.
| 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.