MR. RYAN PEACOCK (NPI# 1912297482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912297482 |
| Entity Type | Individual |
| Full Name | MR. RYAN PEACOCK |
| Credential | OTR |
| Practice Address |
4714 S Colonial Oaks Dr Marion IN 46953-7308 |
| Mailing Address |
3650 Meadow View Dr Kokomo IN 46902-5070 |
| Practice Telephone | 7656742261 |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2011-04-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 31004681A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295138592 | Ryan Peacock | Nurse Anesthetist, Certified Registered | 400 Ramsey St, Norman, OK 73072-3823 | 2014-09-30 |
| Street Address |
4714 S COLONIAL OAKS DR |
| City | MARION |
| State | IN |
| Zip Code | 46953-7308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396280335 | Sherri Gaye Hall Hamilton | Nurse Practitioner | 1700 West 38th Street, Marion, IN 46953 | 2016-12-29 |
| 1487022810 | Hannah Renfrow | Nurse Practitioner | 1411 W Bella Drive, Marion, IN 46953 | 2015-09-02 |
| 1174907844 | Kathleen Marie Kunkle | Occupational Therapy Assistant | 729 35th St., Marion, IN 46953 | 2015-07-13 |
| 1386054302 | Sarah Michelle Schultz | Specialist/Technologist | 4201 S Washington Street, Indiana Wesleyan University Athletic Training, Marion, IN 46953 | 2014-04-29 |
| 1437595022 | Famila Dental Marion LLC | Dentist | 1903 S Western Ave, Marion, IN 46953 | 2013-05-22 |
| 1063654887 | Mill Township Volunteer Fire Department | Ambulance | 2113 E. Old Kokomo Road, Marion, IN 46953 | 2009-03-25 |
| 1023203601 | Assisted Living Concepts Inc | Assisted Living Facility | 725 West 50th Street, Marion, IN 46953 | 2007-09-07 |
| 1538381991 | Lifetime Dental Care of Indiana, PC | Dentist | 2017 South Western Ave, Marion, IN 46953 | 2007-05-03 |
| 1063634699 | Bethany Dawn Coppock | Occupational Therapy Assistant | 4725 Colonial Oaks Drive, Marion, IN 46953 | 2007-05-03 |
| 1568684439 | Donna B Berryhill | Physical Therapy Assistant | 4725 South Colonial Oaks Drive, Marion, IN 46953 | 2007-05-02 |
| Find all providers in zip 46953 | ||||
| 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 |
|---|---|---|---|---|
| 1417556929 | Julia Zane Carter | Occupational Therapist | 198 Military Rd, Marion, AR 72364-1703 | 2020-10-26 |
| 1124676010 | Ags Therapy | Occupational Therapist | 1618 Fox Hollow Ct, Marion, SC 29571-6725 | 2019-09-03 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1780125922 | Neat Rehab, Plc | Occupational Therapist | 722 L H Polk Dr, Marion, AR 72364-5015 | 2017-03-20 |
| 1942741541 | Benchmark Physical Therapy of Va, LLC | Occupational Therapist | 1141 N Main St, Ste 41, Marion, VA 24354-4121 | 2017-03-15 |
| 1750711149 | Susan Lunn | Occupational Therapist | 291 County Rd, Marion, MA 02738-1021 | 2013-11-20 |
| 1952654436 | Clara Nanette Ellis | Occupational Therapist | 801 E Reeves St, Marion, IL 62959-3366 | 2012-10-20 |
| 1669731907 | Mk Therapy Co | Occupational Therapist | 149 Henry St, Marion, AR 72364-1610 | 2012-05-07 |
| 1760749766 | Kennedy Therapy Services | Occupational Therapist | 524 Evelyn Rd, Marion, AR 72364-3046 | 2012-04-13 |
| 1770735680 | Kris Rairdon | Occupational Therapist | 1800 N Wabash Ave., Suite 203, Marion, IN 46952-2923 | 2008-10-22 |
| Find all providers in MARION | ||||
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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.