KRISTEN BLACK (NPI# 1912334996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912334996 |
| Entity Type | Individual |
| Full Name | KRISTEN BLACK |
| Credential | MSOT, OTR/L |
| Practice Address |
6317 Highway 329 Crestwood KY 40014-9040 |
| Mailing Address |
3520 Dutchmans Ln Louisville KY 40205-3256 |
| Practice Telephone | 5023840910 |
| Mailing Telephone | 3173663398 |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2013-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | R5722 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982965034 | Kristen Haas Black | Obstetrics & Gynecology | 3723 W 12600 S Ste 360, Riverton, UT 84065-7296 | 2012-06-05 |
| 1639672728 | Kristen Alice Black | Speech-Language Pathologist | 21585 Peabody St, Leonardtown, MD 20650-2955 | 2018-03-14 |
| 1013223148 | Kristen Black | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2010-08-26 |
| 1073656211 | Kristen Black | Occupational Therapist | 401 Locust St, 2a, Coraopolis, PA 15108-3954 | 2007-02-15 |
| Street Address |
6317 HIGHWAY 329 |
| City | CRESTWOOD |
| State | KY |
| Zip Code | 40014-9040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104866987 | Deanne Elizabeth Ratterman | Occupational Therapist | 6317 Highway 329, Crestwood, KY 40014-9040 | 2006-06-08 |
| 1750905360 | Amelia Little | Speech-Language Pathologist | 6317 Highway 329, Crestwood, KY 40014-9040 | 2020-05-31 |
| 1932722634 | Hailey Coffey | Speech-Language Pathologist | 6317 Highway 329, Crestwood, KY 40014-9040 | 2020-05-28 |
| 1518523570 | Mary-jo Baubkus | Speech-Language Pathologist | 6317 Highway 329, Crestwood, KY 40014-9040 | 2019-05-15 |
| 1972168854 | Lauren Huter Zierten | Occupational Therapist | 6317 Highway 329, Crestwood, KY 40014-9040 | 2019-05-06 |
| 1275096414 | Sarah Huckaby | Speech-Language Pathologist | 6317 Highway 329, Crestwood, KY 40014-9040 | 2019-04-12 |
| 1326519893 | Hannah Kathryn Graham | Developmental Therapist | 6317 Highway 329, Crestwood, KY 40014-9040 | 2018-12-10 |
| 1568952893 | Lauren Fineman | Speech-Language Pathologist | 6317 Highway 329, Crestwood, KY 40014-9040 | 2018-05-11 |
| 1659801322 | Tatum Olivia Holder | Speech-Language Pathologist | 6317 Highway 329, Crestwood, KY 40014-9040 | 2017-06-15 |
| 1346770021 | Emily Frances Meyers | Speech-Language Pathologist | 6317 Highway 329, Crestwood, KY 40014-9040 | 2017-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720411556 | Meagan L Vowels | Behavioral Analyst | 5895 W. Hwy 146, Crestwood, KY 40014 | 2013-08-15 |
| 1003157538 | Craig L Satterley | Physical Therapist | 6003 Pleasant Colony Ct Ste 3, Crestwood, KY 40014 | 2013-03-07 |
| 1871868802 | Wallace Lyle Past Sr. | General Practice | 4608 Heritage Manor, Crestwood, KY 40014 | 2012-03-08 |
| 1609153725 | Patricia Ann Gray | Behavioral Analyst | 5895 W Highway 146, Crestwood, KY 40014 | 2011-11-03 |
| 1528374253 | Laura R Carroll | Dentist | 6344 W. Hwy 146 Ste 100, Crestwood, KY 40014 | 2010-08-18 |
| 1699922849 | Mortenson Family Dental Center | Clinic/Center | 6408 W Hwy 146, Crestwood, KY 40014 | 2008-08-19 |
| 1760658546 | Kathy J. Pansegrau, Dc, Psc | Chiropractor | 6402 Westwind Way, Suite 5, Crestwood, KY 40014 | 2008-05-01 |
| 1952584054 | Alyssa Ann Dykgraaf | Dentist | 5805 Whwy 22, Ste 100, Crestwood, KY 40014 | 2007-12-11 |
| 1780881649 | Gwinn A. K. Vonnahme | Dentist | 5998 Pleasant Colony Ct. Suite 23, Crestwood, KY 40014 | 2007-07-02 |
| 1326250960 | Sue B Feeley | Dentist | 6225 W Hwy 146, Crestwood, KY 40014 | 2007-05-04 |
| Find all providers in zip 40014 | ||||
| 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 |
|---|---|---|---|---|
| 1134682545 | Sarah Fleming | Occupational Therapist | 5320 138th St, Crestwood, IL 60418-1617 | 2019-04-11 |
| 1346503703 | Jamie Kramer | Occupational Therapist | 5728 128th St Apt 3a, Crestwood, IL 60445-1056 | 2012-06-20 |
| 1295012995 | Amy S French | Occupational Therapist | 6501 Shelton Cir, Unit 309, Crestwood, KY 40014-6725 | 2011-11-08 |
| 1689882458 | Tara Adams Mason | Occupational Therapist | 6609 Farmington Ln, Crestwood, KY 40014-9029 | 2007-05-17 |
| 1497860480 | Susan A Peterson | Occupational Therapist | 13253 E Playfield Dr, Crestwood, IL 60445 | 2006-08-20 |
| 1346257938 | Tina Marie Baldwin | Occupational Therapist | 2212 Outer Circle Dr, Crestwood, KY 40014-9113 | 2006-08-03 |
| 1104866987 | Deanne Elizabeth Ratterman | Occupational Therapist | 6317 Highway 329, Crestwood, KY 40014-9040 | 2006-06-08 |
| 1972168854 | Lauren Huter Zierten | Occupational Therapist | 6317 Highway 329, Crestwood, KY 40014-9040 | 2019-05-06 |
| 1003212804 | Gina Miller | Occupational Therapist | 6317 Highway 329, Crestwood, KY 40014-9040 | 2014-11-06 |
| 1174931653 | Tammie Horrell | Occupational Therapist | 6317 Highway 329, Crestwood, KY 40014-9040 | 2014-07-28 |
| Find all providers in CRESTWOOD | ||||
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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.