MRS. KIMBERLY JOY MCCOLLOM (NPI# 1912344490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912344490 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY JOY MCCOLLOM |
| Other Name | KIMBERLY JOY DOANE |
| Credential | COTA |
| Practice Address |
5404 Preston Fall City Rd Se Fall City WA 98024-9628 |
| Practice Telephone | 4254359292 |
| Mailing Telephone | 4254359292 |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2013-05-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5404 PRESTON FALL CITY RD SE |
| City | FALL CITY |
| State | WA |
| Zip Code | 98024-9628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821612078 | Paige Anne Coslett | Behavior Technician | 32627 Se Redmond Fall City Rd, Fall City, WA 98024 | 2020-06-03 |
| 1689032062 | Rachel Bishop | Dietitian, Registered | 31250 Se 64th Street, Fall City, WA 98024 | 2016-02-01 |
| 1699105148 | Katherine Emily Tilley | Massage Therapist | 4220 336th Pl Se, Fall City, WA 98024 | 2013-11-20 |
| 1558602458 | Justin David Copeland | Chiropractor | 33627 Se Redmond-fall City Rd, Fall City, WA 98024 | 2013-03-04 |
| 1083704944 | Nathaniel J Swan IIi | Chiropractor | 33712 Se 43rd St, Fall City, WA 98024 | 2006-10-13 |
| 1205927118 | Pamela Anne Johnson | Massage Therapist | 33605 Se Redmond Fall City Rd, Mtn View Nutritional Healing Centre, Fall City, WA 98024 | 2006-09-27 |
| 1841202009 | Fall City Dental Clinic Inc | Dentist | 33609 Redmond-fall City Rd, Fall City, WA 98024 | 2006-08-13 |
| 1730618844 | Steven Kim Dds Pllc | Clinic/Center | 33428 Se Redmond Fall City Rd, Fall City, WA 98024 | 2017-06-12 |
| 1528467958 | Copeland Chiropractic, Pllc | Chiropractor | 33627 Se Redmond-fall City Rd, Fall City, WA 98024 | 2014-08-21 |
| 1043359995 | Sabra Serrin Fawcett | Dentist | 33609 Redmond-fall City Rd, Fall City, WA 98024 | 2007-02-06 |
| Find all providers in zip 98024 | ||||
| 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 |
|---|---|---|---|---|
| 1255942439 | Kathleen A Villyard | Occupational Therapy Assistant | 1102 Ross Ave Nw, Orting, WA 98360-7495 | 2020-08-12 |
| 1386252641 | Aynabeba Negatu Bekele | Occupational Therapy Assistant | 1203 170th Pl Sw, Lynnwood, WA 98037-3327 | 2020-07-22 |
| 1194345819 | Katie Chapman | Occupational Therapy Assistant | 14240 Se 18th St Apt D4, Bellevue, WA 98007-6025 | 2020-04-22 |
| 1700412558 | Trisha Kathleen Tremper Justice | Occupational Therapy Assistant | 400 Gilkey Rd, Burlington, WA 98233-2907 | 2020-03-12 |
| 1962040493 | Patricia Bradley-bunn | Occupational Therapy Assistant | 7311 Coal Creek Pkwy Se Apt K201, Newcastle, WA 98059-3068 | 2019-12-16 |
| 1568009009 | Samantha Kay Hobbs | Occupational Therapy Assistant | 3014 Smithers Ct S, Renton, WA 98055-5034 | 2019-12-03 |
| 1801438411 | Wendy Evelyn Lowe | Occupational Therapy Assistant | 106 Monroe Rd, Port Angeles, WA 98362-8695 | 2019-10-15 |
| 1851944342 | Kendra Danielle Hyde | Occupational Therapy Assistant | 800 Medcalf St, Montesano, WA 98563 | 2019-07-23 |
| 1285286864 | Michele E Cary | Occupational Therapy Assistant | 710 Feildstone Dr Sw, Olympia, WA 98502-9851 | 2019-07-12 |
| 1710544523 | Debra Bilbrey | Occupational Therapy Assistant | 19742 Ash Crest Loop Ne, Poulsbo, WA 98370-7390 | 2019-05-28 |
| Find all providers with the same taxonomy | ||||
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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.