SHELLY PENN (NPI# 1942611017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942611017 |
| Entity Type | Individual |
| Full Name | SHELLY PENN |
| Credential | COTA |
| Practice Address |
1020 Hill St Watertown WI 53098-3016 |
| Mailing Address |
116 Dayton St Apt B Watertown WI 53094-3610 |
| Practice Telephone | 9202064935 |
| Mailing Telephone | 6085660113 |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2014-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 5026-27 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1020 HILL ST |
| City | WATERTOWN |
| State | WI |
| Zip Code | 53098-3016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821091323 | Marquardt Memorial Manor, Inc. | Skilled Nursing Facility | 1020 Hill St, Watertown, WI 53098-3016 | 2005-05-27 |
| 1780169011 | Mikko Chiong Dela Rosa | Physical Therapist | 1020 Hill St, Watertown, WI 53098-3016 | 2018-10-02 |
| 1114306875 | Michael E Onsrud | Physical Therapy Assistant | 1020 Hill St, Watertown, WI 53098-3016 | 2015-05-27 |
| 1043699242 | Thuan Van Ngo | Physical Therapist | 1020 Hill St, Watertown, WI 53098-3016 | 2015-05-21 |
| 1407252729 | Brittany Batten | Physical Therapy Assistant | 1020 Hill St, Watertown, WI 53098-3016 | 2014-11-13 |
| 1295131522 | Courtney Wack | Physical Therapist | 1020 Hill St, Watertown, WI 53098-3016 | 2014-11-13 |
| 1770989378 | Jenna Quinn | Occupational Therapy Assistant | 1020 Hill St, Watertown, WI 53098-3016 | 2014-11-08 |
| 1831595586 | Jennifer Garcia | Occupational Therapist | 1020 Hill St, Watertown, WI 53098-3016 | 2014-11-07 |
| 1164834503 | Sherry Gnabasik | Physical Therapy Assistant | 1020 Hill St, Watertown, WI 53098-3016 | 2014-05-20 |
| 1679993752 | Rosary Moscoso Maningat | Physical Therapist | 1020 Hill St, Watertown, WI 53094 | 2014-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528558749 | Watertown Physician Practices LLC | Eyewear Supplier (Equipment, not the service) | 123 Hospital Dr Ste 2005, Watertown, WI 53098 | 2018-05-14 |
| 1851822076 | Fort Health Care Inc | Otolaryngology | 123 Hospital Dr Suite 106a, Watertown, WI 53098 | 2017-03-21 |
| 1598045692 | Bonnie Kay Peot | Licensed Practical Nurse | 1420 Wedgewood Drive, Watertown, WI 53098 | 2011-08-19 |
| 1275790404 | Kathy R. Adkins | Physical Therapy Assistant | 1020 Hill Street, Watertown, WI 53098 | 2008-05-16 |
| 1336361294 | Patrice Walter | Occupational Therapist | 125 Hospital Dr., Watertown, WI 53098 | 2007-05-02 |
| 1720161284 | Carolyn T Schneider-donley | Optometrist | 622 N. Church Street, Watertown, WI 53098 | 2006-10-20 |
| 1730156431 | Mohamed H Yafai | Internal Medicine | 123 Hospital Drive, Suite 2009, Watertown, WI 53098 | 2006-03-02 |
| 1093711236 | Dana M. Fields | Physician Assistant | 134 Hospital Drive, Watertown, WI 53098 | 2005-06-22 |
| 1528560018 | Watertown Medical Center LLC | Psychiatric Unit | 125 Hospital Drive, Watertown, WI 53098 | 2018-03-01 |
| 1437544863 | Zachary Richardson | Internal Medicine | 125 Hospital Dr, Watertown, WI 53098 | 2015-04-02 |
| Find all providers in zip 53098 | ||||
| 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 |
|---|---|---|---|---|
| 1023503406 | Rhonda Jean Cyre | Occupational Therapy Assistant | 613 B 1st Ave Se, Watertown, SD 57201 | 2018-06-27 |
| 1427397389 | Vickie Lynn Burchatz | Occupational Therapy Assistant | 415 Fourth Avenue Ne, Golden Living Center, Watertown, SD 57201 | 2013-02-12 |
| 1720338270 | Rachel Kay Brandriet | Occupational Therapy Assistant | 17356 447th Ave, Watertown, SD 57201-7629 | 2012-09-12 |
| 1578823266 | Diana Gay Williams | Occupational Therapy Assistant | 20104 Nys Route 3, Watertown, NY 13601-5560 | 2012-05-29 |
| 1750557153 | Linda Jean Kauffeld | Occupational Therapy Assistant | W9168 Middle Rd, Watertown, WI 53098-4143 | 2008-05-06 |
| 1831303452 | Anne Marie Smith | Occupational Therapy Assistant | 105 Boylston St, Watertown, MA 02472-1901 | 2007-05-10 |
| 1528608668 | Emily Howell | Occupational Therapy Assistant | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2020-01-07 |
| 1841855806 | Courtney Redmond | Occupational Therapy Assistant | 415 4th Ave Ne, Watertown, SD 57201-2614 | 2019-05-06 |
| 1770989378 | Jenna Quinn | Occupational Therapy Assistant | 1020 Hill St, Watertown, WI 53098-3016 | 2014-11-08 |
| 1679975395 | Dawn Hall | Occupational Therapy Assistant | 830 Washington St, Watertown, NY 13601-4034 | 2014-09-25 |
| Find all providers in WATERTOWN | ||||
Please comment or provide details below to improve the information on SHELLY PENN.
| 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.