KELLY DIRKSEN


Address: 1130 W 53rd St, Davenport, IA 52806-2401
Phone: 5633915342

KELLY DIRKSEN (NPI# 1942662432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942662432
Entity Type Individual
Full Name KELLY DIRKSEN
Other Name KELLY MCBRIDE
Credential OTR
Practice Address 1130 W 53rd St
Davenport
IA 52806-2401
Practice Telephone 5633915342
Mailing Telephone 5633915342
Enumeration Date 2016-03-23
Last Update Date 2016-03-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 01768 IA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IA STATE OF IOWA LICENSE OCCUPATIONAL THERAPY 01768 01

Office Location

Street Address 1130 W 53RD ST
City DAVENPORT
State IA
Zip Code 52806-2401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730259813 Lutheran Home for The Aged Association-east Skilled Nursing Facility 1130 W 53rd St, Davenport, IA 52806-2401 2006-11-08
1881163301 Lori Ann Greenwood Occupational Therapist 1130 W 53rd St, Davenport, IA 52806-2401 2018-11-14
1497169668 Claire Daniel Speech-Language Pathologist 1130 W 53rd St, Davenport, IA 52806-2401 2014-06-16
1497938237 Vicki Lynn Trainer Speech-Language Pathologist 1130 W 53rd St, Davenport, IA 52806-2401 2007-12-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912543257 June Swain Nurse Practitioner Quad City Family Physician, 3940 Marquette Street, Davenport, IA 52806 2019-11-21
1881055747 Jace Carter Chiropractor 235 West 35th Street Suite 2d, Davenport, IA 52806 2016-03-18
1538468210 Cody Krech Dentist 141 E 46th St, Davenport, IA 52806 2011-03-21
1619287216 Robert Earl Clark Occupational Therapist 6623 N Main St, Davenport, IA 52806 2010-10-15
1689902579 Nicholas P. Carlson Nurse Practitioner 3801 Marguette Street, Suite 200, Davenport, IA 52806 2009-12-03
1295821114 David Lee Botsko Dentist 2334 W. Kimberly Road, Davenport, IA 52806 2006-10-05
1598712903 Select Specialty Hospital - Quad Cities Inc Long Term Care Hospital 1111 West Kimberly Road, Davenport, IA 52806 2006-05-30
1528030350 Warren Wright Occupational Therapist 1008 W 35th St, Davenport, IA 52806 2006-02-06
1144291568 Gerald Wallace Hess Chiropractor 2711 W 63rd St, Ste #1, Davenport, IA 52806 2006-02-01
1487642286 Virginia Armstrong Chiropractor 4811 N Brady St Ste 1a, Davenport, IA 52806 2005-10-06
Find all providers in zip 52806

Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912522194 Possabilities Therapy Services LLC Occupational Therapist 327 Kettering Rd, Davenport, FL 33897-7740 2020-06-12
1972156164 Hope Catherine Witt Occupational Therapist 20 Hidden Valley Cir, Davenport, IA 52804-1159 2019-07-17
1386157196 Athletico Ltd Occupational Therapist 4730 Elmore Ave Unit 1, Davenport, IA 52807-3482 2017-11-15
1992116974 Kathryn Orlando Occupational Therapist 21037 Holden Dr Ste 2, Davenport, IA 52806-9312 2014-05-13
1144647199 Tammy Conner Occupational Therapist 1643 W 64th St, Davenport, IA 52806-2800 2014-03-27
1619287216 Robert Earl Clark Occupational Therapist 6623 N Main St, Davenport, IA 52806 2010-10-15
1619094612 Anne Marie Lansing Occupational Therapist 5837 Stephen Cir, Davenport, IA 52807-3902 2007-03-23
1639183171 Megan Denise Long Occupational Therapist 31037 Holden Dr, Davenport, IA 52804 2006-07-28
1811919772 Theresa L Schlabach Occupational Therapist 21037 Holden Dr, Davenport, IA 52804 2006-07-23
1649243098 James Matthew Ruggeberg Occupational Therapist 1800 W 3rd St, Davenport, IA 52802-1812 2006-02-08
Find all providers in DAVENPORT

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City DAVENPORT
Zip Code 52806

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Dataset Information

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.

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