MARYKATE MUNDELL (NPI# 1982223210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982223210 |
| Entity Type | Individual |
| Full Name | MARYKATE MUNDELL |
| Practice Address |
162 West St Ste F Cromwell CT 06416-4405 |
| Practice Telephone | 8606139930 |
| Mailing Telephone | 8606139930 |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 001015 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
162 WEST ST STE F |
| City | CROMWELL |
| State | CT |
| Zip Code | 06416-4405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043579451 | Rebecca Ripley | Behavioral Analyst | 162 West St Ste F, Cromwell, CT 06416-4405 | 2012-05-07 |
| 1710586268 | Catherine Tatigian | Developmental Therapist | 162 West St Ste F, Cromwell, CT 06416-4405 | 2020-10-25 |
| 1760081624 | Jessica Paola Chivata | Speech-Language Pathologist | 162 West St Ste F, Cromwell, CT 06416-4405 | 2020-10-21 |
| 1700484532 | Rachel Shea | Developmental Therapist | 162 West St Ste F, Cromwell, CT 06416-4405 | 2020-10-14 |
| 1649886078 | Alison Connors | Physical Therapist | 162 West St Ste F, Cromwell, CT 06416-4405 | 2020-09-21 |
| 1316564552 | Mushfica Khan | Speech-Language Pathologist | 162 West St Ste F, Cromwell, CT 06416-4405 | 2020-07-04 |
| 1326669037 | Shannon Delaney | Developmental Therapist | 162 West St Ste F, Cromwell, CT 06416-4405 | 2020-05-04 |
| 1518586817 | Barbara Adams | Developmental Therapist | 162 West St Ste F, Cromwell, CT 06416-4405 | 2020-04-16 |
| 1457989014 | Samantha Rose Collins | Counselor | 162 West St Ste F, Cromwell, CT 06416-4405 | 2020-03-30 |
| 1336777135 | Kristi M Wilkenloh | Developmental Therapist | 162 West St Ste F, Cromwell, CT 06416-4405 | 2020-03-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469626 | Anjali Rowe | Developmental Therapist | 162 West Street., Building 2 Suite F, Building 2 Suite F, Cromwell, CT 06416 | 2019-10-28 |
| 1366938110 | Katherine Sluti | Developmental Therapist | 162 West St., Building 2 Suite F, Cromwell, CT 06416 | 2018-07-05 |
| 1821597477 | Sherry Wong | Behavioral Analyst | 162 West St, Bldg 2, Suite F, Cromwell, CT 06416 | 2018-02-09 |
| 1952826828 | Marlene Dejesus | Developmental Therapist | 162 West St, Bldg 2 Suite F, Cromwell, CT 06416 | 2017-08-11 |
| 1689199895 | Amanda Marie Mimande | Developmental Therapist | 162 West Street, Building 2, Suite F, Cromwell, CT 06416 | 2017-08-08 |
| 1912260357 | Ulrich Klaus Rathey | Internal Medicine | 2316 Cromwell Hills Drive, Cromwell, CT 06416 | 2012-06-20 |
| 1801171616 | Leonard J Zgorski | Pharmacist | 4 Hammerhead Place, Cromwell, CT 06416 | 2011-10-13 |
| 1396024725 | Michelle Nwigwe | Nurse Practitioner | 80 Shunpike Rd Ste 101-b2, Cromwell, CT 06416 | 2011-08-16 |
| 1508090028 | Giovanna Maria Cammuso | Social Worker | 22 Tuttle Road, Cromwell, CT 06416 | 2009-05-12 |
| 1992954994 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 72 Berlin Rd., Cromwell, CT 06416 | 2008-09-15 |
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| 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 |
|---|---|---|---|---|
| 1881094100 | Kevin Vachhani | Occupational Therapist | 23 Willow Ct, Cromwell, CT 06416-1737 | 2014-08-25 |
| 1902022304 | Vanessa Edythe Russo | Occupational Therapist | 157 Salem Dr, Cromwell, CT 06416-1239 | 2007-04-17 |
| 1174159578 | Sharon L D'orso | Occupational Therapist | 162 West St Ste F, Cromwell, CT 06416-4405 | 2020-03-17 |
| 1487286621 | Leandra Hylton | Occupational Therapist | 181 Shunpike Rd, Cromwell, CT 06416-1143 | 2020-02-05 |
| 1891254298 | Jessica Larson | Occupational Therapist | 199 Shunpike Rd, Cromwell, CT 06416-1142 | 2019-03-15 |
| 1215387212 | Susan Blake | Occupational Therapist | 52 Missionary Rd, Cromwell, CT 06416-2170 | 2016-06-21 |
| 1194175091 | Deanna Flagg | Occupational Therapist | 52 Missionary Rd, Cromwell, CT 06416-2170 | 2016-06-21 |
| 1659768752 | Janelle Pinunsky Duff | Occupational Therapist | 156 Berlin Rd, Cromwell, CT 06416-1019 | 2015-04-16 |
| 1275967606 | Erica Lyn Zapatka | Occupational Therapist | 58 Missionary Rd, Cromwell, CT 06416-2134 | 2013-08-21 |
| 1659665479 | Lisa Dimeo | Occupational Therapist | 156 Berlin Rd, Cromwell, CT 06416-1019 | 2011-06-09 |
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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.