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Deactivated NPI 1497955165 Deactivated / Inactive NPI Female Practitioner

Penny S Kitterman , COTA

Occupational Therapy Assistant • Vancouver, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Penny Kitterman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 20, 2007
NPI Deactivation Date September 11, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Penny Kitterman, COTA was a registered Occupational Therapy Assistant practicing in Vancouver, WA. Throughout an active medical career spanning 13 years, Penny Kitterman provided care at the practice location at 1015 N GARRISON RD until profile deactivation on 2020-09-11.

Practice Location & Contact Primary Location

Practice Address

1015 N Garrison Rd

Vancouver, WA 986641313

Telephone 3606947501
Associated Practice Facility / Clinic
🏢 Extendicare Homes, Inc. Facility NPI 1114091733

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapy Assistant in Vancouver, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
30 Specialists

Practicing in Vancouver, WA (822 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Occupational Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 224Z00000X

State License WA 0C00000507

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Donnelle Rodriguez , PTA

Physical Therapy Assistant

NPI 1124219035

Physical Therapist Assistant

Kimberly O'brien , OTR, L

Occupational Therapist

NPI 1134389661

Occupational Therapist Registered, L

Laura Lemons

Physical Therapy Assistant

NPI 1144689498
Linda Damon

Physical Therapist

NPI 1184052151
Paula Winters , COTA

Occupational Therapy Assistant

NPI 1205036019

Certified Occupational Therapy Assistant

Elizabeth Firstenburg , OTRL

Occupational Therapist

NPI 1457541724

Occupational Therapist Registered & Licensed

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 11, 2020

Record deactivated on September 11, 2020

NPI Profile Active June 17, 2015

NPI status registered as active in NPPES database

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Updated Practice Location June 17, 2015

Registered at 1015 N GARRISON RD, VANCOUVER, WA 986641313 (Tel: 3606947501)

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Updated Business Mailing Address June 17, 2015

Registered at 9211 NW 28TH CT, VANCOUVER, WA 986656182 (Tel: 3605744320)

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Provider Name / Credentials Updated June 17, 2015

Recorded as PENNY KITTERMAN, COTA

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2015

Occupational Therapy Assistant (License #0C00000507 in WA)

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Initial NPI Registration & Enumeration July 20, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497955165
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2007
Last Update: June 17, 2015
Deactivation Date: September 11, 2020

Mailing Address

9211 Nw 28th Ct

Vancouver, WA 986656182

Phone: 3605744320

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.