Koinonia Development Center

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

KOINONIA DEVELOPMENT CENTER

Practice address

6810 Cork Cold Springs Rd
Geneva, OH 44041-9346

Phone

(440) 207-0629

NPI assigned

Sep 25, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Angelina Gill, OTR/L

Title

Occupational Therapist

Phone

(440) 207-0609

Specialties & licenses 6

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1386517407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 CORK COLD SPRINGS RD",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440419346",
            "telephone_number": "440-207-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 CORK COLD SPRINGS RD",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440419346",
            "telephone_number": "440-207-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOINONIA DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "440-207-0609",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tataum Ellen Keller, PA-C
• Jessica Kelly, PHARMD, RPH
• Douglas A, Kenny, D.D.S.
• Keystone Rehabilitation Systems Inc
• Merissa Kligge, STNA
• Koinonia Occupational Therapy LLC
• Patricia Ann Kountz, MSN CNP
• Brian Ludwig Kresevic, DDS
• Mallory Krzys, PA-C
• John Kubec, M.A.

• Occupational Therapist in Geneva, OH
• Providers in Geneva, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.