MR. GEORGE JAMES MATA JR. (NPI# 1023159779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023159779 |
| Entity Type | Individual |
| Full Name | MR. GEORGE JAMES MATA JR. |
| Other Name | MR. GEORGE JAMES SALAMUNEC JR. |
| Credential | COTA/L |
| Practice Address |
10251 N 35th Ave Phoenix AZ 85051-1305 |
| Mailing Address |
222 W Clarendon Ave Apt 207 Apt #207 Phoenix AZ 85013-3487 |
| Practice Telephone | 6029950867 |
| Mailing Telephone | 6025160162 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2015-01-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 1917 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
10251 N 35TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85051-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558447003 | Melody Ann Volkmann | Speech-Language Pathologist | 10251 N 35th Ave, Phoenix, AZ 85051-1305 | 2006-10-27 |
| 1033765359 | Fatima Yarely Manjarrez | Licensed Practical Nurse | 10251 N 35th Ave, Phoenix, AZ 85051-1305 | 2019-08-13 |
| 1063970945 | Meagan Theresa Vasey | Speech-Language Pathologist | 10251 N 35th Ave, Phoenix, AZ 85051-1305 | 2019-03-09 |
| 1417413162 | Amanda Katherine Radan | Licensed Practical Nurse | 10251 N 35th Ave, Phoenix, AZ 85051-1305 | 2019-02-19 |
| 1841777448 | Allison M Nagy | Occupational Therapist | 10251 N 35th Ave, Phoenix, AZ 85051-1305 | 2018-07-26 |
| 1386142461 | Brooke Young | Behavior Technician | 10251 N 35th Ave, Phoenix, AZ 85051-1305 | 2018-01-24 |
| 1669989844 | Abigael Maytlis | Behavior Technician | 10251 N 35th Ave, Phoenix, AZ 85051-1305 | 2018-01-09 |
| 1073023818 | Maegan Nicole Holland | Licensed Practical Nurse | 10251 N 35th Ave, Phoenix, AZ 85051-1305 | 2017-10-06 |
| 1578080172 | Gabriella Garcia | Speech-Language Pathologist | 10251 N 35th Ave, Phoenix, AZ 85051-1305 | 2017-08-24 |
| 1942757786 | Barbara Jean Dudevoire | Licensed Practical Nurse | 10251 N 35th Ave, Phoenix, AZ 85051-1305 | 2016-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184250383 | Jhajaira Elizabeth Cadenas | Optometrist | 3937 W Northview Ave, Phoenix, AZ 85051 | 2020-03-19 |
| 1083270854 | Vision With Wings | Voluntary or Charitable | 9617 N. Metro Pkwy West, Ste. 1214, Phoeniz, AZ 85051 | 2019-05-16 |
| 1417510405 | Applied Behavioral Interventions Pllc | Dietitian, Registered | 10000 N. 31st Avenue Ste. A107, Phoenix, AZ 85051 | 2019-04-16 |
| 1558832683 | Liberty Home LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9649 N 36th Ave, Phoenix, AZ 85051 | 2018-12-16 |
| 1518459080 | Addie Robin Diroberts | Counselor | 10240 W. 31st Ave, Phoenix, AZ 85051 | 2018-05-31 |
| 1093239816 | Jason Allan Parker | Licensed Practical Nurse | 3310 West Cheryl Drive, Phoenix, AZ 85051 | 2017-08-02 |
| 1588019145 | Vanessa Eloise Hernandez | Counselor | 10000 N. 31st Ave., Applied Behavioral Interventions, Pllc, Phoenix, AZ 85051 | 2016-05-02 |
| 1912230178 | Mozelle Barr Martin | Counselor | 3734 W. Vista Ave., Phoenix, AZ 85051 | 2009-09-04 |
| 1316184542 | Tom Sowash Od & Associates PC | Optometrist | 9617 North Parkway West, #1160, Phoenix, AZ 85051 | 2009-01-09 |
| 1609026913 | Luma Z Sayegh | Dentist | 7012 N 35th Ave, Suite 1, Phoenix, AZ 85051 | 2008-09-23 |
| Find all providers in zip 85051 | ||||
| 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 |
|---|---|---|---|---|
| 1396345849 | Taylor Drew Hicks | Occupational Therapy Assistant | 2913 E Sunland Ave, Phoenix, AZ 85040-3759 | 2020-10-26 |
| 1982218723 | Katelyn H Monaco | Occupational Therapy Assistant | 10631 S 51st St Ste 1, Phoenix, AZ 85044-5225 | 2020-08-31 |
| 1992334809 | Kelly Ann Roberson | Occupational Therapy Assistant | 7654 N 19th Ave # Qve, Phoenix, AZ 85021-7025 | 2020-04-02 |
| 1710529334 | Brian Tamblyn | Occupational Therapy Assistant | 2820 E Wahalla Ln, Phoenix, AZ 85050-3523 | 2019-10-15 |
| 1174189674 | Az Therapy Services Pllc | Occupational Therapy Assistant | 2025 E Campbell Ave Apt 244, Phoenix, AZ 85016-5579 | 2019-05-10 |
| 1639734361 | Antony Domonick Redmon | Occupational Therapy Assistant | 2025 E Campbell Ave # Apr244, Phoenix, AZ 85016-5553 | 2019-05-08 |
| 1669037552 | Juanri Chiquita Tyler | Occupational Therapy Assistant | 4641 N 12th St, Phoenix, AZ 85014-4095 | 2019-05-06 |
| 1649833286 | Lifetree Inc. | Occupational Therapy Assistant | 3604 E Salter Dr, Phoenix, AZ 85050-6505 | 2019-04-18 |
| 1164992913 | Genita Seaton | Occupational Therapy Assistant | 13820 S 44th St Apt 1241, Phoenix, AZ 85044-4864 | 2018-12-04 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| Find all providers in PHOENIX | ||||
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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.