ANNA MARIE AGONCILLO (NPI# 1033638192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033638192 |
| Entity Type | Individual |
| Full Name | ANNA MARIE AGONCILLO |
| Practice Address |
3400 Alta Arden Expy Sacramento CA 95825-2103 |
| Mailing Address |
8400 Dara Way Sacramento CA 95828-6000 |
| Practice Telephone | 9164815500 |
| Mailing Telephone | 9165441566 |
| Enumeration Date | 2017-09-10 |
| Last Update Date | 2017-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA4050 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3400 ALTA ARDEN EXPY |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95825-2103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275539454 | Mek Arden, LLC | Skilled Nursing Facility | 3400 Alta Arden Expy, Sacramento, CA 95825-2103 | 2005-06-22 |
| 1720645229 | Lauren Fleniken | Physical Therapy Assistant | 3400 Alta Arden Expy, Sacramento, CA 95825-2103 | 2019-05-21 |
| 1598221731 | Eleftheria Kambanis | Speech-Language Pathologist | 3400 Alta Arden Expy, Sacramento, CA 95825-2103 | 2019-02-12 |
| 1912457532 | Stephanie Cuellar | Speech-Language Pathologist | 3400 Alta Arden Expy, Sacramento, CA 95825-2103 | 2016-10-06 |
| 1023406634 | Dawna Carver | Physical Therapist | 3400 Alta Arden Expy, Sacramento, CA 95825-2103 | 2015-01-05 |
| 1609264282 | Patrick Jaggard | Occupational Therapist | 3400 Alta Arden Expy, Sacramento, CA 95825-2103 | 2015-01-05 |
| 1891183588 | Claudiu Mich | Physical Therapist | 3400 Alta Arden Expy, Sacramento, CA 95825-2103 | 2015-01-02 |
| 1891183612 | Christopher Madden | Physical Therapy Assistant | 3400 Alta Arden Expy, Sacramento, CA 95825-2103 | 2014-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1942810510 | Melissa Marlene Lowndes | Occupational Therapist | 1337 Howe Ave Unit 107, Sacramento, CA 95825 | 2020-08-07 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1154950327 | Hallie Wenz | Behavior Technician | 333 University Ave Suite #200, Sacramento, CA 95825 | 2020-04-08 |
| 1679105456 | Dr. Page Hudson Dental Corporation | Dentist | 1580 Howe Avenue, Suite A, Sacramento, CA 95825 | 2020-02-10 |
| 1710517891 | Amelia Garnica | Community/Behavioral Health | 720 Howe Avenue, Suite 102, Sacamento, CA 95825 | 2020-01-17 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604519 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave., Suite 102, Cacramento, CA 95825 | 2019-11-25 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| Find all providers in zip 95825 | ||||
| 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 |
|---|---|---|---|---|
| 1639704356 | Brenda Marie Lewis | Occupational Therapy Assistant | 3319 Eastern Ave, Sacramento, CA 95821-4009 | 2020-03-04 |
| 1104472059 | Alicia Cary | Occupational Therapy Assistant | 5520 Lancelot Dr, Sacramento, CA 95842-2100 | 2019-08-15 |
| 1366904906 | Brittany Hazen | Occupational Therapy Assistant | 4331 Zephyr Way, Sacramento, CA 95821-2232 | 2019-04-03 |
| 1124554845 | Renee Krale | Occupational Therapy Assistant | 3627 63rd St, Sacramento, CA 95820-1932 | 2017-05-02 |
| 1861925117 | Amber Yambasky | Occupational Therapy Assistant | 289 Ainger Cir, Sacramento, CA 95835-1602 | 2017-04-04 |
| 1184164741 | Jeffrey Edward Keefer | Occupational Therapy Assistant | 1624 25th St, Sacramento, CA 95816-6804 | 2017-03-01 |
| 1750732426 | Mai Moua | Occupational Therapy Assistant | 6241 Valley Hi Dr, Sacramento, CA 95823-4801 | 2016-06-23 |
| 1821474909 | Eva Lorraine Kania | Occupational Therapy Assistant | 1325 O St, Apt 10, Sacramento, CA 95814-5949 | 2015-07-30 |
| 1265812473 | Olanrewaju Abimbola | Occupational Therapy Assistant | 4200 E Commerce Way, #213, Sacramento, CA 95834-9634 | 2015-06-02 |
| 1194112722 | Thao Mee Seng | Occupational Therapy Assistant | 8264 Hemingway Dr, Sacramento, CA 95828-4987 | 2015-04-21 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95825 |
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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.