JACEY VAN DYK (NPI# 1043761216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043761216 |
| Entity Type | Individual |
| Full Name | JACEY VAN DYK |
| Practice Address |
151 Pioneer Ln Bishop CA 93514-2557 |
| Practice Telephone | 7608721000 |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA2766 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
151 PIONEER LN |
| City | BISHOP |
| State | CA |
| Zip Code | 93514-2557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134128440 | Bishop Care Center, Inc. | Skilled Nursing Facility | 151 Pioneer Ln, Bishop, CA 93514-2557 | 2005-07-19 |
| 1770034969 | Laurie Weber | Occupational Therapist | 151 Pioneer Ln, Bishop, CA 93514-2557 | 2016-10-22 |
| 1134670300 | Deborah Barbieri | Physical Therapy Assistant | 151 Pioneer Ln, Bishop, CA 93514-2557 | 2016-10-21 |
| 1508317785 | Theresa Heth | Physical Therapist | 151 Pioneer Ln, Bishop, CA 93514-2557 | 2016-10-21 |
| 1629405030 | Sarah L Tomlinson | Physical Therapist | 151 Pioneer Ln, Bishop, CA 93514-2557 | 2013-09-30 |
| 1962754697 | Vcd Associates LLC | Nursing Facility/Intermediate Care Facility | 151 Pioneer Ln, Bishop, CA 93514-2557 | 2012-10-04 |
| 1225336373 | Ixia Holdings, LLC | Skilled Nursing Facility | 151 Pioneer Ln, Bishop, CA 93514-2557 | 2011-03-14 |
| 1285952150 | Dpmotikonrca LLC | Podiatrist | 151 Pioneer Ln, Bishop, CA 93514-2557 | 2010-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385466 | Tamia Shoshone | Specialist/Technologist | 2823 Diaz Lane, Bishop, CA 93514 | 2020-10-30 |
| 1982242590 | Amy Tran | Pharmacist | 1190 N Bishop St, Bishop, CA 93514 | 2019-12-13 |
| 1083266654 | Teresa Michelle Poirier | Psychologist | 512 W. Line Street, Suite 101, Bishop, CA 93514 | 2019-07-12 |
| 1477021756 | Linda M Christensen | Social Worker | 686 W. Line St., Bishop, CA 93514 | 2018-11-05 |
| 1013491497 | Kathleen Lynn Chandler | Massage Therapist | 214 W Line Street, Suite J, Bishop, CA 93514 | 2018-09-20 |
| 1477055390 | Alex Ds Ellis | Marriage & Family Therapist | 129 East Line St, Bishop, CA 93514 | 2018-03-07 |
| 1205366184 | Carla Orieta | Social Worker | 162 J-grove St., Bishop, CA 93514 | 2017-06-14 |
| 1871905778 | Bahman Payman | Obstetrics & Gynecology | 1500 Bear Creek Dr., Bishop, CA 93514 | 2014-05-27 |
| 1093972697 | Emery Joseph Duncan Dds Apc | Dentist | 325 Grove St, Bishop, CA 93514 | 2008-05-21 |
| 1407034622 | Steven Neal White | Acupuncturist | 162 E Line St Ste A, Bishop, CA 93514 | 2008-02-11 |
| Find all providers in zip 93514 | ||||
| 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 |
|---|---|---|---|---|
| 1033619580 | Matthew Edward Osbourn | Occupational Therapy Assistant | 3450 New High Shoals Rd, Bishop, GA 30621-1305 | 2018-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089304 | Buenaventura Peralta | Occupational Therapy Assistant | 139 N Walnut Ave, Placentia, CA 92870-5643 | 2020-10-07 |
| 1578170619 | Noe Ramirez Lopez | Occupational Therapy Assistant | 650 Marvin Way, Dixon, CA 95620-3342 | 2020-09-23 |
| 1790391415 | Michael Vidal | Occupational Therapy Assistant | 2126 Oregon Ave, Long Beach, CA 90806-4141 | 2020-09-17 |
| 1386259273 | Rachel Le | Occupational Therapy Assistant | 11909 Elmcroft Ave, Norwalk, CA 90650-7730 | 2020-09-09 |
| 1790399913 | Alexander Toussaint | Occupational Therapy Assistant | 3731 E Harding St, Long Beach, CA 90805-3934 | 2020-09-04 |
| 1710590757 | Lisa M Smith | Occupational Therapy Assistant | 920 Westacre Rd, West Sacramento, CA 95691-3224 | 2020-08-28 |
| 1083226419 | Olivia Clark | Occupational Therapy Assistant | 2905 Bearcreek Ct, Fullerton, CA 92835-3143 | 2020-08-18 |
| 1174133961 | Pacasie Kamikazi | Occupational Therapy Assistant | 8501 Bruceville Rd, Elk Grove, CA 95758-7258 | 2020-08-06 |
| 1093323297 | Catherine Hsi | Occupational Therapy Assistant | 1241 Ashby Ave, Berkeley, CA 94702-2401 | 2020-07-14 |
| 1790302453 | Elnura Kim | Occupational Therapy Assistant | 13665 Newcastle Ct, Fontana, CA 92335-0588 | 2020-06-29 |
| Find all providers with the same taxonomy | ||||
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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.