BRITT E WALLSTROM (NPI# 1043788904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043788904 |
| Entity Type | Individual |
| Full Name | BRITT E WALLSTROM |
| Credential | OT |
| Practice Address |
6177 River Crest Dr Ste A Riverside CA 92507-0728 |
| Practice Telephone | 9516534480 |
| Practice Fax Number | 9516535051 |
| Mailing Telephone | 9516534480 |
| Mailing Fax Number | 9516535051 |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 18800 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | OT LICENSE | 18800 | 01 |
| Street Address |
6177 RIVER CREST DR STE A |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507-0728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942396668 | Kristina Anna Glad Peterson | Physical Therapist | 6177 River Crest Dr Ste A, Riverside, CA 92507-0728 | 2006-10-04 |
| 1407463680 | Shannon Irwin | Physical Therapist | 6177 River Crest Dr Ste A, Riverside, CA 92507-0728 | 2020-09-30 |
| 1447874441 | Staci Bokano | Massage Therapist | 6177 River Crest Dr Ste A, Riverside, CA 92507-0728 | 2020-06-04 |
| 1902427529 | Carrie Elizabeth Soholt | Physical Therapist | 6177 River Crest Dr Ste A, Riverside, CA 92507-0728 | 2020-05-05 |
| 1386280089 | Tedmen Elias | Occupational Therapist | 6177 River Crest Dr Ste A, Riverside, CA 92507-0728 | 2019-11-18 |
| 1174091011 | Andrea Salguero | Physical Therapist | 6177 River Crest Dr Ste A, Riverside, CA 92507-0728 | 2018-11-08 |
| 1740792621 | James Nery | Physical Therapist | 6177 River Crest Dr Ste A, Riverside, CA 92507-0728 | 2017-10-31 |
| 1750807228 | Randi R Gino | Physical Therapist | 6177 River Crest Dr Ste A, Riverside, CA 92507-0728 | 2017-08-16 |
| 1760912489 | Shivani Amin | Occupational Therapist | 6177 River Crest Dr Ste A, Riverside, CA 92507-0728 | 2017-06-14 |
| 1013459817 | Luis Escamilla | Physical Medicine & Rehabilitation | 6177 River Crest Dr Ste A, Riverside, CA 92507-0728 | 2016-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286957 | Ethie M Tate-quinalty | Occupational Therapist | 7898 California Ave, Riverside, CA 92504-2597 | 2020-08-18 |
| 1174160634 | Minetta Wallingford | Occupational Therapist | 423 Addison Rd, Riverside, IL 60546-2007 | 2019-12-04 |
| 1588124820 | Breanne Siman | Occupational Therapist | 22 Hoover Rd, Riverside, CT 06878-1420 | 2019-03-22 |
| 1750850459 | John Boharic | Occupational Therapist | 348 Eastgrove Rd, Riverside, IL 60546-1708 | 2018-11-26 |
| 1053822338 | Ashley Hight | Occupational Therapist | 11469 Queensborough St, Riverside, CA 92503-5167 | 2017-10-13 |
| 1144762253 | Xiaoyan Zhang | Occupational Therapist | 20689 Hillsdale Rd, Riverside, CA 92508-2525 | 2016-11-07 |
| 1437606795 | Kerri Lee Murphy | Occupational Therapist | 1936 Village Grn S Apt C, Riverside, RI 02915-4025 | 2016-09-04 |
| 1942650502 | Susan Ung | Occupational Therapist | 18330 Lakepointe Dr, Riverside, CA 92503-0253 | 2016-06-14 |
| 1861855603 | Saul Eliseo Martinez | Occupational Therapist | 11440 Arizona Ave, Riverside, CA 92503-8811 | 2016-03-30 |
| 1376923532 | Kasarri Tiana Loper | Occupational Therapist | 3625 Banbury Dr, 17 B, Riverside, CA 92505-1876 | 2015-06-03 |
| Find all providers in RIVERSIDE | ||||
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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.