MR. GEORGE STEPHEN GUSTOVICH (NPI# 1093068165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093068165 |
| Entity Type | Individual |
| Full Name | MR. GEORGE STEPHEN GUSTOVICH |
| Credential | COTA/L |
| Practice Address |
133 George St Niles OH 44446-2725 |
| Practice Telephone | 3306524247 |
| Mailing Telephone | 3306524247 |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2012-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | OP007218 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224Z00000X | Occupational Therapy Assistant | 03634 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
133 GEORGE ST |
| City | NILES |
| State | OH |
| Zip Code | 44446-2725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114554144 | Chhavi Karir | Student in an Organized Health Care Education/Training Program | 1801 Phoenix Pl, Unit 306, Niles, OH 44446 | 2020-03-27 |
| 1679030746 | Erica Lynne Forney | Massage Therapist | Fizek Fitness (erica’s Touch), 5555 Youngstown Warren Rd, Niles, OH 44446 | 2019-02-26 |
| 1316476690 | Travon Joshua Allen | Respite Care | 124 Summit Ave, Niles, OH 44446 | 2017-06-08 |
| 1326436205 | Cathy J. Carty | Social Worker | 6000 Youngstown - Warren Rd, Trumball County Educational Service Center, Niles, OH 44446 | 2014-12-31 |
| 1528463593 | Tracy Clark | Speech-Language Pathologist | 6000 Youngstown-warren Rd, Tcesc, Niles, OH 44446 | 2014-11-03 |
| 1881007003 | Cynthia Ann Hoppert | Occupational Therapist | 6000 Youngstown - Warren Road, Niles, OH 44446 | 2014-06-05 |
| 1447688247 | Joyce Ann Agne Jones | Social Worker | 165 East Park Avenue, Niles, OH 44446 | 2013-10-15 |
| 1548508161 | Vicki M Orwig | Pharmacist | 5555 Niles-youngstown Road, Niles, OH 44446 | 2013-01-17 |
| 1558644062 | Rebekah Lee Utsinger | Pharmacist | 5027 Youngstown Rd, Niles, OH 44446 | 2011-09-21 |
| 1134442742 | Edmund Nathaniel Turner | Optometrist | 5320 Youngstown Ave., Niles, OH 44446 | 2010-03-10 |
| Find all providers in zip 44446 | ||||
| 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 |
|---|---|---|---|---|
| 1548891773 | Lisa R White | Occupational Therapy Assistant | 1425 Sheridan Ave, Niles, MI 49120-1949 | 2020-01-27 |
| 1730723784 | Terri Lutes | Occupational Therapy Assistant | 1715 Sycamore St, Niles, MI 49120-2045 | 2019-11-03 |
| 1841783792 | Nicole Montgomery | Occupational Therapy Assistant | 421 W Federal St, Niles, OH 44446-1804 | 2018-06-14 |
| 1689040768 | Deborah Scarnecchia | Occupational Therapy Assistant | 1356 Kearney St, Niles, OH 44446-3432 | 2015-08-12 |
| 1184039430 | Care Plus Outpatient Therapy Inc. | Occupational Therapy Assistant | 8118 N Milwaukee Ave Ste 107, Niles, IL 60714 | 2014-06-25 |
| 1659795656 | Kellee Swauger | Occupational Therapy Assistant | 1480 Butterfield Cir, Niles, OH 44446-3576 | 2014-02-11 |
| 1407279045 | Joann Nori | Occupational Therapy Assistant | 1120 Lantern Ln, Niles, OH 44446-3506 | 2014-02-03 |
| 1679895304 | Laura Wilken | Occupational Therapy Assistant | 1339 Oak St, Niles, MI 49120-3627 | 2010-02-22 |
| 1255665584 | Vanessa Ann Ogle | Occupational Therapy Assistant | 1339 Broadway St, Niles, MI 49120-2120 | 2009-09-18 |
| 1508489907 | Kristen Letten | Occupational Therapy Assistant | 9777 N Greenwood Ave, Niles, IL 60714-1002 | 2020-05-20 |
| Find all providers in NILES | ||||
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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.