MRS. EVELYN FANO (NPI# 1114399029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114399029 |
| Entity Type | Individual |
| Full Name | MRS. EVELYN FANO |
| Credential | OTR |
| Practice Address |
101 Glenbrook Rd Freehold NJ 07728-1512 |
| Practice Telephone | 7322947428 |
| Mailing Telephone | 7322947428 |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 46TR00071100 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | OCCUPATIONAL THERAPIST | 46TR00071100 | 01 |
| Street Address |
101 GLENBROOK RD |
| City | FREEHOLD |
| State | NJ |
| Zip Code | 07728-1512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851935837 | Rehability Sports Medicine, LLC | Acupuncturist | 83 South St. Ste 204, Freehold, NJ 07728 | 2019-11-01 |
| 1205488038 | P.a.l.m.s. Providing Alternative Lines of Movement Services LLC | Social Worker | 32-6 Turner Rd, Freehold, NJ 07728 | 2019-07-11 |
| 1962983015 | Cynthia Espinosa | Behavioral Analyst | 906 Nj State Route 33 Business, Freehold, NJ 07728 | 2018-08-27 |
| 1841780087 | Planet Therapies | Social Worker | 4 E Main St Ste 2, Freehold, NJ 07728 | 2018-05-14 |
| 1861998627 | Surgical Specialists of Central Nj, LLC | Surgery | 901 W Main St Ste 106, Freehold, NJ 07728 | 2018-04-02 |
| 1386158426 | Clinical Care, LLC | Social Worker | 115 Spruce Street, Freehold, NJ 07728 | 2017-11-28 |
| 1992227565 | Ashley Taylor Kravitz | Dietitian, Registered | 12 Christie Lane, Freehold, NJ 07728 | 2017-07-14 |
| 1326568429 | The Jewish Home for Rehabilitation and Nursing Inc. | Skilled Nursing Facility | 1151 West Main St, Freehold, NJ 07728 | 2017-06-21 |
| 1518497551 | Spine and Sports Rehab Group of Nj | Physical Medicine & Rehabilitation | 210 Mounts Corner Dr, Freehold, NJ 07728 | 2017-06-13 |
| 1841724697 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Havensbridge Road, Farmingdale, NJ 07728 | 2017-04-19 |
| Find all providers in zip 07728 | ||||
| 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 |
|---|---|---|---|---|
| 1730723537 | Brianna Nork | Occupational Therapist | 200 Harding Rd Apt A, Freehold, NJ 07728-5406 | 2019-11-05 |
| 1992288732 | Kelly Marie Byrne | Occupational Therapist | 3425 Route 9 N, Freehold, NJ 07728-3284 | 2018-09-07 |
| 1154831543 | Mary Hughes | Occupational Therapist | 187 Coachman Dr N, Freehold, NJ 07728-3154 | 2017-10-11 |
| 1952839268 | Kimberly Fake | Occupational Therapist | 900 W Main St Ste 2, Freehold, NJ 07728-2523 | 2017-05-31 |
| 1013451582 | Christopher Yang | Occupational Therapist | 14 Chatham Ridge Dr, Freehold, NJ 07728-4333 | 2016-12-18 |
| 1154704633 | Cynthia Marie King | Occupational Therapist | 689 W Main Street, Freehold, NJ 07728 | 2015-07-02 |
| 1164859898 | Allison Johnson | Occupational Therapist | 69 Pheasant Run, Freehold, NJ 07728-7767 | 2013-09-26 |
| 1003112590 | Gregg P Taylor | Occupational Therapist | 5 Mohegan Rd, Freehold, NJ 07728-7879 | 2011-02-01 |
| 1326350661 | Filomena Sirico | Occupational Therapist | 14 Blue Ridge Ct, Freehold, NJ 07728-8077 | 2010-07-01 |
| 1235462888 | Keri Cummiskey | Occupational Therapist | 51 Piazza Tasso Unit A, Freehold, NJ 07728-5249 | 2009-09-15 |
| Find all providers in FREEHOLD | ||||
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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.