SUSAN GILLEN (NPI# 1124416953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124416953 |
| Entity Type | Individual |
| Full Name | SUSAN GILLEN |
| Practice Address |
3600 Eubank Blvd Ne Unit 9b Albuquerque NM 87111-4846 |
| Practice Telephone | 5056203976 |
| Practice Fax Number | 5059234850 |
| Mailing Telephone | 5056203976 |
| Mailing Fax Number | 5059234850 |
| Enumeration Date | 2015-01-01 |
| Last Update Date | 2015-01-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 1587 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3600 EUBANK BLVD NE UNIT 9B |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87111-4846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417438110 | Dehlen LLC | Counselor | 11000 Spain Rd Ne, Building E, Albuquerque, NM 87111 | 2018-08-22 |
| 1003313008 | Jessika Junick | Nurse Practitioner | 3825 Eubank Blvd Ne Ste A, Albuquerque, NM 87111 | 2018-04-07 |
| 1881113454 | Hayley Aragon-bell | Day Training/Habilitation Specialist | 3732 Mount Rainier Dr. Ne, Albuquerque, NM 87111 | 2017-09-14 |
| 1750803326 | Sarah Mckenzie Ochoa | Day Training/Habilitation Specialist | 3916 Garcia St Ne, Albuquerque, NM 87111 | 2017-07-14 |
| 1285179549 | Family Dental Health Care | Dentist | 4550 Eubank Blvd, Suite 203, Albuquerque, NM 87111 | 2016-12-22 |
| 1871036202 | Shobha Jagannath | Nurse Practitioner | 10700 Academy Rd Ne Apt 216, Albuquerque, NM 87111 | 2016-12-03 |
| 1508319310 | Mariana Boitano | Licensed Practical Nurse | 5400 Gibson Blvd., Albuquerque, NM 87111 | 2016-07-28 |
| 1184011082 | Adam Halpern | Specialist/Technologist | 4204 Parsifal St, Albuquerque, NM 87111 | 2015-04-20 |
| 1083015770 | Cvs Pharmacy | Public Health or Welfare | 5516 Camino Arbustos Ne, Albuquerque, NM 87111 | 2014-09-12 |
| 1508276973 | Stephanie Gonzales | Physician Assistant | 12241 Academy Rd Ne Ste 204, Albuquerque, NM 87111 | 2014-05-06 |
| Find all providers in zip 87111 | ||||
| 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 |
|---|---|---|---|---|
| 1962970061 | Donald Borrego | Occupational Therapy Assistant | 5200 Copper Ne, #7, Albuquerque, NM 87108 | 2018-11-06 |
| 1336633585 | Julian Cisneros | Occupational Therapy Assistant | 5801 Eubank Blvd Ne Apt 9, Albuquerque, NM 87111-6180 | 2018-06-20 |
| 1699219691 | Jessica Miranda | Occupational Therapy Assistant | 11100 Gibson Blvd Se Unit D75, Albuquerque, NM 87123-3407 | 2016-12-09 |
| 1659813061 | Violet Bustillos | Occupational Therapy Assistant | 909 Kinley Ave Nw, Albuquerque, NM 87104-2181 | 2016-11-16 |
| 1194173088 | Salim M Syed | Occupational Therapy Assistant | 5928 Ermemin Ave Nw, Albuquerque, NM 87114-5993 | 2016-06-01 |
| 1851763080 | Trisha Poorbaugh | Occupational Therapy Assistant | 1313 Alcazar St Ne, Albuquerque, NM 87110-7109 | 2015-10-27 |
| 1275904773 | Joanie Pearson | Occupational Therapy Assistant | 645 Grace St Ne, Albuquerque, NM 87123-1318 | 2015-10-09 |
| 1346639770 | Anthony Gustamantes | Occupational Therapy Assistant | 10508 Easy Pl Nw, Albuquerque, NM 87114-5088 | 2015-01-22 |
| 1285023606 | Kathy Welch | Occupational Therapy Assistant | 2841 Manzano St Ne, Albuquerque, NM 87110-3025 | 2015-01-22 |
| 1952790966 | Misty Jo Munoz | Occupational Therapy Assistant | 5800 Night Rose Ave Nw, Albuquerque, NM 87114-3591 | 2015-01-14 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87111 |
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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.