CAMILLE MOODY (NPI# 1154854297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154854297 |
| Entity Type | Individual |
| Full Name | CAMILLE MOODY |
| Credential | OTR/L |
| Practice Address |
11838 Bernardo Plaza Ct Suite 110 San Diego CA 92128-2413 |
| Practice Telephone | 8586735437 |
| Mailing Telephone | 8586735437 |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 365814 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225X00000X | Occupational Therapist | OT16755 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
11838 BERNARDO PLAZA CT SUITE 110 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128-2413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598724577 | K.i.d.s. Therapy Associates, Inc. | Speech-Language Pathologist | 11838 Bernardo Plaza Ct, Suite 110, San Diego, CA 92128-2413 | 2006-03-20 |
| 1598204984 | Paramount Home Health Care & Hospice | Home Health | 11838 Bernardo Plaza Ct, Suite 260 A, San Diego, CA 92128-2413 | 2017-02-17 |
| 1023563079 | Danielle Carbaugh | Occupational Therapist | 11838 Bernardo Plaza Ct, Suite 110, San Diego, CA 92128-2413 | 2016-08-19 |
| 1811340276 | Noopur Gupta | Speech-Language Pathologist | 11838 Bernardo Plaza Ct, Suite 110, San Diego, CA 92128-2413 | 2016-07-20 |
| 1720455488 | Cassandra Britton | Occupational Therapist | 11838 Bernardo Plaza Ct, Ste 110, San Diego, CA 92128-2413 | 2015-08-28 |
| 1518333798 | Natalee Kamau | Physical Therapist | 11838 Bernardo Plaza Ct, #110, San Diego, CA 92128-2413 | 2015-08-11 |
| 1144607664 | Katherine C Miller | Social Worker | 11838 Bernardo Plaza Ct, Ste 250, San Diego, CA 92128-2413 | 2015-05-05 |
| 1457743437 | Eunice Lee | Occupational Therapist | 11838 Bernardo Plaza Ct, Suite 110, San Diego, CA 92128-2413 | 2015-02-27 |
| 1346646791 | Paige Bookoff | Occupational Therapist | 11838 Bernardo Plaza Ct, Suite 110, San Diego, CA 92128-2413 | 2014-11-12 |
| 1699177766 | Katelyn E Barry | Occupational Therapist | 11838 Bernardo Plaza Ct, San Diego, CA 92128-2413 | 2014-09-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
| Find all providers in zip 92128 | ||||
| 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 |
|---|---|---|---|---|
| 1043826670 | Katrina Hagewood | Occupational Therapist | 12220 World Trade Dr Ste 130, San Diego, CA 92128-3900 | 2020-09-18 |
| 1750906889 | Caitlin Grace Turner | Occupational Therapist | 4672 Mount Putman Ct, San Diego, CA 92117-4751 | 2020-06-15 |
| 1205450715 | Rudo Oronde Adams | Occupational Therapist | 7017 Osler St, San Diego, CA 92111-5536 | 2020-05-31 |
| 1720607963 | Allison Brekke | Occupational Therapist | 438 W Date St Apt 1, San Diego, CA 92101-2528 | 2020-04-08 |
| 1326671025 | Jessica Welch | Occupational Therapist | 6262 Ferris Sq, San Diego, CA 92121-3205 | 2020-02-20 |
| 1275164030 | Katherine Manansala Macapinlac | Occupational Therapist | 10961 San Blas Cir, San Diego, CA 92126-2447 | 2020-01-30 |
| 1851921142 | Carly Ono | Occupational Therapist | 10760 Thornmint Rd Ste 132, San Diego, CA 92127-2700 | 2020-01-25 |
| 1124658729 | Kimberly Dyanne Gaudi | Occupational Therapist | 4421 47th St, San Diego, CA 92115-4516 | 2020-01-22 |
| 1861022816 | Priscilla Marina | Occupational Therapist | 12519 El Camino Real Unit G, San Diego, CA 92130-4027 | 2020-01-17 |
| 1699312702 | Katelyn Yeaman | Occupational Therapist | 4452 Highland Ave Apt 5, San Diego, CA 92115-4345 | 2019-12-08 |
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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.