JESSICA THIBEAULT


Address: 4179 Piedmont Ave, #201, Oakland, CA 94611-5186
Phone: 5103334579

JESSICA THIBEAULT (NPI# 1174066575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174066575
Entity Type Individual
Full Name JESSICA THIBEAULT
Practice Address 4179 Piedmont Ave
#201
Oakland
CA 94611-5186
Practice Telephone 5103334579
Mailing Telephone 5103334579
Enumeration Date 2016-12-02
Last Update Date 2016-12-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225XP0200X Occupational Therapist
Specialization: Pediatrics
16670 CA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA OCCUPATIONAL THERAPIST OT16670 01

Office Location

Street Address 4179 PIEDMONT AVE
#201
City OAKLAND
State CA
Zip Code 94611-5186

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316150311 Lauren Elizabeth Clum Chiropractor 4179 Piedmont Ave, Suite 210, Oakland, CA 94611-5186 2007-05-07
1508351206 Jennifer House Social Worker 4179 Piedmont Ave, Oakland, CA 94611 2018-06-25
1326592262 Laura Gonzalez Fielder Marriage & Family Therapist 4179 Piedmont Ave, Suite 210, Oakland, CA 94611-5186 2016-08-09
1780093542 Rachel Willimott Social Worker 4179 Piedmont Ave, Oakland, CA 94611-5186 2014-08-06
1710213335 Mariza Deborah Snyder Chiropractor 4179 Piedmont Ave, #210, Oakland, CA 94611-5186 2009-11-02
1194050625 Baby Builders, Inc Physical Therapist 4179 Piedmont Ave, Suite #201, Oakland, CA 94611-5186 2009-10-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063028454 Abduljabbar Alhammoud Student in an Organized Health Care Education/Training Program Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 2020-09-21
1184287435 Unfold Psychology: A. Heafey Practice Psychologist 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 2019-04-22
1700389699 Katie Herron Student in an Organized Health Care Education/Training Program 2535 Harrison St., Oakland, CA 94611 2018-03-16
1861923351 Hoiwan Cheung Student in an Organized Health Care Education/Training Program 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 2017-03-25
1104377126 Collin Chan Pharmacist 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 2016-10-14
1912457276 Madeline Marie Perket Registered Nurse 933 Kingston Ave, Piedmont, CA 94611 2016-10-11
1962959460 Healing Arts Chiropractic Chiropractor 187 40th Street Way, Oakland, CA 94611 2016-09-01
1033573829 Diana Murphy Counselor 629 Oakland, Oakland, CA 94611 2016-04-08
1437515483 Laura Northrup II Marriage & Family Therapist 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 2016-01-06
1558736835 Michael Joseph Scollard Dentist 42 Linda Ave., Oakland, CA 94611 2015-12-11
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Taxonomy Information

Taxonomy Code 225XP0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Pediatrics

Taxonomy Definition

Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
  • Professional degree or equivalent in occupational therapy.
  • Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
  • Minimum of 5 years of practice as an occupational therapist.
  • Minimum of 5,000 hours of experience as an occupational therapist in the certification area in the last 7 calendar years.
  • Minimum of 500 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 5 calendar years. Service delivery may be paid or voluntary.
  • Verification of employment.
AOTA Specialized Knowledge and Skills Paper: Occupational Therapy Practice in the Neonatal Intensive Care Unity (2006); AOTA Fact Sheets: Children and the Tsunami, OT for Children Birth to 3 Years of Age, OT's Role with Autism, OT in Educational Settings Under the Individuals with Disabilities Education Act, Transforming Caseload to Workload in School Based and Early Intervention OT Services, OT in Preschool Settings.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023629763 Kristy Lynn Moody Occupational Therapist 840 Kennedy Memorial Dr, Oakland, ME 04963-4887 2020-08-16
1831618610 Lisa Joelle Holsinger Occupational Therapist 1218 Excelsior Ave Apt 5, Oakland, CA 94610-2883 2017-09-13
1891222154 Neha Sheth-leblanc Occupational Therapist 134 Echo Ave, Oakland, CA 94611-4310 2017-05-17
1598132813 Sasha Wang Occupational Therapist 4341 Piedmont Ave Ste 3, Oakland, CA 94611-4767 2015-08-24
1144646100 Paige Bari Hauser Occupational Therapist 409 E Oakland Ave Unit B, Oakland, FL 34787-3070 2014-03-13
1285985697 Anne Elizabeth Irving Occupational Therapist 5261 Claremont Ave, Oakland, CA 94618-1032 2012-09-25
1033631676 Nina Lao Occupational Therapist 747 52nd St, Oakland, CA 94609-1809 2017-07-15
1255741294 Nicole Moore Occupational Therapist 409 E Oakland Ave Unit B, Oakland, FL 34787-3070 2014-04-29
1245665777 Kristina Fuller Occupational Therapist 5261 Claremont Ave, Floor 2, Oakland, CA 94618-1032 2013-09-03
1134473846 Anna Lisa Matudio Occupational Therapist 180 Grand Ave, Suite 300, Oakland, CA 94612-3741 2012-11-01
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City OAKLAND
Zip Code 94611

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Dataset Information

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.

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