MINETTA WALLINGFORD (NPI# 1174160634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174160634 |
| Entity Type | Individual |
| Full Name | MINETTA WALLINGFORD |
| Credential | OTR/L |
| Practice Address |
423 Addison Rd Riverside IL 60546-2007 |
| Practice Telephone | 7737158463 |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 056.003498 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
423 ADDISON RD |
| City | RIVERSIDE |
| State | IL |
| Zip Code | 60546-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700598 | Bekim Koleci | Pharmacist | 2500 South Harlem Ave, North Riverside, North Riverside, IL 60546 | 2020-11-02 |
| 1073136495 | Lydia Alejandra Robles Gomez | Internal Medicine | 3722 S Harlem Ave, Macneal Center for Internal Medi, Suite Ll 34, Riverside, IL 60546 | 2020-05-20 |
| 1770105611 | Amala Chacko | Internal Medicine | 3722 South Harlem Ave, Macneal Center for Internal Medicine, Riverside, IL 60546 | 2020-05-14 |
| 1982225173 | Aneurin Cornolius Fernandez | Internal Medicine | 3722 South Harlem Ave Suite Ll34, Macneal Center for Internal Medicine, Riverside, IL 60546 | 2020-04-29 |
| 1477113264 | Amulya Reddy Kasireddy | Internal Medicine | 3722 South Harlem Macneal Center for Internal Meidicine, Suite Ll34, Riverside, IL 60546 | 2019-06-14 |
| 1336702927 | Shelden Selas Rodrigues | Internal Medicine | Macneal Center for Internal Medicine 3722 South Harlem, Suite Ll34, Riverside, IL 60546 | 2019-04-18 |
| 1083277685 | Hasrat Sidhu | Internal Medicine | 3722 South Harlem Ave., Macneal Center for Internal Med, Suite Ll34, Riverside, IL 60546 | 2019-04-18 |
| 1972073559 | Patricia Dumke | Physical Therapist | 2518 S. Harlem Unit C, North Riverside, IL 60546 | 2018-11-27 |
| 1336639426 | Daniele Sebastiano Restifo Ortega | Internal Medicine | Macneal Center for Internal Medicine, 3722 South Harlem Ave Suite Ll34, Riverside, IL 60546 | 2018-05-14 |
| 1699263632 | Diana Alexandra Kreppel | Internal Medicine | 3722 South Harlem Avenue Macneal Center for Internal Me, Suite Ll34, Riverside, IL 60546 | 2018-04-25 |
| Find all providers in zip 60546 | ||||
| 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 |
|---|---|---|---|---|
| 1689286957 | Ethie M Tate-quinalty | Occupational Therapist | 7898 California Ave, Riverside, CA 92504-2597 | 2020-08-18 |
| 1588124820 | Breanne Siman | Occupational Therapist | 22 Hoover Rd, Riverside, CT 06878-1420 | 2019-03-22 |
| 1750850459 | John Boharic | Occupational Therapist | 348 Eastgrove Rd, Riverside, IL 60546-1708 | 2018-11-26 |
| 1053822338 | Ashley Hight | Occupational Therapist | 11469 Queensborough St, Riverside, CA 92503-5167 | 2017-10-13 |
| 1144762253 | Xiaoyan Zhang | Occupational Therapist | 20689 Hillsdale Rd, Riverside, CA 92508-2525 | 2016-11-07 |
| 1437606795 | Kerri Lee Murphy | Occupational Therapist | 1936 Village Grn S Apt C, Riverside, RI 02915-4025 | 2016-09-04 |
| 1942650502 | Susan Ung | Occupational Therapist | 18330 Lakepointe Dr, Riverside, CA 92503-0253 | 2016-06-14 |
| 1861855603 | Saul Eliseo Martinez | Occupational Therapist | 11440 Arizona Ave, Riverside, CA 92503-8811 | 2016-03-30 |
| 1376923532 | Kasarri Tiana Loper | Occupational Therapist | 3625 Banbury Dr, 17 B, Riverside, CA 92505-1876 | 2015-06-03 |
| 1912395252 | Jeffrey Lockhart | Occupational Therapist | 3245 Lemon St, Riverside, CA 92501-2926 | 2015-01-08 |
| Find all providers in RIVERSIDE | ||||
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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.