KRISTI ETCHECHURY (NPI# 1215455498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215455498 |
| Entity Type | Individual |
| Full Name | KRISTI ETCHECHURY |
| Credential | COTA/L |
| Practice Address |
807 East Beck Lane Phoenix AZ 85022 |
| Mailing Address |
807 E Beck Ln Phoenix AZ 85022-3503 |
| Practice Telephone | 6023694618 |
| Mailing Telephone | 6023694618 |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2017-09-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 6721 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
807 EAST BECK LANE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528626074 | Keauna Olugu | Psychologist | 17249 N. 7th St, 1128, Phoenix, AZ 85022 | 2019-05-30 |
| 1871017103 | Julie Dale | Physical Therapist | 1910 E Kathleen Rd, Phoenix, AZ 85022 | 2017-07-28 |
| 1669994539 | Valley Wellness Center Pllc | Clinic/Center | 702 E Bell Rd Ste 112, Phoenix, AZ 85022 | 2017-07-12 |
| 1386001758 | Debbie Mulder | Behavioral Analyst | 2400 West Dunlap Ave., Suite 100, Glendale, AZ 85022 | 2016-01-15 |
| 1114383437 | Jean Fay King | Nurse Practitioner | 15409 N. 23rd St., Phoenix, AZ 85022 | 2016-01-04 |
| 1093050767 | Cheyanne Wilderness Gastelum | Midwife | 2236 E. Delgado St., Phoenix, AZ 85022 | 2012-12-06 |
| 1760731236 | Nicole Ann Raus | Occupational Therapy Assistant | 15414 N. 7th Street, Suite 3, Phoenix, AZ 85022 | 2012-08-30 |
| 1144593211 | Edward Najeeb Abraham | Family Medicine | 14419 N. 5th Place, Phoenix, AZ 85022 | 2012-02-20 |
| 1942506019 | Mirnes Mehic | Assisted Living Facility | 2018 E. Wagoner Rd., Phoenix, AZ 85022 | 2011-02-07 |
| 1730483124 | Dembyentertainment | Non-emergency Medical Transport (VAN) | 17222 N Central Ave 119, Phx, AZ 85022 | 2010-12-29 |
| Find all providers in zip 85022 | ||||
| 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 |
|---|---|---|---|---|
| 1396345849 | Taylor Drew Hicks | Occupational Therapy Assistant | 2913 E Sunland Ave, Phoenix, AZ 85040-3759 | 2020-10-26 |
| 1982218723 | Katelyn H Monaco | Occupational Therapy Assistant | 10631 S 51st St Ste 1, Phoenix, AZ 85044-5225 | 2020-08-31 |
| 1992334809 | Kelly Ann Roberson | Occupational Therapy Assistant | 7654 N 19th Ave # Qve, Phoenix, AZ 85021-7025 | 2020-04-02 |
| 1710529334 | Brian Tamblyn | Occupational Therapy Assistant | 2820 E Wahalla Ln, Phoenix, AZ 85050-3523 | 2019-10-15 |
| 1174189674 | Az Therapy Services Pllc | Occupational Therapy Assistant | 2025 E Campbell Ave Apt 244, Phoenix, AZ 85016-5579 | 2019-05-10 |
| 1639734361 | Antony Domonick Redmon | Occupational Therapy Assistant | 2025 E Campbell Ave # Apr244, Phoenix, AZ 85016-5553 | 2019-05-08 |
| 1669037552 | Juanri Chiquita Tyler | Occupational Therapy Assistant | 4641 N 12th St, Phoenix, AZ 85014-4095 | 2019-05-06 |
| 1649833286 | Lifetree Inc. | Occupational Therapy Assistant | 3604 E Salter Dr, Phoenix, AZ 85050-6505 | 2019-04-18 |
| 1164992913 | Genita Seaton | Occupational Therapy Assistant | 13820 S 44th St Apt 1241, Phoenix, AZ 85044-4864 | 2018-12-04 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| Find all providers in PHOENIX | ||||
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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.