GRACE MARIE BANQUICIO (NPI# 1235644022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235644022 |
| Entity Type | Individual |
| Full Name | GRACE MARIE BANQUICIO |
| Practice Address |
3050 Woodmont Ave Winter Haven FL 33884-3800 |
| Mailing Address |
1601 Gaines Mill Ct Apt 203 Celebration FL 34747-5188 |
| Practice Telephone | 8633247300 |
| Enumeration Date | 2017-12-03 |
| Last Update Date | 2017-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3050 WOODMONT AVE |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33884-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528373669 | Jennifer L Nesbit | Speech-Language Pathologist | 3050 Woodmont Ave, Winter Haven, FL 33884-3800 | 2010-08-12 |
| 1740825165 | Stephanie Taylor Treadwell | Occupational Therapist | 3050 Woodmont Ave, Winter Haven, FL 33884-3800 | 2019-11-08 |
| 1962058008 | Jade Johnson | Physical Therapy Assistant | 3050 Woodmont Ave, Winter Haven, FL 33884-3800 | 2019-08-14 |
| 1528501178 | Legacy Healhcare Services, Inc. | Clinic/Center | 3050 Woodmont Ave, Winter Haven, FL 33884-3800 | 2016-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154956480 | Kristin Helen Kiddy | Occupational Therapy Assistant | 101 Overlook Drive, Suite 103, Winter Haven, FL 33884 | 2020-03-06 |
| 1871990143 | William Santo | Specialist/Technologist | 9269 Kliber Dr., Winter Haven, FL 33884 | 2014-12-02 |
| 1346656345 | Integrative Physical Medicine of Winter Haven LLC | Specialist | 7494 Cypress Gardens Blvd, Winter Haven, FL 33884 | 2014-07-10 |
| 1568808921 | Donald Lurton Arey Jr. | Surgery | 800 Island Way, Winter Haven, FL 33884 | 2013-05-13 |
| 1407195324 | Shena R. Ranon | Nurse Practitioner | 1820 Woodpointe Dr, Winter Haven, FL 33884 | 2013-02-13 |
| 1952654543 | Mpn Medical Center of Dundee | Family Medicine | 1023 Dundee Road, Winter Haven, FL 33884 | 2012-10-19 |
| 1588941736 | Cody Gernatt | Occupational Therapist | 1120 Cypress Gardens Blvd., Winter Haven, FL 33884 | 2011-11-15 |
| 1851611677 | Paulene T Jasurek | Pharmacist | 4454 Cypress Gardens Rd, Winter Haven, FL 33884 | 2010-06-03 |
| 1306169867 | John David Butters | Speech-Language Pathologist | 208 Escambia Dr., Winter Haven, FL 33884 | 2010-03-11 |
| 1710162813 | Humphrey Chiropractic Center, P.a. | Chiropractor | 605 Overlook Drive, Suite 1, Winter Haven, FL 33884 | 2008-01-08 |
| Find all providers in zip 33884 | ||||
| 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 |
|---|---|---|---|---|
| 1285258210 | Monica Varnes Cook | Occupational Therapy Assistant | 4308 Thornhill Rd, Winter Haven, FL 33880-5010 | 2020-06-05 |
| 1154956480 | Kristin Helen Kiddy | Occupational Therapy Assistant | 101 Overlook Drive, Suite 103, Winter Haven, FL 33884 | 2020-03-06 |
| 1194281071 | Kiara B Morris | Occupational Therapy Assistant | 4075 Mahogany Run, Winter Haven, FL 33884-2931 | 2019-02-15 |
| 1962979054 | Lidia B Ramirez | Occupational Therapy Assistant | 2906 Eagle Nest View Dr, Winter Haven, FL 33881-3219 | 2018-10-27 |
| 1023512738 | Language & Literacy Academy for Learning, Inc | Occupational Therapy Assistant | 330 Avenue C Se, Winter Haven, FL 33880-3243 | 2018-03-19 |
| 1851837231 | Alona Prowell | Occupational Therapy Assistant | 328 Towhee Rd, Winter Haven, FL 33881-8249 | 2017-01-10 |
| 1710366067 | Alicia Kaminga | Occupational Therapy Assistant | 4404 Burlington Dr, Winter Haven, FL 33880-1106 | 2015-05-20 |
| 1255672051 | Ma Cristina Singzon Del Rosario | Occupational Therapy Assistant | 2919 Plantation Rd, Winter Haven, FL 33884-1233 | 2013-03-05 |
| 1568700607 | Haimi Morel | Occupational Therapy Assistant | 2748 Whispering Trails Dr, Winter Haven, FL 33884-1835 | 2013-01-24 |
| 1194011023 | Lorna M Suarez | Occupational Therapy Assistant | 257 Kings Pond Ave, Winter Haven, FL 33880-1926 | 2011-06-20 |
| Find all providers in WINTER HAVEN | ||||
| City | WINTER HAVEN |
| Zip Code | 33884 |
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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.