JANICE FAJARDO EVANGELISTA (NPI# 1316102965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316102965 |
| Entity Type | Individual |
| Full Name | JANICE FAJARDO EVANGELISTA |
| Credential | OTR |
| Practice Address |
3500 Maple Ave Terre Haute IN 47804-1732 |
| Mailing Address |
960 E Sunset Pike Dr Terre Haute IN 47802-4574 |
| Practice Telephone | 8122386986 |
| Mailing Telephone | 8122990278 |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2008-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 31003991A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3500 MAPLE AVE |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47804-1732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255497780 | Georgeanne R Pinkston | Nurse Practitioner | 3500 Maple Ave, Terre Haute, IN 47804-1732 | 2006-12-29 |
| 1922461441 | Jennifer Lake | Nurse Practitioner | 3500 Maple Ave, Terre Haute, IN 47804-1732 | 2016-04-01 |
| 1558783860 | Indiana Emergency Physicians, LLP | Emergency Medicine | 3500 Maple Ave, Terre Haute, IN 47804-1732 | 2014-01-07 |
| 1083955124 | Jackson County Schneck Memorial Hospital | Skilled Nursing Facility | 3500 Maple Ave, Terre Haute, IN 47804-1732 | 2013-03-14 |
| 1639457724 | Cheryl Lynn Rader | Nurse Practitioner | 3500 Maple Ave, Terre Haute, IN 47804-1732 | 2011-07-24 |
| 1649415662 | Yvonne Denise Russell | Physical Therapy Assistant | 3500 Maple Ave, Terre Haute, IN 47804-1732 | 2008-12-04 |
| 1881841005 | Maila Dando Dela Cruz | Physical Therapist | 3500 Maple Ave, Terre Haute, IN 47804-1732 | 2008-08-19 |
| 1750537247 | Angie Carrillo | Physical Therapy Assistant | 3500 Maple Ave, Terre Haute, IN 47804-1732 | 2008-08-15 |
| 1720234230 | Kelley Wood | Speech-Language Pathologist | 3500 Maple Ave, Terre Haute, IN 47804-1732 | 2008-08-15 |
| 1043476872 | Francis Joseph Patri Estepa Uypuanco | Physical Therapist | 3500 Maple Ave, Terre Haute, IN 47804-1732 | 2008-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568971885 | Tiffany Marshall | Physical Therapist | North At Uap Bone & Joint Center, Lower Level 1725 North 5th Street, Terre Haute, IN 47804 | 2017-09-29 |
| 1336565423 | Deondra Allison Cottrill | Physical Therapy Assistant | 1725 N. 5th Street, Union Hospital Therapy Services, Terre Haute, IN 47804 | 2014-03-13 |
| 1043635170 | Patricia Klos | Physical Therapy Assistant | 1606 Nth 7th Street, Terre Haute, IN 47804 | 2014-02-26 |
| 1043565476 | Debra Denehie Hills | Registered Nurse | 620 8th Avenue, Terre Haute, IN 47804 | 2012-07-23 |
| 1841503257 | Meredeth Su Gray | Dentist | 1608 Lafayette Avenue, Terre Haute, IN 47804 | 2010-07-15 |
| 1083946628 | John Barton, Lpt | Health Maintenance Organization | 1818 N 3rd Street, Terre Haute, IN 47804 | 2010-02-08 |
| 1750584009 | Kool Smiles In-3, PC | Dentist | 1800 Fort Harrison Rd, Terra Haute, IN 47804 | 2007-06-06 |
| 1619006988 | Union Hospital Inc | Student in an Organized Health Care Education/Training Program | 1513 N 6 1-2 Street, Terre Haute, IN 47804 | 2007-03-05 |
| 1730243080 | John Lee Nichols | Dentist | 1246 Maple Ave, Terre Haute, IN 47804 | 2006-12-21 |
| 1093894057 | Isaac N Mitre | Obstetrics & Gynecology | 1623 N 4th Street, Terre Haute, IN 47804 | 2006-11-02 |
| Find all providers in zip 47804 | ||||
| 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 |
|---|---|---|---|---|
| 1245861855 | My-e-therapy LLC | Occupational Therapist | 4790 E Brentview Ave, Terre Haute, IN 47805-9776 | 2020-02-01 |
| 1275184327 | Darian Burchfield | Occupational Therapist | 222 S 25th St Apt 435, Terre Haute, IN 47803-1866 | 2019-09-20 |
| 1053893545 | Karyssa Jeanne Nelson | Occupational Therapist | 1320 Walnut St, Terre Haute, IN 47807-3931 | 2018-08-31 |
| 1679926323 | Jose Royeca | Occupational Therapist | 2106 W Wilshire Dr, Terre Haute, IN 47802-8305 | 2016-07-18 |
| 1962828053 | Legacy Healthcare Services, Inc | Occupational Therapist | 222 S 25th St, Terre Haute, IN 47803-1800 | 2014-03-13 |
| 1497094437 | Marlene Mcdonald | Occupational Therapist | 2003 N 11th St, Terre Haute, IN 47804-2922 | 2013-02-12 |
| 1366746307 | Mandy Lynn Higginbotham | Occupational Therapist | 450 8th Ave., Terre Haute, IN 47804-2780 | 2011-01-05 |
| 1548408925 | Nathalie Johnson | Occupational Therapist | 619 East Springhill Drive, Terre Haute, IN 47802 | 2009-01-23 |
| 1487817805 | Kayla Caskey | Occupational Therapist | 2222 Margaret Ave, Terre Haute, IN 47802-3339 | 2008-07-07 |
| 1841415981 | Jacquelyn Wrin | Occupational Therapist | 226 Highland Ct, Terre Haute, IN 47802-4956 | 2007-04-16 |
| Find all providers in TERRE HAUTE | ||||
| City | TERRE HAUTE |
| Zip Code | 47804 |
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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.