VIRGIL BERNARD SMITH


Address: 6725 Inglewood Ave, Stockton, CA 95207-3865
Phone: 2093681009

VIRGIL BERNARD SMITH (NPI# 1326197138) 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) 1326197138
Entity Type Individual
Full Name VIRGIL BERNARD SMITH
Credential OTL
Practice Address 6725 Inglewood Ave
Stockton
CA 95207-3865
Mailing Address 222 W Pine St
Lodi
CA 95240-2020
Practice Telephone 2093681009
Practice Fax Number 2093681024
Mailing Telephone 2093681009
Mailing Fax Number 2093681024
Enumeration Date 2007-01-09
Last Update Date 2011-07-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist OT6617 CA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA RAILROAD MEDICARE PTAN 670001424 01

Other Providers VIRGIL SMITH

NPI Name Taxonomy Address Enumeration
1386735728 Virgil Rodney Smith Social Worker 1101 W 2nd St, Little Rock, AR 72201-2003 2006-09-28

Office Location

Street Address 6725 INGLEWOOD AVE
City STOCKTON
State CA
Zip Code 95207-3865

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922160829 Innovative Senior Rehabilitation Services Inc. Occupational Therapist 6725 Inglewood Ave, Stockton, CA 95207-3865 2006-12-15
1932246576 Nasser C Amilasan Physical Therapist 6725 Inglewood Ave, Stockton, CA 95207-3865 2007-01-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669004438 Dr. Jeffrey A Saladin, Dental Corporation Dentist 1002 Robinhood Drive, Stockton, CA 95207 2020-02-10
1811533110 Tanya V Jones Dental Hygienist Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 2019-11-21
1053966358 Ingrid Marcela Saavedra Behavioral Analyst 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 2019-08-05
1497218861 Turning Point Community Programs Community/Behavioral Health 1803 W March Ln Ste C-d, Stockton, CA 95207 2019-04-11
1427510627 Stockton Sleep Center Inc Physiological Laboratory 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 2019-04-05
1518436229 Nicolas Anthony Overby Occupational Therapist Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 2018-11-26
1912475724 Ashley Johnson Behavior Technician 87 W. March Ln. Suite 6, Stockton, CA 95207 2018-11-09
1124596085 Korie Cottrell Behavior Technician 87 W. March Ln., Suite 6, Stockton, CA 95207 2018-11-08
1760979645 Maria Esther Rodriguez Counselor 2425 W March Ln., Stockton, CA 95207 2018-04-17
1902301161 Lashray Elliott Behavior Technician 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 2018-03-28
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Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356942502 Sharon Clare Mcgeady Occupational Therapist 76 Garboski Rd, Stockton, NJ 08559-1925 2020-11-04
1295350320 Edreann Jill Soriben Galicinao Occupational Therapist 9724 Wintergreen Ct, Stockton, CA 95209-5184 2020-06-15
1760002406 Kerry Alison Chitwood Occupational Therapist 1333 Candlewood Way, Stockton, CA 95209-2003 2020-04-23
1518436229 Nicolas Anthony Overby Occupational Therapist Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 2018-11-26
1720457468 Edwin Posada Occupational Therapist 3589 W Benjamin Holt Dr Apt 183, Stockton, CA 95219-3468 2015-09-23
1588046106 Jason Pyle Occupational Therapist 11555 E Highway Z, Stockton, MO 65785-9507 2015-06-19
1104222546 Cheryl Spaulding Occupational Therapist 620 Macduff Ave, Stockton, CA 95210-1840 2014-11-12
1710395132 Linda Roybal Occupational Therapist 2256 Wagner Heights Rd, Stockton, CA 95209-1736 2014-07-29
1962702449 Lifeworks-acs, Inc. Occupational Therapist 1755 W. Hammer Lane, Suite# 1, Stockton, CA 95209-2900 2010-10-29
1356587364 Tracy L. Boyer Occupational Therapist 517 W Hilltop Ter, Stockton, IL 61085-1025 2008-12-22
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City STOCKTON
Zip Code 95207

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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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