BRENDA ANN FAGAN (NPI# 1336351204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336351204 |
| Entity Type | Individual |
| Full Name | BRENDA ANN FAGAN |
| Credential | OTR |
| Practice Address |
302 Silver Ave San Francisco CA 94112-1510 |
| Mailing Address |
1312 Josephine St Apt 5 Berkeley CA 94703-1140 |
| Practice Telephone | 4154692239 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT6824 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
302 SILVER AVE |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94112-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053316828 | Jay Stanley Luxenberg | Internal Medicine | 302 Silver Ave, San Francisco, CA 94112-1510 | 2005-06-16 |
| 1467074807 | Aimee Elizabeth Castro | Occupational Therapist | 302 Silver Ave, San Francisco, CA 94112-1510 | 2020-05-07 |
| 1285277624 | Viktoria Futritski | Nurse Practitioner | 302 Silver Ave, San Francisco, CA 94112-1510 | 2019-10-17 |
| 1205490729 | Adrienne Elyse Frachtman | Speech-Language Pathologist | 302 Silver Ave, San Francisco, CA 94112-1510 | 2019-04-30 |
| 1609377324 | Sarah Elizabeth Wiegand | Physical Therapist | 302 Silver Ave, San Francisco, CA 94112-1510 | 2018-02-27 |
| 1720488794 | Stephen E. Hall Md | Clinic/Center | 302 Silver Ave, San Francisco, CA 94112-1510 | 2014-08-27 |
| 1700015575 | Sunui Lee | Counselor | 302 Silver Ave, San Francisco, CA 94112-1510 | 2009-07-14 |
| 1588891113 | Guy T. Guber | Psychologist | 302 Silver Ave, San Francisco, CA 94112-1510 | 2009-06-22 |
| 1013177963 | Jacqueline Delgado | Speech-Language Pathologist | 302 Silver Ave, San Francisco, CA 94112-1510 | 2008-06-13 |
| 1811164171 | Mario Lemay | Physical Therapist | 302 Silver Ave, San Francisco, CA 94112-1510 | 2008-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737545 | Janine L Gong | Physical Therapist | 5737 Mission St., San Francisco, CA 94112 | 2020-10-09 |
| 1518449974 | Sophia Steffani | Behavioral Analyst | 385 Niagara Avenue, San Francisco, CA 94112 | 2018-09-02 |
| 1437642097 | Victoria Lopez | Registered Nurse | 1947 Center Street, 2nd Floor, Berkeley, CA 94112 | 2018-06-08 |
| 1962903773 | Joshua Jones | Behavior Technician | 795 Folsom St, 1st Floor, San Francisco, CA 94112 | 2018-02-27 |
| 1861917973 | Tiffany Huang | Occupational Therapist | 262 Broad Street, San Francisco, CA 94112 | 2017-08-09 |
| 1396113858 | David Laudenorio | Public Health or Welfare | 1221 Athens St, San Francisco, CA 94112 | 2015-09-14 |
| 1497133466 | Jennifer Michelle Zanoli | Student in an Organized Health Care Education/Training Program | 1701 Ocean Ave Omi Family Services, San Francisco, CA 94112 | 2015-05-11 |
| 1346653649 | Vincent Yan | Marriage & Family Therapist | 15 Robinson Dr, San Francisco, CA 94112 | 2014-06-04 |
| 1831448430 | Kelly Marie Thomas | Clinic/Center | 4877 Mission Street, San Francisco, CA 94112 | 2012-08-29 |
| 1467756544 | Andrew Loukas | Dentist | 5248 Mission St, San Francisco, CA 94112 | 2011-01-04 |
| Find all providers in zip 94112 | ||||
| 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 |
|---|---|---|---|---|
| 1467051755 | Sophia Yu | Occupational Therapist | 1 Hollywood Ct, San Francisco, CA 94112-3710 | 2020-10-19 |
| 1114532298 | Carla Stern | Occupational Therapist | 940 4th Street, San Francisco, CA 94158 | 2020-09-15 |
| 1669086476 | Dara Anne Akiko Fong | Occupational Therapist | 103 Beaumont Ave, San Francisco, CA 94118-4208 | 2020-08-31 |
| 1669085551 | Naomi Wong | Occupational Therapist | 280 21st Ave, San Francisco, CA 94121-2114 | 2020-08-28 |
| 1023628401 | Eileen Li | Occupational Therapist | 2406 40th Ave, San Francisco, CA 94116-2115 | 2020-07-31 |
| 1295351310 | Crystal Wong | Occupational Therapist | 1700 California St Ste 440, San Francisco, CA 94109-4592 | 2020-06-24 |
| 1699397935 | Sarah Suzanne Pashby | Occupational Therapist | 620 29th St, San Francisco, CA 94131-2206 | 2020-05-08 |
| 1821619677 | Aluna Healthcare | Occupational Therapist | 1640 Valencia St Ste 2a3, San Francisco, CA 94110-5047 | 2020-05-04 |
| 1366061871 | Marigold Lipardo | Occupational Therapist | 336 8th Ave Apt 2, San Francisco, CA 94118-2123 | 2020-04-14 |
| 1942834932 | Anna H Shaver | Occupational Therapist | 591 11th Ave, San Francisco, CA 94118-3639 | 2020-02-27 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94112 |
Please comment or provide details below to improve the information on BRENDA ANN FAGAN.
| 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.