ETHAN BAKER (NPI# 1356727671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356727671 |
| Entity Type | Individual |
| Full Name | ETHAN BAKER |
| Practice Address |
3801 Johnson Mill Blvd Fayetteville AR 72704-5297 |
| Practice Telephone | 4798566400 |
| Mailing Telephone | 4798566400 |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-08-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OT-A994 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518591692 | Ethan Arthur Baker | Acupuncturist | 309 W. 99th St., Apt. 8b, New York City, NY 10025 | 2020-02-27 |
| Street Address |
3801 JOHNSON MILL BLVD |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72704-5297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568757698 | Shannon L Leding | Speech-Language Pathologist | 3801 Johnson Mill Blvd, Suite A and B, Fayetteville, AR 72704-5297 | 2011-06-16 |
| 1700394509 | Kayla Lashae Donald | Occupational Therapy Assistant | 3801 Johnson Mill Blvd, Fayetteville, AR 72704-5297 | 2018-01-15 |
| 1265957526 | Angela Suzanne Carter | Occupational Therapist | 3801 Johnson Mill Blvd, Fayetteville, AR 72704-5297 | 2017-08-08 |
| 1609301811 | Erin Elaine Calvelage | Physical Therapist | 3801 Johnson Mill Blvd, Fayetteville, AR 72704-5297 | 2017-04-25 |
| 1972059731 | Arielle Sarah Kingsbury | Occupational Therapist | 3801 Johnson Mill Blvd, Fayetteville, AR 72704-5297 | 2016-08-31 |
| 1841660743 | Sarah Rebecca Milholen | Speech-Language Pathologist | 3801 Johnson Mill Blvd, Suite B, Fayetteville, AR 72704-5297 | 2015-10-05 |
| 1134541204 | Amanda Carter | Speech-Language Pathologist | 3801 Johnson Mill Blvd, Suite B, Fayetteville, AR 72704-5297 | 2014-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387037 | Anne-ashley Hull | Speech-Language Pathologist | 12905 Randolph Road, Fayetteville, AR 72704 | 2020-05-07 |
| 1427607019 | Destiny Bound, LLC | Midwife | 3825 N Salem Road, Fayetteville, AR 72704 | 2019-09-06 |
| 1043796881 | Travis Alexander | Physical Therapist | 3399 Black Forest Dr Ste 3, Fayetteville, AR 72704 | 2018-07-16 |
| 1104319433 | Rise Physical Therapy Pa | Clinic/Center | 3484 W Wedington Dr Ste 4, Fayetteville, AR 72704 | 2018-06-12 |
| 1346744232 | Wedington Dental, Pllc | Clinic/Center | 3500 Black Forest Drvie, Ste 1, Fayetteville, AR 72704 | 2018-03-23 |
| 1528410487 | Sharon Byrd | Licensed Practical Nurse | 17836 Harmon Rd, Fayetteville, AR 72704 | 2016-07-05 |
| 1861823502 | Andrea Warren | Pharmacist | 2875 W Martin Luther King Jr Blvd, Fayetteville, AR 72704 | 2013-12-05 |
| 1609157726 | Jessica Rose Collier | Speech-Language Pathologist | 2020 E Joyce Ave., Suite 2, Fayetteville, AR 72704 | 2011-09-02 |
| 1194044941 | Wcnc, Inc. | Skilled Nursing Facility | 4405 Persimmon Street, Fayetteville, AR 72704 | 2010-05-19 |
| 1841512944 | Jill K Johnston | Speech-Language Pathologist | 3472 N Sandpiper Dr, Fayetteville, AR 72704 | 2010-02-17 |
| Find all providers in zip 72704 | ||||
| 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 |
|---|---|---|---|---|
| 1144856709 | Laura Johnson | Occupational Therapy Assistant | 424 Mcarthur Rd., Fayetteville, NC 28311 | 2020-03-16 |
| 1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
| 1558870246 | Anthony Ralph Martin | Occupational Therapy Assistant | 319 Vancouver Dr Apt 38g, Fayetteville, NC 28303-5786 | 2017-09-25 |
| 1528477643 | Barry Herder | Occupational Therapy Assistant | 2728 E Kantz Dr, #5, Fayetteville, AR 72703-3211 | 2014-08-04 |
| 1750660072 | Melissa Lorraine Coley | Occupational Therapy Assistant | 110 Brandywine Boulevard, Fayetteville, GA 30214 | 2011-08-04 |
| 1306170204 | Carla Alicea | Occupational Therapy Assistant | 7208 Godfrey Dr, Fayetteville, NC 28303-2405 | 2009-09-24 |
| 1154559417 | Rachel Beck | Occupational Therapy Assistant | 7612 Decatur Dr Apt A, Fayetteville, NC 28303-1927 | 2009-06-25 |
| 1104095892 | Kirby A Chaapel | Occupational Therapy Assistant | 4448 Briton Cir, Fayetteville, NC 28314-2400 | 2008-02-27 |
| 1427255728 | Albert Jonathan Powell | Occupational Therapy Assistant | 1700 Pamlee Dr, Fayetteville, NC 28303-0887 | 2007-06-29 |
| 1447850334 | Sarah Hawley | Occupational Therapy Assistant | 424 Mcarthur Rd, Fayetteville, NC 28311-6924 | 2020-10-29 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72704 |
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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.