MR. ANDRE DIVINE DOMINGOS (NPI# 1356798128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356798128 |
| Entity Type | Individual |
| Full Name | MR. ANDRE DIVINE DOMINGOS |
| Practice Address |
17420 Gallagher Way Olney MD 20832-2059 |
| Practice Telephone | 2403771700 |
| Mailing Telephone | 2403771700 |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-05-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | A02204 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
17420 GALLAGHER WAY |
| City | OLNEY |
| State | MD |
| Zip Code | 20832-2059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417443532 | Ludmila Costenco | Behavior Technician | 18218 Fox Chase Cir, Olney, MD 20832 | 2018-07-02 |
| 1912422874 | Shannon Denham Nguy | Nurse Practitioner | 18109 Prince Philip Dr Ste 300, Olney, MD 20832 | 2017-08-11 |
| 1578092904 | Rodney John Bohlmann | Naturopath | 17517 Queen Elizabeth Drive, Olney, MD 20832 | 2017-06-08 |
| 1972999746 | Arooj Babar | Internal Medicine | 18101 Prince Philip Dr Ste 230n, Olney, MD 20832 | 2015-04-08 |
| 1437547684 | Cynthia Ann Cook | Social Worker | 18006 Vintage River Terrace, Olney, MD 20832 | 2014-12-22 |
| 1598165334 | Gedion Haile | Pharmacist | 3110 Onley Sandy Spring Rd, Onley, MD 20832 | 2014-08-29 |
| 1285047902 | Melanie Ann Grady | Family Medicine | 18109 Prince Phillip Drive, Suite B200, Olney, MD 20832 | 2014-06-10 |
| 1063847267 | Mari Nako Tchantcho | Home Health Aide | 17149 Moss Side Lane, Olney, MD 20832 | 2013-09-06 |
| 1033558358 | Emily Sue Browning | Dentist | 3416 Olandwood Court, Suite 205, Suite 205, Olney, MD 20832 | 2013-06-19 |
| 1487093167 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 3414 Olandwood Court, Olney, MD 20832 | 2013-06-17 |
| Find all providers in zip 20832 | ||||
| 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 |
|---|---|---|---|---|
| 1164986436 | Tamara Dawn Delacruz | Occupational Therapy Assistant | 1402 W Elm St, Olney, TX 76374-1610 | 2019-01-30 |
| 1124211685 | William Paul Vaughn | Occupational Therapy Assistant | 3470 Olney Laytonsville Rd, #123, Olney, MD 20832-1734 | 2007-08-19 |
| 1417045824 | Karen Gallagher | Occupational Therapy Assistant | 3414 Olandwood Ct, Olney, MD 20832-1384 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558988618 | Joy C Ikechukwu | Occupational Therapy Assistant | 1801 Metzerott Rd # Md20783, Adelphi, MD 20783-5101 | 2020-07-06 |
| 1225655459 | Frank Moss | Occupational Therapy Assistant | 2703 Bellbrook St, Temple Hills, MD 20748-1103 | 2020-07-04 |
| 1245855865 | Lori Stokes | Occupational Therapy Assistant | 721 Pin Oak Rd, Severna Park, MD 21146-3643 | 2020-06-09 |
| 1093334450 | Sreyleak Sok | Occupational Therapy Assistant | 1400 Forest Glen Rd # 225, Silver Spring, MD 20910-1459 | 2020-04-15 |
| 1255965596 | Kimberly Ann Johnson | Occupational Therapy Assistant | 16512 Honeybunch Ln Se, Oldtown, MD 21555-1325 | 2020-02-25 |
| 1548800402 | Ez Therapy LLC | Occupational Therapy Assistant | 2219 York Rd Ste 106, Timonium, MD 21093-3139 | 2020-01-08 |
| 1992344667 | Sughra Hasan | Occupational Therapy Assistant | 7500 Greenway Center Dr Ste 111, Greenbelt, MD 20770-3502 | 2019-12-30 |
| 1982243978 | 360 Therapy Group LLC | Occupational Therapy Assistant | 2446 N Charles St, Baltimore, MD 21218-5113 | 2019-12-23 |
| 1982249413 | Winifred Tawah Forti | Occupational Therapy Assistant | 1404 Point O Woods Ct, Arnold, MD 21012-2375 | 2019-11-07 |
| 1447891668 | Sharman Patrice Patterson | Occupational Therapy Assistant | 11428 Red Jade Ct, Upper Marlboro, MD 20774-1583 | 2019-09-30 |
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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.