KRYSTAL BANNER (NPI# 1396249611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396249611 |
| Entity Type | Individual |
| Full Name | KRYSTAL BANNER |
| Credential | OCCUPATIONAL THERAPY |
| Practice Address |
4959 Palo Verde St Ste 109c Montclair CA 91763-2358 |
| Practice Telephone | 9099713092 |
| Mailing Telephone | 9099713092 |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 15930 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4959 PALO VERDE ST STE 109C |
| City | MONTCLAIR |
| State | CA |
| Zip Code | 91763-2358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245837798 | Alejandro Fidel Ortiz | Occupational Therapist | 4959 Palo Verde St Ste 109c, Montclair, CA 91763-2358 | 2020-10-07 |
| 1699389247 | Mariafernanda Munoz | Physical Therapist | 4959 Palo Verde St Ste 109c, Montclair, CA 91763-2358 | 2020-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194335760 | Cho Jeon Yun Dental Partnership | Dentist | 9655 Monte Vista Ave #406, Montclair, CA 91763 | 2020-08-07 |
| 1215498811 | Above Urgent Care Center | Emergency Medicine | 8891 N. Central Ave Ste A, Montclair, CA 91763 | 2019-03-27 |
| 1467936906 | Bronislava Kroulik | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763 | 2018-09-20 |
| 1063936110 | Monique Karina Enriquez | Licensed Vocational Nurse | 5580 Moreno St #82, Montclair, CA 91763 | 2017-07-31 |
| 1972961159 | Lacy Pinsky | Specialist/Technologist | 5035 Flora St., Montclair, CA 91763 | 2016-02-03 |
| 1912333790 | Cinta Hospice Care Inc | Hospice Care, Community Based | 5050 Palo Verde Street, Suite 101, Montclair, CA 91763 | 2013-09-24 |
| 1720334626 | Priority One Hospice, Inc. | Hospice Care, Community Based | 4959 Palo Verde St Ste 107c, Montclair, CA 91763 | 2012-07-28 |
| 1689982498 | Paulina Trujillo Perez | Counselor | 9916 Central Ave., Montclair, CA 91763 | 2010-09-15 |
| 1982846499 | Esther Phillips Agepogu | Physician Assistant | 9301 Central Ave., Montclair, CA 91763 | 2009-03-30 |
| 1568633139 | Mahin Nosrati-jahromi | Dentist | 9509 Central Ave #d, Montclair, CA 91763 | 2008-03-21 |
| Find all providers in zip 91763 | ||||
| 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 |
|---|---|---|---|---|
| 1801422175 | Gail P Stocks | Occupational Therapist | 68 Brookfield Rd, Montclair, NJ 07043-1327 | 2020-03-19 |
| 1033567631 | Professional Orthopedic and Sports Physical Therapy of Nj, LLC | Occupational Therapist | 691 Bloomfield Ave, Montclair, NJ 07042-2238 | 2016-05-25 |
| 1710251889 | Christina Lubrino | Occupational Therapist | 24 Hillside Ave Apt C4, Montclair, NJ 07042-2142 | 2012-03-06 |
| 1558668830 | Carole A Chasmar | Occupational Therapist | 192 Claremont Ave Apt 21, Montclair, NJ 07042-3556 | 2011-02-22 |
| 1356657605 | James Vincent Donnelly | Occupational Therapist | 395 Claremont Ave, #2, Montclair, NJ 07042-1879 | 2010-08-24 |
| 1861623126 | Lucy Mwangi | Occupational Therapist | 53 Union St, Apt 2a, Montclair, NJ 07042-3377 | 2009-08-05 |
| 1457586653 | Jannika Hantho | Occupational Therapist | 136 Midland Ave, #2, Montclair, NJ 07042-2958 | 2009-05-18 |
| 1891932141 | Elizabeth Griffin Lannigan | Occupational Therapist | 160 Grove St, Montclair, NJ 07042-4011 | 2009-01-08 |
| 1467616359 | Maela Calubaquib | Occupational Therapist | 4977 Bandera St, Montclair, CA 91763-4406 | 2008-07-10 |
| 1225259807 | Anne Mathias Monsees | Occupational Therapist | 42 North Mountain Ave., Montclair, NJ 07042 | 2007-05-01 |
| Find all providers in MONTCLAIR | ||||
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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.