THERESA FAIRBANKS (NPI# 1427398684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427398684 |
| Entity Type | Individual |
| Full Name | THERESA FAIRBANKS |
| Credential | COTA/L |
| Practice Address |
1215 Kinsley Ave. Orange Park FL 32073 |
| Practice Telephone | 1904269892 |
| Mailing Telephone | 1904269892 |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-02-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA9801 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598290017 | Theresa Fairbanks | Community Health Worker | 101 Panruk Road, Chefornak, AK 99561 | 2017-04-21 |
| Street Address |
1215 KINSLEY AVE. |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| 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 |
|---|---|---|---|---|
| 1063073641 | Stephanie Watson | Occupational Therapy Assistant | 3854 Chasing Falls Rd, Orange Park, FL 32065-3569 | 2019-06-25 |
| 1205232436 | Miranda Mills | Occupational Therapy Assistant | 611 Abbey Court, Orange Park, FL 32073-2269 | 2014-11-17 |
| 1841330461 | Kari Demaris Eicens | Occupational Therapy Assistant | 524 Kingsley Ave, Orange Park, FL 32073-4830 | 2007-02-07 |
| 1235611849 | James Cleridor | Occupational Therapy Assistant | 1215 Kingsley Ave, Orange Park, FL 32073-4631 | 2018-08-30 |
| 1841729662 | Letracia Nanette Streater-chisolm | Occupational Therapy Assistant | 1215 Kingsley Ave, Orange Park, FL 32073-4631 | 2017-06-06 |
| 1417402371 | Stephanie Tramaine Lewis | Occupational Therapy Assistant | 1215 Kingsley Ave, Orange Park, FL 32073-4631 | 2016-08-22 |
| 1790156552 | Sabrina Gale | Occupational Therapy Assistant | 1215 Kingsley Ave, Orange Park, FL 32073-4631 | 2015-10-19 |
| 1821409525 | Alvin Britt | Occupational Therapy Assistant | 1215 Kingsley Ave, Orange Park, FL 32073-4631 | 2014-05-15 |
| 1932529963 | Elizabeth Sluski | Occupational Therapy Assistant | 1215 Kingsley Ave, Orange Park, FL 32073-4631 | 2014-04-17 |
| 1235559329 | Mary Powers | Occupational Therapy Assistant | 1215 Kingsley Ave, Orange Park, FL 32073-4631 | 2014-04-16 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32073 |
Please comment or provide details below to improve the information on THERESA FAIRBANKS.
| 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.