EBONIE L CARLIS (NPI# 1447851688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447851688 |
| Entity Type | Individual |
| Full Name | EBONIE L CARLIS |
| Credential | OT |
| Practice Address |
1470 Civic Ct Suite 320 Concord CA 94520 |
| Practice Telephone | 9253262211 |
| Mailing Telephone | 9253262211 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT21551 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4461 Rock Island Dr, Antioch, CA 945097780 | 7075673394 |
| Street Address |
1470 CIVIC CT SUITE 320 |
| City | CONCORD |
| State | CA |
| Zip Code | 94520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558709600 | Staci J Digioia | Student in an Organized Health Care Education/Training Program | 1470 Civic Ct, Suite 110, Concord, CA 94520-5290 | 2013-06-11 |
| 1801434832 | Quinton C Walker | Counselor | 1470 Civic Ct, Concord, CA 94520-5290 | 2019-12-20 |
| 1952945248 | Jeffrey Kenneth Clark | Counselor | 1470 Civic Ct, Concord, CA 94520-5290 | 2019-10-30 |
| 1750949533 | Center Point, Inc. | Substance Abuse Rehabilitation Facility | 1470 Civic Ct, Concord, CA 94520-5290 | 2019-06-05 |
| 1235605650 | Liya Levanda | Student in an Organized Health Care Education/Training Program | 1470 Civic Ct, Concord, CA 94520-5290 | 2018-10-23 |
| 1609386184 | Michael David Nitka | Registered Nurse | 1470 Civic Ct, Concord, CA 94520-5290 | 2017-10-10 |
| 1578014593 | Joel Thomas Cady | Student in an Organized Health Care Education/Training Program | 1470 Civic Ct, Suite 110, Concord, CA 94520-5290 | 2016-10-14 |
| 1912350711 | Katherine Jacobsen | Case Management | 1470 Civic Ct, Suite 110, Concord, CA 94520-5290 | 2016-07-15 |
| 1073998035 | Frida Eloisa Fossa | Counselor | 1470 Civic Ct, Concord, CA 94520-5290 | 2015-07-20 |
| 1134518400 | Courtney Avvampato | Counselor | 1470 Civic Ct, Suite 110, Concord, CA 94520-5290 | 2015-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| 1609331412 | Darien Mccollins Jr. | Case Manager/Care Coordinator | 2380 Salvio Street Stu 200, Concord, CA 94520 | 2019-02-06 |
| 1972072122 | Rocio Flores Neale | Physician Assistant | 2415 High School Avenue, Suite 800, Concord, CA 94520 | 2018-11-16 |
| 1386129138 | Vanessa Segovia | Registered Nurse | 2500 Bates Ave., Suite B, Concord, CA 94520 | 2018-09-27 |
| 1417442278 | Raquel Jihan Chiasson | Social Worker | 2900 Avon Avenue, Concord, CA 94520 | 2018-06-25 |
| 1184118143 | Angela Navarro | Behavioral Analyst | 1844 Overhill Rd, Concord, CA 94520 | 2018-06-21 |
| 1811498678 | Sherry Currie-proctor | Case Manager/Care Coordinator | 2380 Salvio Street, Concord, CA 94520 | 2018-02-26 |
| 1770082547 | Donna Christianson | Marriage & Family Therapist | 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 | 2018-02-07 |
| Find all providers in zip 94520 | ||||
| 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 |
|---|---|---|---|---|
| 1154938272 | Jennifer Lauren Wong | Occupational Therapist | 9937 Clarkes View Pl Nw, Concord, NC 28027-7235 | 2020-09-24 |
| 1295356194 | Shannon Martell Hill | Occupational Therapist | 1209 Pressley Downs Dr Se, Concord, NC 28025-7260 | 2020-05-01 |
| 1699328252 | April Latoya Morris | Occupational Therapist | 636 Hydrangea Cir Nw, Concord, NC 28027-7244 | 2019-07-22 |
| 1851955512 | Augusta Hixon Polhemus | Occupational Therapist | 35 Forest Ridge Rd, Concord, MA 01742-3844 | 2019-04-29 |
| 1417423302 | Elizabeth Wall | Occupational Therapist | 4420 Marsh Elder Ct, Concord, CA 94521-4446 | 2018-10-17 |
| 1902393226 | Shawn Michael Mclaughlin | Occupational Therapist | 153 Minuteman Dr, Concord, MA 01742-1923 | 2018-04-23 |
| 1730624065 | Benchmark Physical Therapy of Nc, LLC | Occupational Therapist | 354 George W Liles Pkwy Nw, Ste 140, Concord, NC 28027-2403 | 2016-12-22 |
| 1972957744 | Shirley Lynch Scarlett | Occupational Therapist | 96 Commonwealth Ave, Concord, MA 01742-2904 | 2016-04-19 |
| 1497128979 | Juanita Mabry | Occupational Therapist | 5730 Alexander Rd, Concord, NC 28027-8447 | 2015-11-05 |
| 1649655507 | Michele Stampa | Occupational Therapist | 967 Treg Ln, Concord, CA 94518-3317 | 2015-07-21 |
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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.