MS. JEAN ANNETTE GOFORTH (NPI# 1568595031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568595031 |
| Entity Type | Individual |
| Full Name | MS. JEAN ANNETTE GOFORTH |
| Credential | COTA |
| Practice Address |
4700 Elvas Ave Sacramento CA 95819-2250 |
| Mailing Address |
6177 Greenhaven Dr Apt A Sacramento CA 95831-1652 |
| Practice Telephone | 9164544700 |
| Mailing Telephone | 5303296854 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA 1509 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4700 ELVAS AVE |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95819-2250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689755456 | S.h.c.c., Inc. | Skilled Nursing Facility | 4700 Elvas Ave, Sacramento, CA 95819-2250 | 2006-10-18 |
| 1962046482 | Maltique, LLC | Skilled Nursing Facility | 4700 Elvas Ave, Sacramento, CA 95819-2250 | 2019-10-29 |
| 1700264322 | Jason Tanco | Skilled Nursing Facility | 4700 Elvas Ave, Sacramento, CA 95819-2250 | 2015-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808076 | Ashley Dumont | Naturopath | Zen Dermatology, 4801 J St, Sacramento, CA 95819 | 2020-10-12 |
| 1053893347 | Sacramento Foot and Ankle Center, Inc. | Podiatrist | 5030 J St Ste 300, Sacramento, CA 95819 | 2018-09-04 |
| 1558881557 | Herrfeldt Business Ventures Inc | In Home Supportive Care | 5363 H Street, Suite A, Sacramento, CA 95819 | 2017-06-21 |
| 1205288222 | Jerad Eugene Morris | Registered Nurse | 3939 J Street, Suite 310, Sacramento Anesthesia Medical Group, Sacramento, CA 95819 | 2016-07-02 |
| 1114306289 | Sacramento Skilled Nursing and Long Term Care Medical Group Inc. | Internal Medicine | 1133 42 Nd Street, Sacramento, CA 95819 | 2015-05-22 |
| 1366708901 | Beverly Lynne Meier-hanaway | Nurse Practitioner | 5151 F Street, Sutter Memorial Hospital, Sacramento, CA 95819 | 2012-04-09 |
| 1225319015 | Kaitlin J Nicoletti | Anesthesiology | 3939 J Street Suite 310, Sacramento, CA 95819 | 2011-09-07 |
| 1255654570 | Jamal Rahman Rahimi | Emergency Medicine | 4870 T St., Sacramento, CA 95819 | 2010-03-02 |
| 1265605273 | Earl Willis Weyers | Anesthesiology | 3939 J St Ste 310, Sacramento, CA 95819 | 2008-04-10 |
| 1376744599 | Jennifer E Keller | Surgery | 5725 F Street, Suite 3, Sacramento, CA 95819 | 2007-05-29 |
| Find all providers in zip 95819 | ||||
| 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 |
|---|---|---|---|---|
| 1639704356 | Brenda Marie Lewis | Occupational Therapy Assistant | 3319 Eastern Ave, Sacramento, CA 95821-4009 | 2020-03-04 |
| 1104472059 | Alicia Cary | Occupational Therapy Assistant | 5520 Lancelot Dr, Sacramento, CA 95842-2100 | 2019-08-15 |
| 1366904906 | Brittany Hazen | Occupational Therapy Assistant | 4331 Zephyr Way, Sacramento, CA 95821-2232 | 2019-04-03 |
| 1124554845 | Renee Krale | Occupational Therapy Assistant | 3627 63rd St, Sacramento, CA 95820-1932 | 2017-05-02 |
| 1861925117 | Amber Yambasky | Occupational Therapy Assistant | 289 Ainger Cir, Sacramento, CA 95835-1602 | 2017-04-04 |
| 1184164741 | Jeffrey Edward Keefer | Occupational Therapy Assistant | 1624 25th St, Sacramento, CA 95816-6804 | 2017-03-01 |
| 1750732426 | Mai Moua | Occupational Therapy Assistant | 6241 Valley Hi Dr, Sacramento, CA 95823-4801 | 2016-06-23 |
| 1821474909 | Eva Lorraine Kania | Occupational Therapy Assistant | 1325 O St, Apt 10, Sacramento, CA 95814-5949 | 2015-07-30 |
| 1265812473 | Olanrewaju Abimbola | Occupational Therapy Assistant | 4200 E Commerce Way, #213, Sacramento, CA 95834-9634 | 2015-06-02 |
| 1194112722 | Thao Mee Seng | Occupational Therapy Assistant | 8264 Hemingway Dr, Sacramento, CA 95828-4987 | 2015-04-21 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95819 |
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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.