JENELLE M GALLARDO (NPI# 1619007259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619007259 |
| Entity Type | Individual |
| Full Name | JENELLE M GALLARDO |
| Practice Address |
600 S Wilbur Ave Syracuse NY 13204-2730 |
| Mailing Address |
607 Fern Rd Syracuse NY 13219-2217 |
| Practice Telephone | 3154320351 |
| Practice Fax Number | 3154767446 |
| Mailing Telephone | 3152435494 |
| Enumeration Date | 2007-03-06 |
| 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 | 005838 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
600 S WILBUR AVE |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13204-2730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043397490 | Nysarc Inc. Onondaga County Chapter | Clinic/Center | 600 S Wilbur Ave, Syracuse, NY 13204-2730 | 2006-11-01 |
| 1043845761 | Ezra Grenade | Student in an Organized Health Care Education/Training Program | 600 S Wilbur Ave, Syracuse, NY 13204-2730 | 2020-03-04 |
| 1154972065 | Samantha Sinegar | Student in an Organized Health Care Education/Training Program | 600 S Wilbur Ave, Syracuse, NY 13204-2730 | 2019-09-23 |
| 1821645292 | Madison Alexis Gonzalez | Speech-Language Pathologist | 600 S Wilbur Ave, Syracuse, NY 13204-2730 | 2019-08-21 |
| 1003398363 | Christy Lynn Musser | Speech-Language Pathologist | 600 S Wilbur Ave, Syracuse, NY 13204-2730 | 2018-09-04 |
| 1184154403 | Oxana Panol | Social Worker | 600 S Wilbur Ave, Syracuse, NY 13204-2730 | 2017-06-19 |
| 1437533437 | Vincent Darden | Social Worker | 600 S Wilbur Ave, Syracuse, NY 13204-2730 | 2015-07-20 |
| 1386970713 | Michelle Robinson | Social Worker | 600 S Wilbur Ave, Syracuse, NY 13204-2730 | 2009-10-20 |
| 1598996571 | Nysarc- Arc of Onondaga | Early Intervention Provider Agency | 600 S Wilbur Ave, Syracuse, NY 13204-2730 | 2009-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560145 | Angela Hester | Psychologist | Behavioral Health Outpatient Clinic, 620 Erie Blvd West, Syracuse, NY 13204 | 2020-08-24 |
| 1366967366 | Zakiya Folami Moss | Nurse Practitioner | 321 Gifford Street, Syracuse, NY 13204 | 2017-08-10 |
| 1417350497 | Vickie Godbold | Licensed Practical Nurse | 501 Bellevue Ave, Syracuse, NY 13204 | 2014-10-03 |
| 1700296571 | Christine Michelle Feliciano | Licensed Practical Nurse | 206 Merriman Ave, Syracuse, NY 13204 | 2014-05-02 |
| 1215358213 | Mika Latoy Johnson | Licensed Practical Nurse | 197 Lakeview Ave, Syracuse, NY 13204 | 2013-12-18 |
| 1376834374 | Autumn Day Novakowski | Registered Nurse | 800 S. Wilbur Ave, Syracuse, NY 13204 | 2011-04-25 |
| 1649580440 | Elizabeth Elliott Carl | Speech-Language Pathologist | 204 Jamesville Road, Dewitt, NY 13204 | 2010-10-14 |
| 1699082073 | Charlene Davis | Licensed Practical Nurse | 183 Lakeview Ave., Syr, NY 13204 | 2010-09-08 |
| 1477873776 | Lorna Cordella Forbes | Registered Nurse | 620 Erie Blvd W Ste 208, Syracuse, NY 13204 | 2010-06-09 |
| 1043442528 | Juliet Ophelia Williams-seals | Licensed Practical Nurse | 525 Plum St, Apt 404, Syracuse, NY 13204 | 2009-08-17 |
| Find all providers in zip 13204 | ||||
| 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 |
|---|---|---|---|---|
| 1609489210 | Yearin Lim | Occupational Therapy Assistant | 770 James St Apt 705, Syracuse, NY 13203-2626 | 2020-08-25 |
| 1457717860 | Meghan Louise Stayton | Occupational Therapy Assistant | 11498 S County Rd, Syracuse, MO 65354-2012 | 2016-01-14 |
| 1285044644 | Brandi Miller | Occupational Therapy Assistant | 8338 E Mcclintic Rd, Syracuse, IN 46567-7526 | 2014-05-06 |
| 1790075380 | Michele Kearney | Occupational Therapy Assistant | 212 Locust Ln, Syracuse, NY 13219-2120 | 2011-04-15 |
| 1699396127 | Monica Ann Watkins | Occupational Therapy Assistant | 918 James St, Syracuse, NY 13203-2500 | 2020-05-06 |
| 1942774609 | Serena Diane Hunter | Occupational Therapy Assistant | 1744 W Genesee St, Syracuse, NY 13204-1902 | 2019-01-16 |
| 1740767524 | Laura Flaherty | Occupational Therapy Assistant | 1744 W Genesee St, Syracuse, NY 13204-1902 | 2018-07-24 |
| 1891272613 | Jada Cheyene Spiceland | Occupational Therapy Assistant | 700 E Brighton Ave, Syracuse, NY 13205-2201 | 2018-07-24 |
| 1538651583 | Shana Larraine Ralston | Occupational Therapy Assistant | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2018-06-05 |
| 1932640810 | Katie Benz | Occupational Therapy Assistant | 813 Fay Rd, Syracuse, NY 13219-3009 | 2017-03-13 |
| Find all providers in SYRACUSE | ||||
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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.