NICOLE ALISON FUKUZAWA


Address: 4202 N 20th Ave, Phoenix, AZ 85015-5101
Phone: 7146427543

NICOLE ALISON FUKUZAWA (NPI# 1629676135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629676135
Entity Type Individual
Full Name NICOLE ALISON FUKUZAWA
Credential OTR/L
Practice Address 4202 N 20th Ave
Phoenix
AZ 85015-5101
Mailing Address 28515 N North Valley Pkwy Apt 2097
Phoenix
AZ 85085-5416
Practice Telephone 7146427543
Mailing Telephone 7146427543
Enumeration Date 2020-10-16
Last Update Date 2020-10-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist AZ Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 4202 N 20TH AVE
City PHOENIX
State AZ
Zip Code 85015-5101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285741587 Dina I Zaza IIi Physical Medicine & Rehabilitation 4202 N 20th Ave, Phoenix, AZ 85015-5101 2006-08-23
1063975720 Louis Bartlo IIi Physical Therapist 4202 N 20th Ave, Phoenix, AZ 85015-5101 2019-04-10
1104389980 Shannon Halstead Physical Therapist 4202 N 20th Ave, Phoenix, AZ 85015-5101 2019-04-09
1437612223 Rachel Knowles Occupational Therapist 4202 N 20th Ave, Phoenix, AZ 85015-5101 2019-04-09
1215383237 Haven of Phoenix LLC Skilled Nursing Facility 4202 N 20th Ave, Phoenix, AZ 85015-5101 2016-05-09
1518308592 Zaza Rehabmd LLC Physical Medicine & Rehabilitation 4202 N 20th Ave, Phoenix, AZ 85015-5101 2013-07-08
1275712002 Phoenix Healthcare LLC Skilled Nursing Facility 4202 N 20th Ave, Phoenix, AZ 85015-5101 2007-10-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922610310 Leticia Karina Maria Lelli Student in an Organized Health Care Education/Training Program 4760 N. 20th Ave, Phx, AZ 85015 2020-08-18
1083100564 Leen Qutachi Dentist 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 2018-07-08
1851820146 Jeff Biever Spec/Tech, Cardiovascular 1517 West Lamar Rd, Phoenix, AZ 85015 2017-06-08
1407230964 Sean Noonan Optometrist 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 2015-07-15
1295141620 Yehia Saleh Pharmacist 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 2014-07-07
1295160380 Journey To Prosperity Custodial Care Facility 1623 W Denton, Phoenix, AZ 85015 2013-09-07
1124372099 Facing The Future With Hope Counselor 5656 N 17th Ave #c7, Phoenix, AZ 85015 2012-10-31
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1689933947 Modern Dental Professionals - Arizona PC Dentist 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 2012-05-08
1528360674 Fatima Medical Transportation LLC Non-emergency Medical Transport (VAN) 2025 W Indian School Road, #705, Phoenix, AZ 85015 2010-11-23
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Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699382499 Alexandra Contreras Occupational Therapist 123 W South Mountain Ave, Phoenix, AZ 85041-8102 2020-09-25
1235746249 Kaitlyn Landess Occupational Therapist 1190 W. Missouri Ave, Suite 100, Phoenix, AZ 85014 2020-09-24
1780299958 Carly Jo Glazier-kersavage Occupational Therapist 4225 E Mcdowell Rd Apt 2093, Phoenix, AZ 85008-7472 2020-09-14
1437763513 Shannon Siemsen Occupational Therapist 3011 N 26th St, Phoenix, AZ 85016-7921 2020-09-04
1215540513 Elissa Marie Leyvas Van Horn Occupational Therapist 3237 E Maldonado Dr, Phoenix, AZ 85042-6115 2020-08-26
1679186399 Rachel Grace Mahon Occupational Therapist 15215 S 48th St Ste 145, Phoenix, AZ 85044-9138 2020-08-24
1396384061 The Little Foundation, LLC Occupational Therapist 2745 W Charleston Ave, Phoenix, AZ 85053-1719 2019-12-30
1871132530 Kristi Sobeck Occupational Therapist Synertx Rehab, 7540 N 19th Ave Ste 200, Phoenix, AZ 85021-7967 2019-12-29
1023656196 Matthew Figgins Occupational Therapist 15215 S 48th St Unit 145, Phoenix, AZ 85044-9142 2019-12-19
1366089096 Kyle Bradley Burklund Occupational Therapist 6550 W Andrea Dr, Phoenix, AZ 85083-6518 2019-12-02
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City PHOENIX
Zip Code 85015

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Dataset Information

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.

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