SUSANA JIMENEZ (NPI# 1689117764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689117764 |
| Entity Type | Individual |
| Full Name | SUSANA JIMENEZ |
| Practice Address |
2649 E. 75th St Chicago IL 60649 |
| Mailing Address |
2649 E 75th St Chicago IL 60649-3835 |
| Practice Telephone | 7733569300 |
| Mailing Telephone | 7733569300 |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 057004397 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038279 | Susana Jimenez | Massage Therapist | 104 N Laurel St Ste 101, Port Angeles, WA 98362-2637 | 2020-09-23 |
| 1750854865 | Susana Guadalupe Jimenez | Nurse Practitioner | 18370 Burbank Blvd Ste 707, Tarzana, CA 91356-2830 | 2019-01-11 |
| 1548730146 | Susana Jimenez | Behavior Technician | 5943 Stadium Dr, Kalamazoo, MI 49009-3016 | 2018-11-27 |
| 1124531470 | Susana Jimenez | Specialist/Technologist | 4204a Adams Ave, San Diego, CA 92116-2300 | 2017-11-08 |
| Street Address |
2649 E. 75TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
| 1477178713 | Angela K Coleman | Counselor | 1955 E 71st Street, Chicago, IL 60649 | 2020-06-12 |
| 1245880715 | Familydoc Urgent Care LLC | Clinic/Center | 7201 S Stony Island Ave, Chicago, IL 60649 | 2019-09-17 |
| 1912498668 | Venessel N/a Woodson I | Radiology | 7674 S. Southshore Dr #1n, Chicago, IL 60649 | 2018-05-29 |
| 1063863579 | Regina Whittmon | Driver | 7808 S Coles Ave Apt 3, Chicago, IL 60649 | 2016-06-27 |
| 1174912356 | Montsho Gallardo | Doula | 7653 S Coles Ave, Chicago, IL 60649 | 2015-01-12 |
| 1780922120 | April Ong | Physical Therapist | 6700 S Oglesby Ave, Apt 1906, Chicago, IL 60649 | 2013-01-18 |
| 1114288594 | Days Adult Day Care and Personal Care Providers Inc | Clinic/Center | 2455 E 75th St, Chicago, IL 60649 | 2012-06-02 |
| 1891064887 | Kevin Forrest | Occupational Therapist | 2425 E. 71st Street, Chicago, IL 60649 | 2011-12-20 |
| 1740430404 | Nneka Camara Thompson | Specialist | 7223 South Euclid Avenue, Chicago, IL 60649 | 2008-09-30 |
| Find all providers in zip 60649 | ||||
| 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 |
|---|---|---|---|---|
| 1508483991 | Latika Kemp | Occupational Therapy Assistant | 7246 S. King Dr., Chicago, IL 60619-1726 | 2020-07-01 |
| 1922629088 | Lizhira Orellana Cebrero | Occupational Therapy Assistant | 2232 N Kostner Ave Apt 1, Chicago, IL 60639-3532 | 2020-04-29 |
| 1811526890 | Miguel Angel Reyes | Occupational Therapy Assistant | 3917 W 69th St, Chicago, IL 60629-4225 | 2020-04-02 |
| 1881229318 | Shayna Alyssa Houston | Occupational Therapy Assistant | 9210 S Racine Ave, Chicago, IL 60620-3616 | 2020-03-05 |
| 1821622648 | Donna J Shaw | Occupational Therapy Assistant | 2 W Delaware Pl Unit 1305, Chicago, IL 60610-3409 | 2020-03-02 |
| 1902439276 | Arianna P Rosas | Occupational Therapy Assistant | 4908 W Oakdale Ave, Chicago, IL 60641-5122 | 2020-02-14 |
| 1245879782 | Lourdes S Dones | Occupational Therapy Assistant | 1473 W Gregory St Apt 1, Chicago, IL 60640-1218 | 2020-01-01 |
| 1629613252 | Paula Jean Forney | Occupational Therapy Assistant | 3857 N Christiana Ave Unit G, Chicago, IL 60618-4417 | 2019-11-07 |
| 1326693110 | Sonata Bailey | Occupational Therapy Assistant | 8627 S Normal Ave, Chicago, IL 60620-2154 | 2019-08-07 |
| 1821643180 | Iris G Barrientos | Occupational Therapy Assistant | 1756 W Rosehill Dr Apt 1e, Chicago, IL 60660-3933 | 2019-08-05 |
| Find all providers in CHICAGO | ||||
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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.