MRS. TORI BREANNE BLACKWELL (NPI# 1689151284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689151284 |
| Entity Type | Individual |
| Full Name | MRS. TORI BREANNE BLACKWELL |
| Other Name | TORI BREANNE RAGAN |
| Credential | MOT, OTR/L |
| Practice Address |
3731-a 6th Avenue San Diego CA 92103 |
| Practice Telephone | 6192913515 |
| Practice Fax Number | 6193742552 |
| Mailing Telephone | 6192913515 |
| Mailing Fax Number | 6193742552 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2020-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
OT007091 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | STATE BOARD OF OCCUPATIONAL THERAPY | OT007091 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4212 Coral Park Dr, Brunswick, GA 315203016 | 9129962069 | 9122650041 |
| Street Address |
3731-A 6TH AVENUE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| 1720576705 | Daniel Kronenberg | Student in an Organized Health Care Education/Training Program | 200 W Arbor Dr # 8897, San Diego, CA 92103 | 2018-04-25 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 225XP0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Pediatrics |
| Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
|
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669006649 | Kristin Danielle Mitzenmacher | Occupational Therapist | 2909a Carleton St, San Diego, CA 92106-2713 | 2020-02-27 |
| 1780226118 | Joy Kuo | Occupational Therapist | 12640 Sabre Springs Pkwy Unit 14, San Diego, CA 92128-4113 | 2019-10-17 |
| 1295392652 | Victoria Jude Nichols | Occupational Therapist | 8775 Aero Dr Ste 100, San Diego, CA 92123-1792 | 2019-05-21 |
| 1093289910 | Ahsha Smith | Occupational Therapist | 2026 Roosevelt Road, #105, San Diego, CA 92106 | 2019-01-14 |
| 1952881930 | Jennifer Brueckner | Occupational Therapist | 5062 Mount Etna Dr, San Diego, CA 92117-4845 | 2018-08-18 |
| 1851779094 | Christopher Callahan | Occupational Therapist | 10760 Thornmint Rd, San Diego, CA 92127 | 2015-05-07 |
| 1376936880 | Carmen Lohn | Occupational Therapist | 2321 Etiwanda St, San Diego, CA 92107-1442 | 2015-03-07 |
| 1265822399 | Danielle Shulman | Occupational Therapist | 11172 Corte Pleno Verano, San Diego, CA 92130-2688 | 2015-01-27 |
| 1336550706 | Steven Rodney Perunovich | Occupational Therapist | 3980 9th Ave Ste 1, San Diego, CA 92103-3247 | 2014-05-19 |
| 1447688148 | Jenna Cameron | Occupational Therapist | 10530 Matson Way, San Diego, CA 92126-3058 | 2013-10-16 |
| Find all providers in SAN DIEGO | ||||
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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.