LAWRENCE WILFONG (NPI# 1689187981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689187981 |
| Entity Type | Individual |
| Full Name | LAWRENCE WILFONG |
| Credential | COTA/L |
| Practice Address |
3148 S Kingshighway Blvd Saint Louis MO 63139-1118 |
| Practice Telephone | 3146644448 |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 000629 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3148 S KINGSHIGHWAY BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63139-1118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437640802 | Michael A Fallwell | Occupational Therapist | 3148 S Kingshighway Blvd, Saint Louis, MO 63139-1118 | 2018-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174160337 | Dawn Martina Clark | Social Worker | 1150 Graham Road, St. Louis, MO 63139 | 2019-12-06 |
| 1013479716 | Cerner Health Connections, Inc. | Pharmacy | 1403 Hampton Avenue, St. Louis, MO 63139 | 2019-04-02 |
| 1447699335 | Beth Renee Groenke | Dentist | 1403 Hampton Ave, St. Louis, MO 63139 | 2013-06-24 |
| 1295866648 | Occupational Health Centers of Kansas Pa | Clinic/Center | 6726 Manchester Road, St. Louis, MO 63139 | 2007-03-08 |
| 1912069733 | Daniel G Armbruster Dc PC | Acupuncturist | 2730 Watson Rd, St Louis, MO 63139 | 2006-12-15 |
| 1831250125 | Kathia Denise Betts | Counselor | 3309 S. Kingshighway Blvd., St.louis, MO 63139 | 2006-12-12 |
| 1841350220 | Denzel Dean Jines II | Dentist | 2340 Hampton Avenue, Suite 3, St. Louis, MO 63139 | 2006-12-08 |
| 1285718163 | Rakhshanda Hassan | Psychiatry & Neurology | St Louis Psychiatric Rehabilitation Center, 5300 Arsenal, St Louis, MO 63139 | 2006-10-25 |
| 1952490682 | City of St. Louis | Ambulance | 2634 Hampton Avenue, City of St Louis Emergency Medical Services, St Louis, MO 63139 | 2006-10-12 |
| 1104917434 | Select Physical Therapy Holdings Inc | Clinic/Center | 1900 South Hampton, St Louis, MO 63139 | 2006-09-28 |
| Find all providers in zip 63139 | ||||
| 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 |
|---|---|---|---|---|
| 1881294361 | Carolyn Marie Placht | Occupational Therapy Assistant | 4019 Shenandoah Ave, Saint Louis, MO 63110-3928 | 2020-10-26 |
| 1053927129 | Kirk Zimmermann | Occupational Therapy Assistant | 1907 Congress St, Saint Louis, MO 63118-1705 | 2020-09-23 |
| 1942814363 | Marquita S Powell | Occupational Therapy Assistant | 9444 Duenke Dr, Saint Louis, MO 63137-1212 | 2020-09-02 |
| 1568028017 | Diana L Gordon | Occupational Therapy Assistant | 9132 Fox Estates Dr, Saint Louis, MO 63127-1402 | 2019-05-09 |
| 1578128278 | Rachel Hill | Occupational Therapy Assistant | 5734 Bartmer Ave, Saint Louis, MO 63112-2811 | 2019-05-08 |
| 1093183915 | Elizabeth Anne Sophia | Occupational Therapy Assistant | 8707 Park Crestwood Dr, Saint Louis, MO 63126-3703 | 2015-09-09 |
| 1770973653 | Jesus Manuel Ramirez | Occupational Therapy Assistant | 211 N Broadway Ste 2037, Saint Louis, MO 63102-2727 | 2015-01-29 |
| 1376889626 | Susan Elizabth Ault | Occupational Therapy Assistant | 12346 Rossridge Ct, Saint Louis, MO 63146-4607 | 2012-12-13 |
| 1174884241 | Christine Diane Schembri | Occupational Therapy Assistant | 5852 Hampton Ave # 2, Saint Louis, MO 63109-3438 | 2012-06-05 |
| 1518228105 | Latina Robinson | Occupational Therapy Assistant | 9575 Jacobi Ave, Saint Louis, MO 63136-2931 | 2012-05-31 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63139 |
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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.