KELLY TRAUTMAN (NPI# 1730623661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730623661 |
| Entity Type | Individual |
| Full Name | KELLY TRAUTMAN |
| Credential | OTR, MOT |
| Practice Address |
39180 Farwell Dr Suite 211 Fremont CA 94538-1000 |
| Mailing Address |
5411 Saint Mark Ave Newark CA 94560-3220 |
| Practice Telephone | 5108571000 |
| Mailing Telephone | 3038950591 |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811431430 | Kelly Trautman | Counselor | 105 Loudon Rd Bldg 3, Concord, NH 03301 | 2016-12-16 |
| Street Address |
39180 FARWELL DR SUITE 211 |
| City | FREMONT |
| State | CA |
| Zip Code | 94538-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497771901 | Sport Clinic Inc | Physical Therapist | 39180 Farwell Dr, Suite 101, Fremont, CA 94538-1052 | 2006-07-15 |
| 1063021467 | Huayi Medical Professional Corporation | Anesthesiology | 39180 Farwell Dr, Fremont, CA 94538-1000 | 2020-07-31 |
| 1366937807 | Kevin Ngai Ming Yeung | Occupational Therapist | 39180 Farwell Dr, Fremont, CA 94538-1000 | 2018-06-27 |
| 1497296669 | Diana Fitts | Occupational Therapist | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1000 | 2017-03-20 |
| 1568837532 | Jason Lagmay Prestosa | Physical Therapist | 39180 Farwell Dr, Suite 101, Fremont, CA 94538-1000 | 2015-12-02 |
| 1952780652 | Benjamin Weizer Chang | Nurse Practitioner | 39180 Farwell Dr, Fremont, CA 94538-1000 | 2015-05-27 |
| 1790194785 | Michelle Jay | Physical Therapist | 39180 Farwell Dr, Suite 231, Fremont, CA 94538-1000 | 2014-08-05 |
| 1932517117 | Deanna M Descamp | Occupational Therapist | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1000 | 2014-07-31 |
| 1356758619 | Joshua Ramos | Occupational Therapist | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1000 | 2014-07-18 |
| 1811233521 | Open Mri of Fremont | Clinic/Center | 39180 Farwell Dr, Fremont, CA 94538-1000 | 2012-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
| Find all providers in zip 94538 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316014061 | Cathryn Anne Noble | Occupational Therapist | 4686 Phebe Ave, Bldg A, Ptd, Fremont, CA 94555-2503 | 2006-11-29 |
| 1992360044 | Troy Clark Shelton | Occupational Therapist | 39180 Farwell Dr Ste 211, Fremont, CA 94538-1015 | 2019-05-03 |
| 1841700549 | Joan Petrilli Ferrari | Occupational Therapist | 39180 Farwell Dr Ste 211, Fremont, CA 94538-1015 | 2017-10-07 |
| 1932517117 | Deanna M Descamp | Occupational Therapist | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1000 | 2014-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568559 | Mary Jean Allan | Occupational Therapist | 1070 Crestline Cir, El Dorado Hills, CA 95762-7223 | 2020-11-05 |
| 1154957280 | Jennifer Marie Macintire | Occupational Therapist | 7000 East Ave # B663l723, Livermore, CA 94550-9698 | 2020-03-20 |
| 1699324988 | Gabriela Garcia | Occupational Therapist | 15311 Gundry Ave Unit 11, Paramount, CA 90723-3987 | 2019-09-09 |
| 1720648298 | Josephine Mickelsen | Occupational Therapist | 22961 Soledad Canyon Rd, Santa Clarita, CA 91350-2633 | 2019-06-17 |
| 1376109108 | Bryan Kang | Occupational Therapist | 2411 Vanderbilt Ln # B, Redondo Beach, CA 90278-3213 | 2019-05-16 |
| 1104383074 | Hand Rehab Pros Antelope Valley | Occupational Therapist | 1037 E Palmdale Blvd Ste 201, Palmdale, CA 93550-4745 | 2019-02-26 |
| 1154886513 | Christine Clermont | Occupational Therapist | 1025 Service Pl, Vista, CA 92084-7200 | 2019-02-09 |
| 1831662287 | Arshia Mohamadi | Occupational Therapist | 2211 W Magnolia Blvd Ste 295, Burbank, CA 91506-1753 | 2019-01-09 |
| 1609354752 | Leigha Holtzhouser | Occupational Therapist | 15525 Pomerado Rd Ste C8, Poway, CA 92064-2426 | 2018-07-31 |
| 1669978292 | Brian David Van Der Wyk | Occupational Therapist | 9819 Nadine St, Temple City, CA 91780-2621 | 2018-04-03 |
| Find all providers with the same taxonomy | ||||
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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.