MARY COLLEEN FORTIS (NPI# 1740340660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740340660 |
| Entity Type | Individual |
| Full Name | MARY COLLEEN FORTIS |
| Credential | O.T. |
| Practice Address |
2025 Soquel Ave Santa Cruz CA 95062-1323 |
| Mailing Address |
Po Box 1833 Santa Cruz CA 95061-1833 |
| Practice Telephone | 8314234111 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT3899 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2025 SOQUEL AVE |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95062-1323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619970118 | Marin Muller | Specialist | 2025 Soquel Ave, Santa Cruz, CA 95062-1323 | 2005-05-27 |
| 1669932588 | Farzana Abed | Nurse Practitioner | 2025 Soquel Ave, Santa Cruz, CA 95062-1323 | 2019-03-25 |
| 1124593207 | Jennifer Pfeiffer | Nurse Practitioner | 2025 Soquel Ave, Santa Cruz, CA 95062-1323 | 2018-10-04 |
| 1205323607 | Andrew Robert Hultgren | Registered Nurse | 2025 Soquel Ave, Santa Cruz, CA 95062-1323 | 2018-04-20 |
| 1184163396 | Emily Vandenberg | Nurse Practitioner | 2025 Soquel Ave, Santa Cruz, CA 95062-1323 | 2017-02-21 |
| 1720526635 | Joseph Farsakh | Physician Assistant | 2025 Soquel Ave, Santa Cruz, CA 95062-1323 | 2017-02-10 |
| 1891159984 | Qiuying Huang | Family Medicine | 2025 Soquel Ave, Santa Cruz, CA 95062-1323 | 2016-04-05 |
| 1700249679 | Thomas Edwin Quigg | Family Medicine | 2025 Soquel Ave, Santa Cruz, CA 95062-1323 | 2016-03-29 |
| 1972964278 | Dana James | Physician Assistant | 2025 Soquel Ave, Santa Cruz, CA 95062 | 2016-03-14 |
| 1518322866 | Kayce H Ryberg | Nurse Practitioner | 2025 Soquel Ave, 2nd Floor, Santa Cruz, CA 95062-1323 | 2015-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706698 | Laura Lynn Rabb-jancola | Home Health | 275 Lake Ave #8, Santa Cruz, CA 95062 | 2020-06-26 |
| 1043792740 | New Life Community Services, Inc | Substance Abuse Rehabilitation Facility | 521 Capitola Rd Ext, Santa Cruz, CA 95062 | 2018-08-30 |
| 1780180380 | Philips Patton | Acupuncturist | 129 Dake Ave, Santa Cruz, CA 95062 | 2018-04-03 |
| 1477069896 | Wei Jiang | Acupuncturist | 1099 38th Ave #46, Santa Cruz, CA 95062 | 2017-12-21 |
| 1336679885 | Camm Nelsen | Counselor | 200 7th Avenue. Suite 150, Santa Cruz, CA 95062 | 2017-06-18 |
| 1639601784 | Catharine Lee Sheets | Registered Nurse | 21507 East Cliff Drive, Santa Cruz, CA 95062 | 2017-03-29 |
| 1972968857 | Brenda M. Williams | Counselor | 941 Eldorado Ave, Santa Cruz, CA 95062 | 2015-12-21 |
| 1124490347 | Emily Fittante | Social Worker | 343 Soquel Ave #195, Santa Cruz, CA 95062 | 2015-10-27 |
| 1578935839 | Jennifer Langon, Lmft | Community/Behavioral Health | 5905 Soquel Ave Suite 400, Aptos, CA 95062 | 2015-10-27 |
| 1255718581 | Joanne Gramo | Acupuncturist | 316a Oceanview Ave., Santa Cruz, CA 95062 | 2015-05-06 |
| Find all providers in zip 95062 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235763749 | Meg Faix | Occupational Therapist | 425 Effey St, Santa Cruz, CA 95062-2632 | 2020-02-24 |
| 1740849058 | Laird Home Solutions | Occupational Therapist | 234 Ross St, Santa Cruz, CA 95060-2022 | 2019-06-10 |
| 1639663529 | Kenneth Gregory Noto | Occupational Therapist | 670 7th Ave, Santa Cruz, CA 95062-2703 | 2018-06-14 |
| 1275935413 | Laura Moe | Occupational Therapist | 1630 Merrill St, Apt 509, Santa Cruz, CA 95062-4015 | 2014-09-18 |
| 1134541808 | Rebecca Heymann | Occupational Therapist | 303 Potrero St Ste 101, Santa Cruz, CA 95060-2741 | 2014-01-14 |
| 1851733166 | Allison D Haas | Occupational Therapist | 814 Pelton Ave, Santa Cruz, CA 95060-6410 | 2013-07-28 |
| 1073951380 | Vanessa Hemingway Blumberg | Occupational Therapist | 111 Esmeralda Dr, Santa Cruz, CA 95060-1915 | 2013-06-08 |
| 1144667700 | Leah Dibiccari | Occupational Therapist | 1940 Kinsley St, Santa Cruz, CA 95062-3010 | 2013-05-22 |
| 1649554015 | Kaya Brown | Occupational Therapist | 223 Elk St, Santa Cruz, CA 95065-1308 | 2011-10-04 |
| 1386930584 | Ashley Suzanne Preto | Occupational Therapist | 2405 Harper St, Santa Cruz, CA 95062-3121 | 2011-06-26 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95062 |
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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.