MR. JACKTON SIMIYU KHAUSI (NPI# 1740475946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740475946 |
| Entity Type | Individual |
| Full Name | MR. JACKTON SIMIYU KHAUSI |
| Credential | OTRL |
| Practice Address |
7255 E Broadway Mesa AZ 85208 |
| Mailing Address |
3319 E University Dr #341 Mesa AZ 85213 |
| Practice Telephone | 4809018844 |
| Mailing Telephone | 4803067503 |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 3955 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7255 E BROADWAY |
| City | MESA |
| State | AZ |
| Zip Code | 85208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700040474 | Anthony Frank Mazzitello | Physical Therapy Assistant | 7255 E Broadway, Mesa, AZ 85208 | 2008-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588203723 | Southwest Cardiovascular Interventional Center, LLC | Clinic/Center | 7529 E Broadway, Mesa, AZ 85208 | 2020-01-06 |
| 1760021802 | Southwest Endovascular Center, LLC | Clinic/Center | 7529 E Broadway Rd, Mesa, AZ 85208 | 2020-01-06 |
| 1083116529 | Hailey Jo Kools | Specialist/Technologist | 11201 N Tatum Boulevard, Phoenix, AZ 85208 | 2018-03-01 |
| 1356881486 | Amber E Anderson | Nurse Practitioner | 1157 S Crismon Rd Ste 101, Mesa, AZ 85208 | 2017-03-08 |
| 1609264464 | Desert House Assisted Living LLC | Assisted Living Facility | 11055 E Grove St, Mesa, AZ 85208 | 2015-01-02 |
| 1366881872 | Freedom Az, LLC | Non-emergency Medical Transport (VAN) | 10682 E Oasis Dr, Mesa, AZ 85208 | 2013-06-18 |
| 1588922884 | Aaron David Hallstrom | Counselor | 158 S Hassett Cir, Mesa, AZ 85208 | 2012-04-25 |
| 1568604593 | David Berrey | Internal Medicine | 1917 South Crismon Rd., Mesa, AZ 85208 | 2009-04-06 |
| 1881896900 | Kate N Mullowney | Pharmacist | 10238 E Hampton Avenue, Suite 107, Mesa, AZ 85208 | 2007-06-01 |
| 1003035437 | Stephen Vann | Dentist | 1113 S. Signal Butte Rd Ste 101, Mesa, AZ 85208 | 2007-04-24 |
| Find all providers in zip 85208 | ||||
| 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 |
|---|---|---|---|---|
| 1346856044 | Jayne Louise Lancaster-fisher | Occupational Therapist | 1105 N Delmar, Mesa, AZ 85203-5003 | 2020-09-17 |
| 1467079277 | Tessa Marie Burt | Occupational Therapist | 5850 E Harmony Ave, Mesa, AZ 85206-5532 | 2020-06-26 |
| 1932733458 | Allisynn Marie Powell | Occupational Therapist | 9050 E Brown Rd, Mesa, AZ 85207-4356 | 2020-02-24 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1518515568 | Sarah May Gapuz Bautista | Occupational Therapist | 10044 E Osage Ave, Mesa, AZ 85212-2357 | 2019-09-03 |
| 1164075636 | Kelsey Morgan Smith | Occupational Therapist | 1059 W Laguna Azul Ave, Mesa, AZ 85210-7125 | 2019-07-23 |
| 1629633367 | Accelerated Rehabilitation Centers of Phoenix LLC | Occupational Therapist | 425 N Stapley Dr Ste 105, Mesa, AZ 85203-7281 | 2019-05-08 |
| 1770061269 | Kelly Davies | Occupational Therapist | 737 W Guadalupe Rd Ste 111, Mesa, AZ 85210-7716 | 2018-08-06 |
| 1598241796 | Carson Lauf | Occupational Therapist | 7434 E Forge Ave, Mesa, AZ 85208-2753 | 2018-07-11 |
| 1386144772 | Jane Ann Aitken | Occupational Therapist | 2225 W Southern Ave Bldg 1300, Mesa, AZ 85202-4716 | 2018-02-13 |
| Find all providers in MESA | ||||
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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.