JOHN EDWARD GOODFELLOW (NPI# 1750865598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750865598 |
| Entity Type | Individual |
| Full Name | JOHN EDWARD GOODFELLOW |
| Credential | OTD, OTR/L |
| Practice Address |
2505 W Shaw Ave Bldg A Fresno CA 93711-3334 |
| Practice Telephone | 5592289100 |
| Practice Fax Number | 5594328055 |
| Mailing Telephone | 5592289100 |
| Mailing Fax Number | 5594328055 |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2018-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 2598 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BOARD OF OCCUPATIONAL THERAPY | 2598 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235131608 | John G. Goodfellow IIi | Chiropractor | 6630 W Higgins Ave, Chicago, IL 60656-2138 | 2005-08-15 |
| Street Address |
2505 W SHAW AVE BLDG A |
| City | FRESNO |
| State | CA |
| Zip Code | 93711-3334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376802660 | Victoria Lindsay Ward | Counselor | 2505 W Shaw Ave Bldg A, Fresno, CA 93711-3334 | 2012-05-08 |
| 1134730633 | Vanessa Montes | Occupational Therapist | 2505 W Shaw Ave Bldg A, Fresno, CA 93711-3334 | 2020-08-10 |
| 1306470992 | Janelle Sarah Jarvis | Occupational Therapist | 2505 W Shaw Ave Bldg A, Fresno, CA 93711-3334 | 2020-02-24 |
| 1992336028 | Ke-hsin Lu | Speech-Language Pathologist | 2505 W Shaw Ave Bldg A, Fresno, CA 93711-3334 | 2020-01-28 |
| 1902453772 | Pamela Svetlik | Speech-Language Pathologist | 2505 W Shaw Ave Bldg A, Fresno, CA 93711-3334 | 2019-08-26 |
| 1962064733 | Danielle Marie Holmes | Physical Therapist | 2505 W Shaw Ave Bldg A, Fresno, CA 93711-3334 | 2019-07-02 |
| 1710445507 | Joanna Michelle Muir | Specialist/Technologist | 2505 W Shaw Ave Bldg A, Fresno, CA 93711-3334 | 2019-03-11 |
| 1427513365 | Dana Schmalzel | Occupational Therapist | 2505 W Shaw Ave Bldg A, Fresno, CA 93711-3334 | 2019-02-05 |
| 1659845204 | Foua Garner | Occupational Therapist | 2505 W Shaw Ave Bldg A, Fresno, CA 93711-3334 | 2019-01-17 |
| 1801366158 | Rochelle B Ramos | Speech-Language Pathologist | 2505 W Shaw Ave Bldg A, Fresno, CA 93711-3334 | 2018-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104464684 | Kazi Shafiul Moula | Dentist | Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 | 2019-12-16 |
| 1760037063 | Armine Petrosyan | Nurse Practitioner | 427 W Beford Ave Suite 103, Fresno, CA 93711 | 2019-08-05 |
| 1912489360 | Shoua Nelson | Nurse Practitioner | 2490 W. Shaw Avenue Suite 101, Fresno, CA 93711 | 2018-09-02 |
| 1245725506 | Promesa Behavioral Health-barstow | Community Based Residential Treatment Facility, Mental Illness | 1415 W Barstow Ave, Fresno, CA 93711 | 2018-06-28 |
| 1407344138 | Aidan Mechem | Behavior Technician | 5140 N. Fruit Avene, Fresno, CA 93711 | 2018-04-27 |
| 1841798840 | Michael Ramos IIi | Behavior Technician | 1690 N Shaw Ave, 102, Fresno, CA 93711 | 2018-01-25 |
| 1962913467 | Dhara Devendrakumar Patel | Pharmacist | 740 West Alluvial Avenue, Suite 101, Fresno, CA 93711 | 2017-10-24 |
| 1588183636 | Bianca Arteaga | Counselor | 7485 N. Palm Ave., Suite 103, Fresno, CA 93711 | 2017-09-10 |
| 1346763158 | Powell Pediatric Dentistry Ingram Partnership | Dentist | 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 | 2017-07-24 |
| 1982124202 | Justine Syera Balbas | Counselor | 2766 W. Celeste Ave., Unit 103, Fresno, CA 93711 | 2017-06-27 |
| Find all providers in zip 93711 | ||||
| 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 |
|---|---|---|---|---|
| 1174043863 | Julissa Mojarras | Occupational Therapist | 2505 W Shaw Ave Ste 101, Fresno, CA 93711-3334 | 2017-06-22 |
| 1780054965 | Sukhjit Kaur | Occupational Therapist | 5380 E Lowe Ave, Fresno, CA 93727-5208 | 2015-10-01 |
| 1205226156 | Amy Deavours | Occupational Therapist | 9042 N Winery Ave, Fresno, CA 93720-4413 | 2015-01-30 |
| 1487042099 | Cassandra Leigh Osegueda | Occupational Therapist | 481 W Audubon Dr Apt 210, Fresno, CA 93711-6232 | 2015-01-05 |
| 1154686772 | Glenda Cuadra Pondoc | Occupational Therapist | 567 S Kona Ave, Fresno, CA 93727-5557 | 2012-07-10 |
| 1831338367 | Samson Nuylan Salting Jr. | Occupational Therapist | 7065 N Chestnut Ave Ste 101, Fresno, CA 93720-0355 | 2009-02-06 |
| 1144402397 | United Therapy Network Inc | Occupational Therapist | 1040 E Herndon Ave, Suite 101, Fresno, CA 93720-3158 | 2007-11-29 |
| 1679770648 | Joan Catherine Leroux | Occupational Therapist | 4838 N Blackstone Ave Ste B, Fresno, CA 93726-0110 | 2007-07-02 |
| 1851302541 | Stephen Dehaeseleer | Occupational Therapist | 6061 N 1st St, Suite 104, Fresno, CA 93710-5470 | 2006-08-10 |
| 1942211669 | Optimal Rehab Abilities, Inc. | Occupational Therapist | 7405 N Cedar Ave, #103, Fresno, CA 93720-3838 | 2006-08-10 |
| Find all providers in FRESNO | ||||
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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.