MRS. KELLY MITCHELL-HEADLEY (NPI# 1760644165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760644165 |
| Entity Type | Individual |
| Full Name | MRS. KELLY MITCHELL-HEADLEY |
| Practice Address |
3500 Zanker Rd San Jose CA 95134-2201 |
| Practice Telephone | 4084516648 |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2008-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT 1630 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3500 ZANKER RD |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95134-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730130071 | State of California - Department of Developmental Services | General Acute Care Hospital | 3500 Zanker Rd, San Jose, CA 95134-2201 | 2006-05-12 |
| 1255579363 | Gerri Lane Armstrong-walker | Psychologist | 3500 Zanker Rd, San Jose, CA 95134-2201 | 2009-01-27 |
| 1710148515 | Agnews Community Clinic | Clinic/Center | 3500 Zanker Rd, San Jose, CA 95134-2201 | 2008-06-24 |
| 1396958849 | Susan Dorcas Smithson | Physical Therapist | 3500 Zanker Rd, San Jose, CA 95134-2299 | 2007-05-08 |
| 1942303920 | John Richard Faull | Psychologist | 3500 Zanker Rd, San Jose, CA 95134-2201 | 2006-09-06 |
| 1972519601 | David J Barclay | Occupational Therapist | 3500 Zanker Rd, San Jose, CA 95134-2201 | 2006-08-01 |
| 1285649152 | Renee Patrice New | Occupational Therapist | 3500 Zanker Rd, San Jose, CA 95134-2201 | 2006-07-29 |
| 1982619847 | Linda Patricia Kite | Physical Therapist | 3500 Zanker Rd, San Jose, CA 95134-2201 | 2006-07-29 |
| 1689610933 | John Kenneth Darby Jr. | Psychiatry & Neurology | 3500 Zanker Rd, San Jose, CA 95134-2299 | 2006-06-22 |
| 1942246202 | Usha S Belani | General Practice | 3500 Zanker Rd, San Jose, CA 95134-2299 | 2006-06-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013433945 | Jessica Roberson | Speech-Language Pathologist | 330 Crescent Village Circle, San Jose, CA 95134 | 2017-08-22 |
| 1407221948 | Bay Area Behavioral Group | Community/Behavioral Health | 4423 Fortran Court, #136, San Jose, CA 95134 | 2015-12-09 |
| 1891114500 | Adriane Jones | Occupational Therapist | 640 Epic Way, Apartment #271, San Jose, CA 95134 | 2014-04-09 |
| 1255758165 | Adam Moreno | Counselor | 2625 Zanker Rd., San Jose, CA 95134 | 2014-03-28 |
| 1972938801 | Claudine Lott | Family Medicine | 145 Nicholson Ln, San Jose, CA 95134 | 2013-09-11 |
| 1659611556 | 360 Degree Customer Inc | Early Intervention Provider Agency | 4423 Fortran Drive, # 114, San Jose, CA 95134 | 2013-03-01 |
| 1629392022 | Harrison James Kornfield | Surgery | 455 Navaro Way, #108, San Jose, CA 95134 | 2010-03-15 |
| 1538348008 | Roxanne F Ubana | Counselor | 4423 Fortran Ct Ste 136, San Jose, CA 95134 | 2007-10-31 |
| 1538351044 | William Lopez Robles | Counselor | 2625 Zanker Road, San Jose, CA 95134 | 2007-08-17 |
| 1881717296 | Chloe Chu | Dentist | 3720 N. First Street, Suite C, San Jose, CA 95134 | 2007-04-09 |
| Find all providers in zip 95134 | ||||
| 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 |
|---|---|---|---|---|
| 1275150435 | Brina Ai Nguyen | Occupational Therapist | 2756 White Acres Dr, San Jose, CA 95148-3691 | 2020-07-02 |
| 1912522160 | Laleh Pashmaki | Occupational Therapist | 420 Richfield Dr Apt 3, San Jose, CA 95129-1561 | 2020-06-13 |
| 1558980839 | Sadie Phan | Occupational Therapist | 619 Hermes Ct, San Jose, CA 95111-1041 | 2020-04-16 |
| 1831724087 | Nicole Sialaris | Occupational Therapist | 1487 Redmond Ave, San Jose, CA 95120-4859 | 2020-03-09 |
| 1790346914 | Andrea Frishberg | Occupational Therapist | 500 Race St Apt 2210, San Jose, CA 95126-5136 | 2019-06-27 |
| 1376018267 | Elaine Medina | Occupational Therapist | 1016 Woodholly Ct, San Jose, CA 95116-3151 | 2018-10-08 |
| 1306320015 | Kirti Gandhi | Occupational Therapist | 600 Epic Way Unit 441, San Jose, CA 95134-2768 | 2018-09-18 |
| 1154808962 | Claire Eliza Sherman | Occupational Therapist | 911 Bern Ct Ste 140, San Jose, CA 95112-1242 | 2018-07-24 |
| 1811404387 | Aliza-venessa Supnet | Occupational Therapist | 800 Charcot Ave Ste 110, San Jose, CA 95131-2211 | 2018-01-05 |
| 1912410077 | Christine Elizondo | Occupational Therapist | 5744 Chesbro Ave, San Jose, CA 95123-3023 | 2017-11-13 |
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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.