TRANSFORMATIVE PHYSICAL REHAB LLC (NPI# 1770103467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770103467 |
| Entity Type | Organization |
| Organization Name | TRANSFORMATIVE PHYSICAL REHAB LLC |
| Practice Address |
230 S Altadena Dr Pasadena CA 91107-4820 |
| Mailing Address |
5212 Village Circle Dr Temple City CA 91780-3355 |
| Practice Telephone | 6262970658 |
| Mailing Telephone | 6262970658 |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-22 |
| Authorized Official Name | KATRIN SAPUTRA (OCCUPATIONAL THERAPIST/OWNER) |
| Authorized Official Telephone | 6262970658 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WH0200X |
Registered Nurse Specialization: Home Health |
Nursing Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 251E00000X | Home Health | Agencies | ||
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
230 S ALTADENA DR |
| City | PASADENA |
| State | CA |
| Zip Code | 91107-4820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306103817 | Katrin Mutiany Saputra | Occupational Therapist | 230 S Altadena Dr, Pasadena, CA 91107-4820 | 2012-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412002 | Kwasi Nkansa | Physical Medicine & Rehabilitation | 2585 East Washington Blvd, Pasadena, CA 91107 | 2020-06-23 |
| 1609402742 | H & S Hospice Care Inc | Hospice Care, Community Based | 2525 E Colordo Blvd Suite 109, Pasadena, CA 91107 | 2020-03-20 |
| 1013557115 | Cindy Phun | Pharmacist | 3383 E Foothill Blvd, Pasadena, CA 91107 | 2020-01-07 |
| 1184185548 | Preferred Home Health Services | Home Health | 40 N Atlandena Dr Suite 219, Pasadena, CA 91107 | 2019-03-28 |
| 1861973729 | Julia E Underwood | Doula | 2335-115 E. Colorado Blvd #339, Pasadena, CA 91107 | 2018-08-28 |
| 1982183166 | Melissa Castillo | Counselor | 26 S Kinneloa Ave, Pasadena, CA 91107 | 2018-08-09 |
| 1083109904 | Lourice Boutros | Optometrist | 3235 E Colorado Blvd Ste 101, Pasadena, CA 91107 | 2018-06-22 |
| 1902313026 | Cecily Brogdon | Marriage & Family Therapist | 2115 Lambert Drive, Pasadena, CA 91107 | 2018-01-10 |
| 1790204915 | Vanessa Nicole Contreras | Licensed Vocational Nurse | 36 S. Kinneiloa Ave., Pasadena, CA 91107 | 2017-09-19 |
| 1730614397 | Rita Mason | Behavioral Analyst | 890 S Rosemead Blvd, Ste 45, Pasadena, CA 91107 | 2017-04-20 |
| Find all providers in zip 91107 | ||||
| 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 |
|---|---|---|---|---|
| 1912542028 | Margaret Park | Occupational Therapist | 30 N Madison Ave Unit 223, Pasadena, CA 91101-4539 | 2019-11-12 |
| 1508425885 | Chantal Johanna Olenczuk | Occupational Therapist | 50 N Hill Ave Ste 302, Pasadena, CA 91106-1903 | 2019-06-10 |
| 1861961625 | Kaitlin Mari Kodani | Occupational Therapist | 407 S Oak Ave, Pasadena, CA 91107-5026 | 2018-11-21 |
| 1992274807 | Tiffany Gu | Occupational Therapist | 355 S Los Robles Ave Unit 338, Pasadena, CA 91101-3294 | 2018-11-20 |
| 1558837435 | Vincent Raymont Quinney | Occupational Therapist | 4006 Vista Rd, Pasadena, TX 77504-2112 | 2018-10-18 |
| 1376050633 | Michael Ang | Occupational Therapist | 500 N Rosemead Blvd Apt 30, Pasadena, CA 91107-2143 | 2018-01-08 |
| 1609326719 | Jillian Fader | Occupational Therapist | 1862 Cedar Rd, Pasadena, MD 21122-3802 | 2016-10-12 |
| 1811446537 | Sabrina Salgia | Occupational Therapist | 1735 Outpost Ln, Pasadena, CA 91107-1073 | 2016-09-22 |
| 1881067015 | Kimberly Broadie | Occupational Therapist | 8327 Sail Ct, Pasadena, MD 21122-4848 | 2015-11-10 |
| 1558754408 | Sara Mcfarland | Occupational Therapist | 358 Hickory Point Rd, Pasadena, MD 21122-5961 | 2015-03-16 |
| Find all providers in PASADENA | ||||
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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.