TETSUYA ENOMOTO (NPI# 1780132274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780132274 |
| Entity Type | Individual |
| Full Name | TETSUYA ENOMOTO |
| Practice Address |
11037 San Juan St Loma Linda CA 92354-2713 |
| Practice Telephone | 9519077748 |
| Mailing Telephone | 9519077748 |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 10269 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
11037 SAN JUAN ST |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92354-2713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
| 1932725645 | Dev Priya Singhvi | Student in an Organized Health Care Education/Training Program | 11332 Mountain View Avenue, Westerly Building, Suite C, Gme Office, Loma Linda, CA 92354 | 2020-06-18 |
| 1750901278 | Angela N Torres | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-04-24 |
| 1548899230 | Holistic Physical Therapy Inc. | Physical Therapist | 25003 Starr Str, Loma Linda, CA 92354 | 2020-04-03 |
| 1508494071 | Eric Allen | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Pediatrics, General, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-03-31 |
| 1730640244 | Rose Valley Rcfe | Assisted Living Facility | 11574 Poplar St, Loma Linda, CA 92354 | 2019-03-27 |
| 1336633676 | David A Lawrence | Student in an Organized Health Care Education/Training Program | Loma Linda University Hospital, 11234 Anderson St., Loma Linda, CA 92354 | 2018-06-20 |
| 1205329547 | Rachael Nicole Spady | Student in an Organized Health Care Education/Training Program | Loma Linda University Health - Obstetrics & Gynecology, 11234 Anderson St, Loma Linda, CA 92354 | 2018-06-12 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| Find all providers in zip 92354 | ||||
| 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 |
|---|---|---|---|---|
| 1407250160 | Heather Thielen | Occupational Therapist | 25440 Lawton Ave, Loma Linda, CA 92354-3692 | 2014-10-09 |
| 1942615109 | Juan Carlos Bordes | Occupational Therapist | 10777 Poplar St Apt 207, Loma Linda, CA 92354-2249 | 2014-06-26 |
| 1679908453 | Gloria Noel Lindsay | Occupational Therapist | 11261 Exeter St, Apt C, Loma Linda, CA 92354-3050 | 2013-09-11 |
| 1578833455 | Garrison Ronald Goertz | Occupational Therapist | 25145 Starr St, Loma Linda, CA 92354-2961 | 2012-01-09 |
| 1528250743 | Carrol Yoonjung Baek | Occupational Therapist | 25661 Huron St, Loma Linda, CA 92354-3702 | 2007-08-11 |
| 1083835649 | Annamae Dorothy Northcott | Occupational Therapist | 25470 Cole St., Loma Linda, CA 92354 | 2007-05-01 |
| 1205364106 | Caitlin Linas Medes | Occupational Therapist | 11406 Loma Linda Dr, Loma Linda, CA 92354-3711 | 2017-05-23 |
| 1790922219 | Scott Ray Corey | Occupational Therapist | 1720 Mountain View Ave, Loma Linda, CA 92354-1727 | 2009-01-21 |
| 1427233378 | Ginger Michel Pogue | Occupational Therapist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2008-01-09 |
| 1982889119 | Monique Pinkus | Occupational Therapist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2008-01-07 |
| Find all providers in LOMA LINDA | ||||
| City | LOMA LINDA |
| Zip Code | 92354 |
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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.