KEISHA SAMUEL (NPI# 1790321990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790321990 |
| Entity Type | Individual |
| Full Name | KEISHA SAMUEL |
| Practice Address |
776 S 18th St Fl 2 Newark NJ 07103-1050 |
| Practice Telephone | 2018782598 |
| Mailing Telephone | 2018782598 |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2019-11-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 009963 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
776 S 18TH ST FL 2 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-1050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| Find all providers in zip 07103 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013527894 | Millie S Mogouong | Occupational Therapy Assistant | 28 Richards St Apt 3, Newark, NJ 07105-3705 | 2020-08-05 |
| 1942841614 | Crouch Therapy Services LLC | Occupational Therapy Assistant | 240 Dalton Ln, Newark, AR 72562-9400 | 2019-10-03 |
| 1235781139 | Ejiroghene R Okieruovo | Occupational Therapy Assistant | 123 Spruce St Apt 2b, Newark, NJ 07108-3088 | 2019-07-10 |
| 1992246664 | Elvira Njume | Occupational Therapy Assistant | 179 Keer Ave, Newark, NJ 07112-1709 | 2017-03-15 |
| 1396118980 | Elizabeth Hollett | Occupational Therapy Assistant | 44 W Kyla Marie Dr, Newark, DE 19702-5431 | 2015-11-05 |
| 1881075422 | Annette Maley | Occupational Therapy Assistant | 15 Bender Dr, Newark, DE 19711-3807 | 2015-06-09 |
| 1528474285 | Kisha Manley | Occupational Therapy Assistant | 68 Summer Ave, Newark, NJ 07104-2512 | 2014-07-02 |
| 1821412404 | Tracie Copley | Occupational Therapy Assistant | 11117 Lambs Ln, Newark, OH 43055-9779 | 2014-02-18 |
| 1871853309 | Sandy Lindsay Trinidad | Occupational Therapy Assistant | 366-368 14 Ave, Newark, NJ 07103 | 2012-05-17 |
| 1316218837 | Jessica Batross | Occupational Therapy Assistant | 979 Glyn Dennis Dr, Newark, OH 43055-7277 | 2012-01-13 |
| Find all providers in NEWARK | ||||
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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.