JOHNNY WILLIAMS-RAY DEFROE III (NPI# 1821609264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821609264 |
| Entity Type | Individual |
| Full Name | JOHNNY WILLIAMS-RAY DEFROE III |
| Credential | OTR/L |
| Practice Address |
6940 Pacific Ave Stockton CA 95207-2602 |
| Mailing Address |
941 W 47th St Los Angeles CA 90037-2948 |
| Practice Telephone | 2094774817 |
| Mailing Telephone | 3107809062 |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 21479 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6940 PACIFIC AVE |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-2602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922027002 | Helios Healthcare, LLC | Skilled Nursing Facility | 6940 Pacific Ave, Stockton, CA 95207-2602 | 2006-07-19 |
| 1629683081 | Joshua Ramirez | Physical Therapy Assistant | 6940 Pacific Ave, Stockton, CA 95207-2602 | 2020-09-12 |
| 1932762713 | Victoria K Joe | Occupational Therapist | 6940 Pacific Ave, Stockton, CA 95207-2602 | 2019-04-17 |
| 1396881033 | Windsor Elmhaven Care Center, LLC | Skilled Nursing Facility | 6940 Pacific Ave, Stockton, CA 95207-2602 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| 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 |
|---|---|---|---|---|
| 1356942502 | Sharon Clare Mcgeady | Occupational Therapist | 76 Garboski Rd, Stockton, NJ 08559-1925 | 2020-11-04 |
| 1295350320 | Edreann Jill Soriben Galicinao | Occupational Therapist | 9724 Wintergreen Ct, Stockton, CA 95209-5184 | 2020-06-15 |
| 1760002406 | Kerry Alison Chitwood | Occupational Therapist | 1333 Candlewood Way, Stockton, CA 95209-2003 | 2020-04-23 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1720457468 | Edwin Posada | Occupational Therapist | 3589 W Benjamin Holt Dr Apt 183, Stockton, CA 95219-3468 | 2015-09-23 |
| 1588046106 | Jason Pyle | Occupational Therapist | 11555 E Highway Z, Stockton, MO 65785-9507 | 2015-06-19 |
| 1104222546 | Cheryl Spaulding | Occupational Therapist | 620 Macduff Ave, Stockton, CA 95210-1840 | 2014-11-12 |
| 1710395132 | Linda Roybal | Occupational Therapist | 2256 Wagner Heights Rd, Stockton, CA 95209-1736 | 2014-07-29 |
| 1962702449 | Lifeworks-acs, Inc. | Occupational Therapist | 1755 W. Hammer Lane, Suite# 1, Stockton, CA 95209-2900 | 2010-10-29 |
| 1356587364 | Tracy L. Boyer | Occupational Therapist | 517 W Hilltop Ter, Stockton, IL 61085-1025 | 2008-12-22 |
| Find all providers in STOCKTON | ||||
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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.