THERAWIDE, LLC (NPI# 1831722206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831722206 |
| Entity Type | Organization |
| Organization Name | THERAWIDE, LLC |
| Practice Address |
591 Collins Dr Apt 6 Merced CA 95348-3178 |
| Practice Telephone | 3103079114 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |
| Authorized Official Name | BRANDON HIGHTOWER (CEO/DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 3103079114 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| 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 |
591 COLLINS DR APT 6 |
| City | MERCED |
| State | CA |
| Zip Code | 95348-3178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063031649 | Sydney Towle | Counselor | 3360 N Hwy 59 Suite K, Merced, CA 95348 | 2020-04-13 |
| 1972147544 | Aaliyah Belt | Behavior Technician | 2808 Park Ave, Suite A, Merced, CA 95348 | 2019-11-06 |
| 1922566025 | Michelle Chao Lee | Case Manager/Care Coordinator | 3360 North Hwy 59 Suite K, Merced, CA 95348 | 2019-03-07 |
| 1760952246 | Noemi Diaz | Counselor | 3360 North Hwy.59 Suite K, Merced, CA 95348 | 2018-11-28 |
| 1518451632 | Kenneth Tiea Pay | Pharmacist | 767 Ironstone Dr, Merced, CA 95348 | 2018-06-21 |
| 1295223444 | Andraya Diane Plascencia | Behavior Technician | 335 M St, Merced, CA 95348 | 2018-04-24 |
| 1801398839 | Elisabet Pulido | Case Manager/Care Coordinator | 3360 N State Hwy 59, K, Merced, CA 95348 | 2018-03-06 |
| 1184126674 | Carolina Rosales | Behavior Technician | 3335 M St., Merced, CA 95348 | 2018-03-01 |
| 1659897957 | Melody Vega | Social Worker | 3195 M Street, Merced, CA 95348 | 2017-08-17 |
| 1942739305 | Salvador Tinoco Jaramillo | Marriage & Family Therapist | 3360 N Highway 59 Suite K, Merced, CA 95348 | 2017-06-08 |
| Find all providers in zip 95348 | ||||
| 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 |
|---|---|---|---|---|
| 1164938742 | Kathryn Louise Beach | Occupational Therapist | 2350 Lecco Way, Merced, CA 95340-9373 | 2017-12-19 |
| 1669677936 | Jackie M Cook | Occupational Therapist | 3588 Cabrillo Ct, Merced, CA 95348-2243 | 2007-06-18 |
| 1316962384 | Michael R. Clark | Occupational Therapist | 3327 M St Ste A, Merced, CA 95348-2714 | 2006-07-12 |
| 1013303338 | Lauren Kingsley Flynn | Occupational Therapist | 3170 M St, Merced, CA 95348-2403 | 2015-04-14 |
| 1376856575 | Saralynn Boyer | Occupational Therapist | 123 S N St, Merced, CA 95341-6818 | 2010-07-16 |
| 1770896078 | Karen Dale Schoettler | Occupational Therapist | 123 S N St, Merced, CA 95341-6818 | 2010-07-15 |
| 1023320710 | Merete Pinker | Occupational Therapist | 123 S N St, Reyes Mtu, Merced, CA 95341-6818 | 2010-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811854 | Yen Wen Pan | Occupational Therapist | 43051 15th St W, Lancaster, CA 93534-6906 | 2020-11-06 |
| 1134720287 | Trevor Collin Stokes | Occupational Therapist | 30582 Red Fox Ct, Murrieta, CA 92563-7965 | 2020-11-05 |
| 1831799485 | Cherlene Hung | Occupational Therapist | 2501 E Chapman Ave Ste 160, Fullerton, CA 92831-3135 | 2020-10-31 |
| 1831798412 | Samantha Arianna Loris Marrah | Occupational Therapist | 21 Lower Ragsdale Dr, Monterey, CA 93940-5827 | 2020-10-23 |
| 1922607753 | Araya Moua | Occupational Therapist | 5038 Lakeview Cir, Fairfield, CA 94534-7400 | 2020-10-22 |
| 1154920015 | Carlos Miguel Carrasquel | Occupational Therapist | 660 Santa Fe Dr, Encinitas, CA 92024-4643 | 2020-10-21 |
| 1093314965 | Sunitha Warrier | Occupational Therapist | 1253 W Sonya Ln Unit 202, Santa Maria, CA 93458-6587 | 2020-10-21 |
| 1467051755 | Sophia Yu | Occupational Therapist | 1 Hollywood Ct, San Francisco, CA 94112-3710 | 2020-10-19 |
| 1093314205 | Adria Cromosini | Occupational Therapist | 5228 Bellflower Blvd, Lakewood, CA 90713-1815 | 2020-10-19 |
| 1972102242 | Alexis Nalbach | Occupational Therapist | 13900 Panay Way Apt R218, Marina Del Rey, CA 90292-6145 | 2020-10-19 |
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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.