EVITA GARDNER


Address: 587 Se Ermine Ave, Lake City, FL 32025-6126
Phone: 3867527800

EVITA GARDNER (NPI# 1871002352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871002352
Entity Type Individual
Full Name EVITA GARDNER
Credential COTA/L
Practice Address 587 Se Ermine Ave
Lake City
FL 32025-6126
Mailing Address 2531 Belmont Ave
New Smyrna
FL 32168-5806
Practice Telephone 3867527800
Mailing Telephone 3866314192
Enumeration Date 2017-09-27
Last Update Date 2017-09-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224Z00000X Occupational Therapy Assistant 15960 FL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 587 SE ERMINE AVE
City LAKE CITY
State FL
Zip Code 32025-6126

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134278203 Osprey of North Florida, Inc. Skilled Nursing Facility 587 Se Ermine Ave, Lake City, FL 32025-6126 2007-01-09
1063926632 Jean Denis Saintvil Speech-Language Pathologist 587 Se Ermine Ave, Lake City, FL 32025-6126 2017-11-18
1811407307 Ashley May Richardson Occupational Therapy Assistant 587 Se Ermine Ave, Lake City, FL 32025-6126 2017-10-10
1689184434 Elizabeth Jane Lucas Physical Therapy Assistant 587 Se Ermine Ave, Lake City, FL 32025-6126 2017-10-06
1548770498 John Douglas Inselman Occupational Therapy Assistant 587 Se Ermine Ave, Lake City, FL 32025-6126 2017-10-05
1508376567 Jayme Leigh Clayton Occupational Therapist 587 Se Ermine Ave, Lake City, FL 32025-6126 2017-10-04
1871003848 Latova Mccook Occupational Therapy Assistant 587 Se Ermine Ave, Lake City, FL 32025-6126 2017-10-04
1669900247 Patrick Brock Friar Physical Therapy Assistant 587 Se Ermine Ave, Lake City, FL 32025-6126 2017-05-26
1114455797 Albert James Mobley Physical Therapist 587 Se Ermine Ave, Lake City, FL 32025-6126 2017-05-26
1295122778 Baya Pointe Nursing and Rehabilitation Center Skilled Nursing Facility 587 Se Ermine Ave, Lake City, FL 32025-6126 2015-04-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801438353 Jennifer Bennett Pharmacist 347 Sw Main Blvd Suite 102, Lake City, FL 32025 2019-10-16
1700352838 Robert J Sansouci IIi IIi Physical Therapy Assistant 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 2018-10-16
1316442783 Emily Bailey Developmental Therapist 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 2018-03-28
1811446370 Michelle Hart Behavioral Analyst 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 2016-09-26
1922467646 Irene Aponte Moreno Nurse Practitioner 440 Sw Perimeter Glen, Lake City, FL 32025 2016-02-23
1093186777 Decarlos Scippio Counselor 619 Sw Baya Drive Suite 102, Lake City, FL 32025 2015-10-07
1497132476 Jamecia Legree Registered Nurse 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 2015-04-29
1306249149 Mercy Home Assisted Living Facility LLC Assisted Living Facility 184 S.e. Beech Street, Lake City, FL 32025 2014-10-08
1598174344 Karen Mcdonald Developmental Therapist 4523 Se County Road 252, Lake City, FL 32025 2014-08-06
1275944126 Mohammad Ali Faisal Mdpa Specialist 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 2014-05-14
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Taxonomy Information

Taxonomy Code 224Z00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapy Assistant

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053970384 Joanna Dee Brittain Occupational Therapy Assistant 319 Sw Buttercup Dr, Lake City, FL 32024-1266 2019-06-11
1184960734 Shanel Lynette Seger Occupational Therapy Assistant 1900 S Lachance Road, Lake City, MI 49651 2012-12-28
1427392851 Michelle Leigh Wyrick Occupational Therapy Assistant 283 Harmon Ln, Lake City, TN 37769-5338 2012-11-26
1760447213 Donna Frances Osteen Occupational Therapy Assistant 176 Sw Midtown Pl, Ste 103, Lake City, FL 32025 2006-04-19
1023642956 Brittany Creech Thompson Occupational Therapy Assistant 560 Sw Mcfarlane Ave, Lake City, FL 32025-5614 2020-03-01
1649813593 Benjamin Bradley Jennings Occupational Therapy Assistant 619 S. Marion Ave, Pm & Rs Ot, Lake City, FL 32025 2019-10-23
1851858393 Nancy Pierre Occupational Therapy Assistant 560 Sw Mcfarlane Ave, Lake City, FL 32025-5614 2019-02-20
1811407307 Ashley May Richardson Occupational Therapy Assistant 587 Se Ermine Ave, Lake City, FL 32025-6126 2017-10-10
1548770498 John Douglas Inselman Occupational Therapy Assistant 587 Se Ermine Ave, Lake City, FL 32025-6126 2017-10-05
1871003848 Latova Mccook Occupational Therapy Assistant 587 Se Ermine Ave, Lake City, FL 32025-6126 2017-10-04
Find all providers in LAKE CITY

Competitor

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City LAKE CITY
Zip Code 32025

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Dataset Information

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.

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