ANGIE LISSET MENDOZA CATILLO (NPI# 1912434465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912434465 |
| Entity Type | Individual |
| Full Name | ANGIE LISSET MENDOZA CATILLO |
| Credential | COTA |
| Practice Address |
1109 Sw 123rd Ave Pembroke Pines FL 33025-5770 |
| Practice Telephone | (305) 748-3782 |
| Mailing Telephone | 3057483782 |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2017-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA15933 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1109 SW 123RD AVE |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33025-5770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702329 | Ashley V Carter | Nutritionist | 3803 Sw 93rd Ave, Miramar, FL 33025 | 2019-10-24 |
| 1477024305 | Jeff Rocker | Counselor | 10700 City Center Blvd Apt 5245, Pembroke Pines, FL 33025 | 2018-12-17 |
| 1760959779 | Spring Health Inc | In Home Supportive Care | 1799 Sw 82nd Pl, Miramar, FL 33025 | 2018-10-28 |
| 1649763004 | Ann-marie Elizabeth Pryce | Nurse Practitioner | 8942 Sw 19th St, Miramar, FL 33025 | 2018-06-11 |
| 1588154876 | Michelle Angelle Crawford | Behavior Technician | 10630 Washington St Apt 103, Pembroke Pines, FL 33025 | 2018-05-14 |
| 1598267809 | Lydia Rosa Malcolm | Psychologist | 11820 Miramar Pkwy Ste 309, Miramar, FL 33025 | 2018-03-02 |
| 1447760657 | At Talitha Cumi Home Care, Inc. | Homemaker | 3140 Sw 120 Terr, Miramar, FL 33025 | 2017-10-03 |
| 1962924522 | Yenni Celina Cueto | Behavioral Analyst | 720 Sw 111th Ave Apt 303, Pembroke Pines, FL 33025 | 2017-07-14 |
| 1093236713 | Manoucheca Fabienne Phanord | Nurse Practitioner | 11575 City Hall Promenade, #4-150, Miramar, FL 33025 | 2017-07-03 |
| 1659801439 | Desiree Verina Nugent | Family Medicine | 3772 Sw 93rd Ave, Miramar, FL 33025 | 2017-06-14 |
| Find all providers in zip 33025 | ||||
| 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 |
|---|---|---|---|---|
| 1508492554 | Valeria Valencia | Occupational Therapy Assistant | 11990 Sw 12th St Bldg 108, Pembroke Pines, FL 33025-5724 | 2020-03-20 |
| 1053952119 | Alecia Bradley | Occupational Therapy Assistant | 9880 Sheridan St Apt 303, Pembroke Pines, FL 33024-3070 | 2019-09-30 |
| 1952969297 | Juliette Govanlu | Occupational Therapy Assistant | 1701 Nw 107th Ave, Pembroke Pines, FL 33026-2805 | 2019-06-02 |
| 1669933685 | Lupe Collado | Occupational Therapy Assistant | 11529 Nw 10th St, Pembroke Pines, FL 33026-4330 | 2019-03-31 |
| 1508389644 | Konfetti Kidz Therapy | Occupational Therapy Assistant | 17901 Nw 5th St Ste 201, Pembroke Pines, FL 33029 | 2017-07-20 |
| 1588100861 | Vielka L Urena-rosario | Occupational Therapy Assistant | 16855 Sw 1st Pl, Pembroke Pines, FL 33027-1095 | 2017-01-11 |
| 1124571211 | Akhi Sarkar | Occupational Therapy Assistant | 7120 Sw 9th St, Pembroke Pines, FL 33023-1641 | 2016-07-26 |
| 1700267390 | Leena Matuqe | Occupational Therapy Assistant | 633 Sw 110th Ln, Bldg 21 Apt 204, Pembroke Pines, FL 33025-7022 | 2015-06-09 |
| 1720474000 | Angelo Alan Baldonado | Occupational Therapy Assistant | 2260 Nw 72nd Way, Pembroke Pines, FL 33024-1047 | 2015-04-13 |
| 1427455518 | Beverly Arismendi | Occupational Therapy Assistant | 1151 Nw 81st Ave, Pembroke Pines, FL 33024-5019 | 2014-12-04 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33025 |
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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.