NEW LIFE MYOFASCIAL RELEASE, LLC (NPI# 1962036228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962036228 |
| Entity Type | Organization |
| Organization Name | NEW LIFE MYOFASCIAL RELEASE, LLC |
| Practice Address |
2101 W State St Tampa FL 33606-1047 |
| Practice Telephone | 8134614171 |
| Mailing Telephone | 8134614171 |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-26 |
| Authorized Official Name | JENNIFER L GLASS (OWNER) |
| Authorized Official Telephone | 9417737620 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 1477855211 | 05 |
| Street Address |
2101 W STATE ST |
| City | TAMPA |
| State | FL |
| Zip Code | 33606-1047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235758749 | Seyed Shayan Ahmad Falasiri | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. #308, Tampa, FL 33606 | 2020-04-14 |
| 1174156400 | Jessica Styles | Specialist/Technologist | The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 | 2020-02-14 |
| 1295389757 | David Green | Specialist/Technologist | 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 | 2019-08-01 |
| 1417514720 | Four Winds Counseling LLC | Counselor | 611 West Bay Street, Tampa, FL 33606 | 2019-05-22 |
| 1699238014 | Azubuogu Charles Anudu | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd., Suite 308 Tampa, Fl 33606, Tampa, FL 33606 | 2019-04-11 |
| 1508327883 | D'arcy Jocelyn Arden Wainwright | Student in an Organized Health Care Education/Training Program | 17 David Blvd., Suite 308, Tampa, FL 33606 | 2019-03-28 |
| 1659851772 | Heather Widmer | Counselor | 202 N Howard Ave, Tampa, FL 33606 | 2018-08-17 |
| 1447737291 | Jonathan T Bell | Marriage & Family Therapist | 425 S. Orleans Ave, Tampa, FL 33606 | 2018-07-24 |
| 1184157539 | Alexander Lim | Student in an Organized Health Care Education/Training Program | 17 David Blvd, Suite 308, Tampa, FL 33606 | 2017-04-04 |
| 1760913057 | Melanie Loretta Bradley | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. Suite 308, University of South Florida, Morsani College of Medicin, Tampa, FL 33606 | 2017-03-27 |
| Find all providers in zip 33606 | ||||
| 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 |
|---|---|---|---|---|
| 1770184889 | Khojem Husamuddin Vora | Occupational Therapist | 18004 Lanai Isle Dr, Tampa, FL 33647-3377 | 2020-11-04 |
| 1053924894 | Sarah Michelle Roark | Occupational Therapist | 314 W Hamilton Ave, Tampa, FL 33604-5425 | 2020-08-30 |
| 1811508757 | Schnaidjina L Francois | Occupational Therapist | 3735 Fairview Cove Ln Apt 302, Tampa, FL 33619-3755 | 2020-08-13 |
| 1417583048 | Melanie Conway | Occupational Therapist | 1816 W Flora St, Tampa, FL 33604-5332 | 2020-03-16 |
| 1003442807 | Lauren Cheryl Sheridan | Occupational Therapist | 5035 E Busch Blvd Ste 7, Tampa, FL 33617-5310 | 2020-03-13 |
| 1528693454 | Allways At Home | Occupational Therapist | 315 S Plant Ave, Tampa, FL 33606-2325 | 2020-03-11 |
| 1114550142 | Frances Jeanette Peguero | Occupational Therapist | 12304 Marblehead Dr, Tampa, FL 33626-2508 | 2020-02-18 |
| 1780141689 | Dacoda Garrett Anderson | Occupational Therapist | 14019 Clubhouse Cir Apt 1902, Tampa, FL 33618-7513 | 2019-02-27 |
| 1699242297 | Atul Taiwade | Occupational Therapist | 15624 N Himes Ave, Tampa, FL 33618-1602 | 2018-11-01 |
| 1871068536 | Rajesh Lookose Malikayil | Occupational Therapist | 4310 W Spruce St Unit 124, Tampa, FL 33607-4195 | 2018-10-09 |
| Find all providers in TAMPA | ||||
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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.