KHALLILAH GONSALVES (NPI# 1003160672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003160672 |
| Entity Type | Individual |
| Full Name | KHALLILAH GONSALVES |
| Credential | COTA |
| Practice Address |
6641 W Wedgewood Ave Davie FL 33331-2915 |
| Practice Telephone | 9546187333 |
| Mailing Telephone | 9546187333 |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 11778 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6641 W WEDGEWOOD AVE |
| City | DAVIE |
| State | FL |
| Zip Code | 33331-2915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427679836 | Health Diagnostics of Fort Lauderdale, LLC | Radiology | 16604 Sheridan Street, Pembroke Pines, FL 33331 | 2020-04-27 |
| 1689212854 | Rumman Ahmed Khalid | Student in an Organized Health Care Education/Training Program | 16129 Opal Creek Drive, Weston, FL 33331 | 2019-12-18 |
| 1275015505 | B & B Monitoring LLC | Emergency Response System Companies | 4474 Weston Road, Suite 3, Ft Lauderdale, FL 33331 | 2018-09-04 |
| 1609367747 | Gerardo Minsal, Md Pa | Internal Medicine | 16720 Sapphire Springs, Weston, FL 33331 | 2018-05-24 |
| 1447747258 | Mario Ricardo Pimentel | Student in an Organized Health Care Education/Training Program | 2950 Cleveland Clinic Boulevard, Weston, FL 33331 | 2018-04-17 |
| 1619471547 | Farida Makubelly Law | Nurse Practitioner | 3100 Cleveland Clinic, Weston, FL 33331 | 2018-03-23 |
| 1942709902 | John Kross Pharmacy #2, Inc | Pharmacy | 16618 Sheridan St, Fort Lauderdale, FL 33331 | 2018-02-06 |
| 1922512342 | Luisa Fernanda Quevedo | Occupational Therapy Assistant | 4350 Mahogany Ridge Dr, Weston, FL 33331 | 2017-11-21 |
| 1144752551 | Therese Youssef Andraos | Student in an Organized Health Care Education/Training Program | 2950 Cleveland Clinic Blvd., Weston, FL 33331 | 2017-04-03 |
| 1255720843 | Horse and Petting Pal Interaction, Inc. | Counselor | 17800 Sw 52 Ct, Southwest Ranches, FL 33331 | 2015-01-20 |
| Find all providers in zip 33331 | ||||
| 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 |
|---|---|---|---|---|
| 1972118453 | Therapeutic Learning,llc | Occupational Therapy Assistant | 2674 Oak Park Cir, Davie, FL 33328-6722 | 2020-09-11 |
| 1962042341 | Karina Moreno Munoz | Occupational Therapy Assistant | 7336 Sw 25th Ct, Davie, FL 33317-7009 | 2020-01-13 |
| 1780158550 | Margarita Cunha | Occupational Therapy Assistant | 3841 W State Road 84 Unit 109, Davie, FL 33312-8817 | 2019-01-15 |
| 1639689532 | Tariq Azeez | Occupational Therapy Assistant | 4301 S Flamingo Road #101, Davie, FL 33330 | 2017-10-05 |
| 1639571946 | Marlo Jolley | Occupational Therapy Assistant | 9430 Live Oak Place, #405, Davie, FL 33326-6706 | 2014-09-17 |
| 1053720839 | Merri Moses | Occupational Therapy Assistant | 6341 Huron Ter, Davie, FL 33331-2132 | 2014-08-06 |
| 1699104497 | John Albert Paz | Occupational Therapy Assistant | 5380 Sw 61st Ave, Davie, FL 33314-5307 | 2013-11-02 |
| 1851616668 | Christopher Lee Smith | Occupational Therapy Assistant | 13261 Sw 44th St, Davie, FL 33330-4712 | 2010-04-05 |
| 1447265822 | Bi-county Speech Language Pathology, Inc. | Occupational Therapy Assistant | 4301 S Flamingo Rd, 101, Davie, FL 33330-1902 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407760 | Thalia Mercedes Romero | Occupational Therapy Assistant | 2040 Sr-a1a, Unit 203, Indian Harbour Beach, FL 32937 | 2020-11-06 |
| 1720689557 | Chelsie Briana Caudill | Occupational Therapy Assistant | 150 Woodland Dr, Santa Rosa Beach, FL 32459-4412 | 2020-11-06 |
| 1720688252 | Elizabeth Lawler | Occupational Therapy Assistant | 11804 Old Course Rd, Cantonment, FL 32533-4881 | 2020-10-26 |
| 1104425677 | Aiza Dela Cruz Clyde | Occupational Therapy Assistant | 121 Sw 96th Ter Apt 205, Plantation, FL 33324-2325 | 2020-10-25 |
| 1720687296 | Reginal Louissaint | Occupational Therapy Assistant | 20720 Nw 7th Ave Apt 304, Miami Gardens, FL 33169-7015 | 2020-10-25 |
| 1164020095 | Lisa M Harrison | Occupational Therapy Assistant | 83 Pepperdine Dr, Palm Coast, FL 32164-7498 | 2020-10-13 |
| 1902404130 | Joseph Spyros | Occupational Therapy Assistant | 9808 Quadrangle Ct, Ruskin, FL 33573-1204 | 2020-10-09 |
| 1811594534 | Eliette Junco | Occupational Therapy Assistant | 335 Nw 58th Ave, Miami, FL 33126-4723 | 2020-10-06 |
| 1205433133 | Valentina Della Volpe | Occupational Therapy Assistant | 6221 Willow Beck Ln Apt 104, Bradenton, FL 34202-5248 | 2020-10-05 |
| 1053918052 | Yuliet Armas | Occupational Therapy Assistant | 941 E 37th St, Hialeah, FL 33013-2824 | 2020-10-03 |
| Find all providers with the same taxonomy | ||||
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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.