KYLE FAIRCHILD (NPI# 1003303694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003303694 |
| Entity Type | Individual |
| Full Name | KYLE FAIRCHILD |
| Credential | MS OTR/L |
| Practice Address |
451 E Bishop Federal Ln Salt Lake City UT 84115-2357 |
| Mailing Address |
877 W 3600 S Bountiful UT 84010-8423 |
| Practice Telephone | 8014877557 |
| Mailing Telephone | 2086701018 |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 9379311-4201 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538395488 | Kyle L Fairchild | Nurse Practitioner | 888 N Robert Ave, Arcadia, FL 34266-9580 | 2009-06-05 |
| Street Address |
451 E BISHOP FEDERAL LN |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84115-2357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558484808 | Cynthia Ann Newby | Nurse Practitioner | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2007-04-09 |
| 1619599503 | Successor Healthcare LLC | Assisted Living Facility | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2020-05-13 |
| 1750902037 | Caroline Ann Usher | Speech-Language Pathologist | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2020-04-28 |
| 1003461062 | Wasatch Primary Care Pllc | Nurse Practitioner | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2019-08-07 |
| 1366927568 | Kelsey Martindale | Physical Therapist | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2018-10-03 |
| 1285125500 | Haylee Shay Rollins | Occupational Therapy Assistant | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2018-05-22 |
| 1730670084 | Tyler James Mears | Occupational Therapist | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2018-05-22 |
| 1124516711 | Dimpleben Nikum Patel | Physical Therapist | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2018-04-29 |
| 1396232732 | Heather Patricia Robertson | Physical Therapy Assistant | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2018-04-20 |
| 1952898793 | Colter Duffy | Physical Therapy Assistant | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2018-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344198 | Shannon Ballinger | Clinic/Center | 1470 400 W, Salt Lake City, UT 84115 | 2020-10-22 |
| 1992346704 | Anicka Inc | Clinic/Center | 3195 South Main St, Ste 260, South Salt Lake, UT 84115 | 2019-10-02 |
| 1083177505 | Vitor Gabriel Giuliani Alcantara Carioca | Specialist/Technologist | 1850 South Campus Drive, Salt Lake City, UT 84115 | 2019-04-11 |
| 1427528371 | Samuel James Leonhart | Behavior Technician | 354 East Coatsville Drive, Salt Lake City, UT 84115 | 2018-12-04 |
| 1093228645 | Eco Pharmacy LLC | Pharmacy | 3702 S State Street Suite 115, South Salt Lake City, UT 84115 | 2017-11-06 |
| 1568973055 | Eco Apothecary LLC | Pharmacy | 3701 S State Street Suite 114, South Salt Lake City, UT 84115 | 2017-10-24 |
| 1548780455 | Kelly Lund | Case Manager/Care Coordinator | 447 W. Bearcat Dr., Salt Lake City, UT 84115 | 2017-06-21 |
| 1104271238 | The Church of Philadelphia Inc. | Community/Behavioral Health | 2358 South Main Street, Salt Lake City, UT 84115 | 2016-04-26 |
| 1710368626 | Jennifer Swanhild Edwards | Counselor | 140 W 2100 S Ste 244, Salt Lake City, UT 84115 | 2015-06-16 |
| 1508247065 | John Mcguire | Health Educator | 1370 S. West Temple, Salt Lake City, UT 84115 | 2015-06-10 |
| Find all providers in zip 84115 | ||||
| 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 |
|---|---|---|---|---|
| 1518593755 | Kristen V. Dyches | Occupational Therapist | 697 N East Capitol St, Salt Lake City, UT 84103-2188 | 2020-03-19 |
| 1902445083 | Your Home Therapy LLC | Occupational Therapist | 4209 S Monarch Way, Salt Lake City, UT 84124-3125 | 2020-01-06 |
| 1194364067 | Sarah Caitlin Smith | Occupational Therapist | 360 S 400 W Apt 434, Salt Lake City, UT 84101-1975 | 2019-12-24 |
| 1356988505 | Sheila Willson | Occupational Therapist | 565 E 4500 S, Salt Lake City, UT 84107-2967 | 2019-12-06 |
| 1104470103 | Anna Katherine Lundgren | Occupational Therapist | 2016 S 2500 E, Salt Lake City, UT 84108-3246 | 2019-07-29 |
| 1841704061 | Robyn Carver | Occupational Therapist | 421 Wakara Wat, Salt Lake City, UT 84108 | 2017-11-27 |
| 1760901813 | Lily Veronica Durose | Occupational Therapist | 50 N Medical Dr Rm 4622c, Salt Lake City, UT 84132-0001 | 2017-09-10 |
| 1831544600 | Drew Goerke | Occupational Therapist | 50 N Medical Drive, Som Room #1r73, Salt Lake City, UT 84132 | 2016-04-29 |
| 1780052654 | Brittany Jesewitz | Occupational Therapist | 413 N Center St, Salt Lake City, UT 84103-1718 | 2015-09-09 |
| 1578987574 | Amy Irvin | Occupational Therapist | 802 E 3rd Ave, Salt Lake City, UT 84103-3825 | 2014-02-11 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84115 |
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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.