KEVIN MCCANN (NPI# 1033733233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033733233 |
| Entity Type | Individual |
| Full Name | KEVIN MCCANN |
| Credential | CTRS, RTC, CCCI |
| Practice Address |
201 9th St # 11-k Marina CA 93933-6039 |
| Practice Telephone | 8318841000 |
| Mailing Telephone | 8318841000 |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225800000X | Recreation Therapist | 4093-T | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225800000X | Recreation Therapist | 53896 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346201191 | Kevin Scott Mccann | Family Medicine | 4600 Route 152, Lavalette, WV 25535-9702 | 2006-03-31 |
| 1669812723 | Kevin James Mccann | Physical Therapist | 201 E 2nd St, Defiance, OH 43512-2290 | 2013-07-02 |
| 1497065239 | Kevin W Mccann | Behavioral Analyst | 200 S Progress Ave, Harrisburg, PA 17109-4638 | 2010-10-14 |
| 1942525670 | Kevin M Mccann | Podiatrist | 1901 Connecticut Ave S, Sartell, MN 56377-2554 | 2010-04-06 |
| 1275571564 | Kevin M. Mccann | Radiology | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2006-06-02 |
| Street Address |
201 9TH ST # 11-K |
| City | MARINA |
| State | CA |
| Zip Code | 93933-6039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803012 | Caterina Poehner | Social Worker | 617 Bayonet Cirle, Marina, CA 93933 | 2020-08-28 |
| 1972036499 | Stephanie Blalock | Counselor | 617 Bayonet Circle, Marina, CA 93933 | 2017-04-11 |
| 1588110340 | Monique Theaker | Counselor | 299b Twelfth Street, Marina, CA 93933 | 2016-08-31 |
| 1053709220 | Mehry Khazan | Marriage & Family Therapist | 299 Twelfth Street, Marina, CA 93933 | 2014-12-22 |
| 1306241476 | Tiffany Avery | Counselor | 299 12th St Ste B, Marina, CA 93933 | 2014-10-30 |
| 1881037141 | Marilyn Anderson | Counselor | 3043 Macarthur Dr, Marina, CA 93933 | 2013-04-16 |
| 1669744280 | Leslie Penley | Dentist | 3154 Deforest Rd. Suitea, Marina, CA 93933 | 2012-01-27 |
| 1215221510 | Janet Hernandez Barajas | Social Worker | 299a 12th Street, Marina, CA 93933 | 2011-06-03 |
| 1538302740 | Sonia Cortes | Counselor | 613 Bayonet Cir., Marina, CA 93933 | 2009-04-17 |
| 1144476003 | Carolina Cortez | Counselor | 2982 Bayonet Ct, Marina, CA 93933 | 2008-08-12 |
| Find all providers in zip 93933 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024950 | Jacqueline K Volz | Recreation Therapist | 21732 S Vermont Ave, Torrance, CA 90502-2179 | 2020-05-12 |
| 1578190104 | Carolyn Neufeld | Recreation Therapist | 2915 Buthmann Ave, Tracy, CA 95376-1806 | 2020-03-24 |
| 1922634625 | Deborah Paulus | Recreation Therapist | 4777 Grouse Run Dr Apt 218, Stockton, CA 95207-5384 | 2020-03-14 |
| 1518433259 | Jenality Thurman | Recreation Therapist | 1766 Kenneth St, Seaside, CA 93955-3842 | 2018-10-20 |
| 1962986042 | Long Pham | Recreation Therapist | 7175 Enclave Dr, Eastvale, CA 92880-3828 | 2018-09-24 |
| 1699293910 | Amy Caryn Bolenbaugh | Recreation Therapist | 1720 E 120th Street, Los Angeles, CA 90059 | 2017-09-07 |
| 1417475757 | Scott Lee Jones | Recreation Therapist | Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 | 2017-09-07 |
| 1669995742 | Christina Randle | Recreation Therapist | 2221 Lily Ave, Upland, CA 91784-7997 | 2017-07-20 |
| 1982127288 | Tiffany Chiyeko Yonemoto | Recreation Therapist | 7601 E. Imperial Hwy., Downey, CA 90242 | 2017-07-19 |
| 1265955504 | Julie Helgren | Recreation Therapist | 7601 E. Imperial Highway, Jpi Building Rm 1124, Downey, CA 90242 | 2017-07-19 |
| 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.