MRS. MARIANNE BEVILACQUA-HARDING (NPI# 1053508713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053508713 |
| Entity Type | Individual |
| Full Name | MRS. MARIANNE BEVILACQUA-HARDING |
| Practice Address |
1774 Gentry Ln Statham GA 30666-2059 |
| Practice Telephone | 4848830919 |
| Mailing Telephone | 4848830919 |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2015-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OC006148L | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PROMISE PROVIDER ID# | 1020403110001 | 01 |
| Street Address |
1774 GENTRY LN |
| City | STATHAM |
| State | GA |
| Zip Code | 30666-2059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689857195 | Statham Family Practice PC | Family Medicine | 1906 Railroad St, Suite C, Statham, GA 30666 | 2007-12-07 |
| 1447442959 | Statham Medical Clinic | General Practice | 337 Jefferson St., Statham, GA 30666 | 2007-08-17 |
| 1487703245 | Felipe Reyes Musngi | Family Medicine | 337 Jefferson Street, Statham, GA 30666 | 2007-01-10 |
| 1962402461 | Steven Alan Durocher | Emergency Medicine | 1906 Railroad Street, Ste C, Statham Family Practice, PC, Statham, GA 30666 | 2005-07-26 |
| 1639530868 | Statham City Pharmacy LLC | Pharmacy | 333 Jefferson St, Statham, GA 30666 | 2016-03-16 |
| 1356792337 | Matthew Fitzpatrick | Pharmacist | 1860 High Green Dr, Statham, GA 30666-1673 | 2016-06-30 |
| 1164844296 | Statham City Pharmacy | Pharmacy | 333 Jefferson St, Statham, GA 30666-1710 | 2014-01-08 |
| 1770522674 | Barrow-statham Pharmacy | Pharmacist | 333 Jefferson St, Statham, GA 30666-1710 | 2006-06-06 |
| 1295393643 | Tina K Williams | Behavior Technician | 189 Village Pass, Statham, GA 30666-1713 | 2019-05-31 |
| 1841504511 | Melindas Guardian Angel Personal Care Home | Community Based Residential Treatment Facility, Mental Illness | 593 Eighth St, Statham, GA 30666-1830 | 2010-08-04 |
| Find all providers in zip 30666 | ||||
| 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 |
|---|---|---|---|---|
| 1841578531 | Stephanie Bray Phonesavanh | Occupational Therapist | 1081 Ashland Dr, Statham, GA 30666-3403 | 2011-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011849 | Edc Home Modifications LLC | Occupational Therapist | 2674 Flair Knoll Dr Ne, Atlanta, GA 30345-1318 | 2020-10-22 |
| 1952900912 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 113 Poplar Springs Rd, Ringgold, GA 30736-2808 | 2020-10-21 |
| 1023617305 | Evaline J Trevias | Occupational Therapist | 125 Appleby Dr, Athens, GA 30605-1748 | 2020-10-19 |
| 1447858105 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 5575 New Northside Dr Ste 100, Sandy Springs, GA 30339-5334 | 2020-10-15 |
| 1811595820 | Karen Hefter | Occupational Therapist | 105 Shirewood Park, Peachtree City, GA 30269-1160 | 2020-10-12 |
| 1700493350 | Kristina Rae Molina-croes | Occupational Therapist | 5822 Barkley Ln, Hahira, GA 31632-3025 | 2020-09-28 |
| 1497362107 | Robin T Underwood | Occupational Therapist | 2335 Briarleigh Way, Dunwoody, GA 30338-7005 | 2020-09-26 |
| 1861008880 | India Shae Hawk | Occupational Therapist | 616 Millstone Dr, Evans, GA 30809-5173 | 2020-09-16 |
| 1548874985 | Dana Tindell | Occupational Therapist | 7792 Coffee Rd, Boston, GA 31626-3945 | 2020-09-02 |
| 1982217964 | Vertex Therapy Services | Occupational Therapist | 264 19th St Nw Unit 2321, Atlanta, GA 30363-1150 | 2020-08-28 |
| 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.