KELECHI MICHELLE EGBUZIEM (NPI# 1093278921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093278921 |
| Entity Type | Individual |
| Full Name | KELECHI MICHELLE EGBUZIEM |
| Credential | COTA |
| Practice Address |
5555 N Fresno St Fresno CA 93710-6006 |
| Mailing Address |
6477 N Mariposa St Fresno CA 93710-3817 |
| Practice Telephone | 5594308211 |
| Mailing Telephone | 5592599305 |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2020-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6477 N Mariposa St, Fresno, CA 937103817 | 5592599305 |
| Street Address |
5555 N FRESNO ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93710-6006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346321858 | Humangood Fresno | Skilled Nursing Facility | 5555 N Fresno St, Fresno, CA 93710 | 2006-10-18 |
| 1104452267 | Theddy Trece Geronimo Grumo | Physical Therapy Assistant | 5555 N Fresno St, Fresno, CA 93710-6006 | 2020-03-19 |
| 1790322949 | Jarell Anthony Davis | Physical Therapist | 5555 N Fresno St, Fresno, CA 93710-6006 | 2019-12-06 |
| 1457997678 | Rosalee Barroga | Occupational Therapist | 5555 N Fresno St, Fresno, CA 93710-6006 | 2019-11-22 |
| 1316581275 | Sara Michelle Barrett | Physical Therapy Assistant | 5555 N Fresno St, Fresno, CA 93710-6006 | 2019-11-04 |
| 1710533377 | Jenny Cooc | Occupational Therapist | 5555 N Fresno St, Fresno, CA 93710-6006 | 2019-08-09 |
| 1922665140 | Apolinar Fonseca | Physical Therapy Assistant | 5555 N Fresno St, Fresno, CA 93710-6006 | 2019-05-22 |
| 1982268884 | Mandy Michelle Clawson | Speech-Language Pathologist | 5555 N Fresno St, Fresno, CA 93710-6006 | 2019-04-25 |
| 1366913477 | Brooke Barnhart | Physical Therapy Assistant | 5555 N Fresno St, Fresno, CA 93710-6006 | 2018-12-16 |
| 1821596222 | Kristina Faith Esclares Socias | Physical Therapy Assistant | 5555 N Fresno St, Fresno, CA 93710-6006 | 2018-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240384 | Patsy Joan Perry | Counselor | Quality Family Services - Sample House, 643 E. Sample Avenue, Fresno, CA 93710 | 2020-06-23 |
| 1831739853 | Blanca Stephanie Millan | Counselor | 1300 E Shaw Ave Suite 172, Fresno, CA 93710 | 2020-01-07 |
| 1679115737 | Abel Luis Flores | Physical Therapy Assistant | 5556 N Fresno St, 5555 N Fresno St, Fresno, CA 93710 | 2019-10-10 |
| 1316408933 | Simranjit Kaur Mann | Behavioral Analyst | 5180 North Primitivo Way Appt #363, Fresno, CA 93710 | 2019-03-27 |
| 1093274169 | Aleajndra Bedolla Alcantar | Behavior Technician | 1320 East Shaw Ave, #110, Fresno, CA 93710 | 2019-03-18 |
| 1790244960 | Alondra Martinez | Behavior Technician | 1320 East Shaw Ave #110, Fresno, CA 93710 | 2019-03-18 |
| 1235698622 | Irma Joselyn Castro | Behavior Technician | 1320 East Shaw Ave # 110, Fresno, CA 93710 | 2019-03-15 |
| 1619433711 | Beacon Dental Group | Dentist | 6099 N. First Ste Ste 102, Fresno, CA 93710 | 2019-02-13 |
| 1265909394 | Pathana Phonesy | Behavior Technician | 5363 N. Fresno St., Suite 105, Fresno, CA 93710 | 2018-10-26 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| Find all providers in zip 93710 | ||||
| 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 |
|---|---|---|---|---|
| 1861975823 | Ilissa Geneen Zimmerman | Occupational Therapy Assistant | 595 E El Paso Ave Apt 201, Fresno, CA 93720-2808 | 2018-09-14 |
| 1912403874 | Kimberly Saba Wells | Occupational Therapy Assistant | 1019 N Peach Ave Apt 203, Fresno, CA 93727-2471 | 2018-03-31 |
| 1720590722 | Carolyn Joyce Lott | Occupational Therapy Assistant | 3902 Aerial Brook Trl, Fresno, TX 77545-8756 | 2017-10-30 |
| 1235673542 | Xia Vang | Occupational Therapy Assistant | 3349 N Forestiere Ave, Fresno, CA 93722-7116 | 2016-12-06 |
| 1497118533 | Varsenig Keshishyan | Occupational Therapy Assistant | 4031 N Palm Ave, Fresno, CA 93704-4114 | 2016-04-05 |
| 1689066912 | Christian Oosterbaan | Occupational Therapy Assistant | 4317 N 2nd St, Fresno, CA 93726-3420 | 2015-02-24 |
| 1306130778 | Joshua Carroll | Occupational Therapy Assistant | 455 E Nees Ave Apt 265, Fresno, CA 93720-0949 | 2011-06-02 |
| 1407174964 | David Dovalina | Occupational Therapy Assistant | 714 Evergreen St, Fresno, TX 77545-7668 | 2010-05-08 |
| 1760619886 | Sharon Suzanne O'brien | Occupational Therapy Assistant | 230 S Clovis Ave Apt 139, Fresno, CA 93727-4215 | 2009-06-16 |
| 1548785835 | Mang Moua | Occupational Therapy Assistant | 7005 N Maple Ave Ste 104, Fresno, CA 93720-8009 | 2017-08-07 |
| Find all providers in FRESNO | ||||
Please comment or provide details below to improve the information on KELECHI MICHELLE EGBUZIEM.
| 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.