STACEY MARTINELLI (NPI# 1124440383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124440383 |
| Entity Type | Individual |
| Full Name | STACEY MARTINELLI |
| Practice Address |
4772 Katella Ave Suite 100 Los Alamitos CA 90720-2600 |
| Mailing Address |
17700 W Capitol Dr Brookfield WI 53045-2006 |
| Practice Telephone | 5624308700 |
| Practice Fax Number | 5624308760 |
| Mailing Telephone | 2627813083 |
| Mailing Fax Number | 2627813080 |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2019-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 1782 | NE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225X00000X | Occupational Therapist | 6611 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | PENDING | 05 |
| Street Address |
4772 KATELLA AVE SUITE 100 |
| City | LOS ALAMITOS |
| State | CA |
| Zip Code | 90720-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932130333 | Kevin Chan Chiropractic Corporation | Chiropractor | 4772 Katella Ave, Suite 102, Los Alamitos, CA 90720-2600 | 2006-07-05 |
| 1710397930 | Katherine Dodds | Physician Assistant | 4772 Katella Ave, St 200, Los Alamitos, CA 90720-2600 | 2014-04-28 |
| 1710285002 | Carrie Huang | Acupuncturist | 4772 Katella Ave, #102, Los Alamitos, CA 90720-2600 | 2011-03-10 |
| 1528375151 | Mary Recker | Occupational Therapist | 4772 Katella Ave, Suite 100, Los Alamitos, CA 90720-2600 | 2010-09-02 |
| 1932349164 | Candia Gay Seibly | Specialist | 4772 Katella Ave, Suite 100, Los Alamitos, CA 90720-2600 | 2009-02-27 |
| 1952564965 | Comprehensive Gi Care, A Professional Medical Group, Inc. | Internal Medicine | 4772 Katella Ave, #200, Los Alamitos, CA 90720-2683 | 2008-07-09 |
| 1477734572 | Mindful Chiropractic & Wellness | Chiropractor | 4772 Katella Ave, Ste. # 102, Los Alamitos, CA 90720-2681 | 2007-11-16 |
| 1639237720 | Lisa Hertz | Internal Medicine | 4772 Katella Ave, #200, Los Alamitos, CA 90720-2600 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871152132 | Connie Lee Wax | Social Worker | 5182 Katella, Suite 206, Los Alamitos, CA 90720 | 2019-06-11 |
| 1750891446 | Angela Lynn Hudson | Nurse Practitioner | 4281 Katella Ave Ste 215, Los Alamitos, CA 90720 | 2017-10-06 |
| 1922524149 | Tigom LLC | Pharmacy | 4434 Cerritos Ave, Los Alamitos, CA 90720 | 2017-08-18 |
| 1821531401 | Added Access Cardiology Inc | Internal Medicine | 3801 Katella Ave Suite 401, Los Alamitos, CA 90720 | 2016-11-30 |
| 1619348091 | Debbie Chen | Marriage & Family Therapist | 5182 Katella Ave Ste 202, Los Alamitos, CA 90720 | 2015-10-12 |
| 1801292974 | Michelle R. Ancharoff | Psychologist | 4281 Katella Ave #122, Los Alamitos, CA 90720 | 2014-11-17 |
| 1497179253 | Jeffrey J Mccullough | Dentist | 4281 Katella Ave Ste 112, Los Alamitos, CA 90720 | 2014-02-13 |
| 1043634124 | Alamitos Oral Surgery | Dentist | 4582 Katella Avenue, Los Alamitos, CA 90720 | 2014-02-11 |
| 1972939718 | Twin Town Corporation | Clinic/Center | 4376 Katella Ave., Los Alamitos, CA 90720 | 2013-09-25 |
| 1952644197 | Lindsay Enebak Mossinger | Internal Medicine | 3851 Katella Ave Ste 220, Los Alamitos, CA 90720 | 2013-04-05 |
| Find all providers in zip 90720 | ||||
| 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 |
|---|---|---|---|---|
| 1639660236 | Tricia Ngoc-diem Dinh | Occupational Therapist | 9891 Farnham Ave, Los Alamitos, CA 90720-2268 | 2018-05-20 |
| 1699135822 | Hilda Kim | Occupational Therapist | 11182 Noel St, Los Alamitos, CA 90720-3749 | 2016-03-01 |
| 1164764114 | Caroline Cook Persek | Occupational Therapist | 12651 Christy Ln, Los Alamitos, CA 90720-4939 | 2013-03-17 |
| 1003024035 | Michael Matthew Ramirez | Occupational Therapist | 11391 Davenport Rd, Los Alamitos, CA 90720-3016 | 2007-05-21 |
| 1245361591 | Shattuck Rehabilitation Services | Occupational Therapist | 4772 Katella Ave Ste 100, Los Alamitos, CA 90720-2681 | 2007-03-08 |
| 1891076493 | Leslie Sugita | Occupational Therapist | 3902 Katella Ave, Los Alamitos, CA 90720-3304 | 2011-09-09 |
| 1528375151 | Mary Recker | Occupational Therapist | 4772 Katella Ave, Suite 100, Los Alamitos, CA 90720-2600 | 2010-09-02 |
| 1306978143 | Christina Marie Schmidt | Occupational Therapist | 4772 Katella Ave Ste 100, Los Alamitos, CA 90720-2681 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811854 | Yen Wen Pan | Occupational Therapist | 43051 15th St W, Lancaster, CA 93534-6906 | 2020-11-06 |
| 1134720287 | Trevor Collin Stokes | Occupational Therapist | 30582 Red Fox Ct, Murrieta, CA 92563-7965 | 2020-11-05 |
| 1831799485 | Cherlene Hung | Occupational Therapist | 2501 E Chapman Ave Ste 160, Fullerton, CA 92831-3135 | 2020-10-31 |
| 1831798412 | Samantha Arianna Loris Marrah | Occupational Therapist | 21 Lower Ragsdale Dr, Monterey, CA 93940-5827 | 2020-10-23 |
| 1922607753 | Araya Moua | Occupational Therapist | 5038 Lakeview Cir, Fairfield, CA 94534-7400 | 2020-10-22 |
| 1154920015 | Carlos Miguel Carrasquel | Occupational Therapist | 660 Santa Fe Dr, Encinitas, CA 92024-4643 | 2020-10-21 |
| 1093314965 | Sunitha Warrier | Occupational Therapist | 1253 W Sonya Ln Unit 202, Santa Maria, CA 93458-6587 | 2020-10-21 |
| 1467051755 | Sophia Yu | Occupational Therapist | 1 Hollywood Ct, San Francisco, CA 94112-3710 | 2020-10-19 |
| 1093314205 | Adria Cromosini | Occupational Therapist | 5228 Bellflower Blvd, Lakewood, CA 90713-1815 | 2020-10-19 |
| 1972102242 | Alexis Nalbach | Occupational Therapist | 13900 Panay Way Apt R218, Marina Del Rey, CA 90292-6145 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | LOS ALAMITOS |
| Zip Code | 90720 |
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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.