DR. RICHARD LANCE WHALLEY (NPI# 1215556428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215556428 |
| Entity Type | Individual |
| Full Name | DR. RICHARD LANCE WHALLEY |
| Credential | OTD, OTR/L |
| Practice Address |
622 Hawkins Ave Ronkonkoma NY 11779-2374 |
| Mailing Address |
335 Central Islip Blvd Ronkonkoma NY 11779-3908 |
| Practice Telephone | 6312403579 |
| Mailing Telephone | 6319816905 |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 024666 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
622 HAWKINS AVE |
| City | RONKONKOMA |
| State | NY |
| Zip Code | 11779-2374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753557 | Courtney Rose Flynn | Speech-Language Pathologist | 622 Hawkins Ave, Ronkonkoma, NY 11779-2374 | 2020-09-04 |
| 1912516345 | Jennifer Gubell | Speech-Language Pathologist | 622 Hawkins Ave, Ronkonkoma, NY 11779-2374 | 2020-07-31 |
| 1831714310 | Hayley Deanna Mann | Speech-Language Pathologist | 622 Hawkins Ave, Ronkonkoma, NY 11779-2374 | 2020-06-10 |
| 1013531664 | Stefani M Cassidy | Speech-Language Pathologist | 622 Hawkins Ave, Ronkonkoma, NY 11779-2374 | 2020-05-29 |
| 1538781018 | Jessica Marie Rakic | Speech-Language Pathologist | 622 Hawkins Ave, Ronkonkoma, NY 11779-2374 | 2020-05-07 |
| 1396365748 | Stephanie Marie Longarello | Speech-Language Pathologist | 622 Hawkins Ave, Ronkonkoma, NY 11779-2374 | 2020-04-24 |
| 1831719285 | Taylor Crima | Speech-Language Pathologist | 622 Hawkins Ave, Ronkonkoma, NY 11779-2374 | 2020-04-24 |
| 1861027062 | Cassandra Leigh Themann | Speech-Language Pathologist | 622 Hawkins Ave, Ronkonkoma, NY 11779-2374 | 2020-03-08 |
| 1598304479 | Amanda Jenna Raffa | Speech-Language Pathologist | 622 Hawkins Ave, Ronkonkoma, NY 11779-2374 | 2019-12-25 |
| 1811535156 | Danielle Rich | Speech-Language Pathologist | 622 Hawkins Ave, Ronkonkoma, NY 11779-2374 | 2019-12-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750929139 | Sebastian Godinez | Student in an Organized Health Care Education/Training Program | 11 First Street, Ronkonkoma, NY 11779 | 2019-12-16 |
| 1487149860 | John Deming | Student in an Organized Health Care Education/Training Program | 142 - 02 20th Avenue, Flushing, NY 11779 | 2018-06-27 |
| 1376060392 | Janine D'annunzio | Specialist | 316 Thirft Street, Ronkonkoma, NY 11779 | 2017-08-30 |
| 1932621935 | Vincent Joseph Lopreto | Counselor | 253 Lake Shore Road, Ronkonkoma, NY 11779 | 2017-07-11 |
| 1598295271 | Dalas Taddeo | Licensed Practical Nurse | 4490 Express Drive S, Ronkonkoma, NY 11779 | 2017-06-15 |
| 1790214112 | Pamela Ferrante | Social Worker | 131 Avenue D, Ronkonkoma, NY 11779 | 2017-06-08 |
| 1255868915 | Bari Home Care LLC | Health Maintenance Organization | 4417 Express Drive North, Ronkonkoma, NY 11779 | 2017-05-12 |
| 1013441328 | Caring Hands Home Care | Nursing Facility/Intermediate Care Facility | 65 Cheryl Drive, Ronkonkoma, NY 11779 | 2017-04-13 |
| 1831552025 | Jacqueline Galdamez | Social Worker | 979 Johnson Avenue, Ronkonkoma, NY 11779 | 2016-04-04 |
| 1891192530 | Alex Mitchell Pollack | Massage Therapist | 34 Richmond Blvd, #3a, Ronkonkoma, NY 11779 | 2014-11-24 |
| Find all providers in zip 11779 | ||||
| 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 |
|---|---|---|---|---|
| 1972958221 | Jaweria Shafiq | Occupational Therapist | 76 Locust Blvd, Ronkonkoma, NY 11779-3162 | 2016-04-24 |
| 1811358989 | Alexis Trupia | Occupational Therapist | 58 Haven Ave, Ronkonkoma, NY 11779-5922 | 2016-03-16 |
| 1326441007 | Jaclyn Baltera | Occupational Therapist | 1426 Mill Rd, Ronkonkoma, NY 11779 | 2014-10-08 |
| 1902165400 | Samantha Marie Tartaglia | Occupational Therapist | 192 Magua St, Ronkonkoma, NY 11779-3522 | 2012-05-03 |
| 1487962791 | Penny Lynn Gibson | Occupational Therapist | 2528 Motor Pkwy, Ronkonkoma, NY 11779-4943 | 2010-09-21 |
| 1043412224 | Rosalie Callahan | Occupational Therapist | 262 Breeze Ave, Ronkonkoma, NY 11779-4702 | 2007-06-01 |
| 1447451927 | Amanda Maria Rogers | Occupational Therapist | 276 Shelter Rd, Ronkonkoma, NY 11779-4847 | 2007-05-30 |
| 1205044096 | Lori Beth Koerner | Occupational Therapist | 233 Wildwood Rd, Ronkonkoma, NY 11779-4848 | 2007-05-18 |
| 1255858817 | Melissa Sanmiguel | Occupational Therapist | 700 Union Pkwy Ste 3, Ronkonkoma, NY 11779-7427 | 2017-08-24 |
| 1205356177 | Daniel J Crowe | Occupational Therapist | 700 Union Pkwy Ste 3, Ronkonkoma, NY 11779-7427 | 2017-06-22 |
| Find all providers in RONKONKOMA | ||||
| City | RONKONKOMA |
| Zip Code | 11779 |
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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.