JAE-WOO IM (NPI# 1235469776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235469776 |
| Entity Type | Individual |
| Full Name | JAE-WOO IM |
| Credential | OT |
| Practice Address |
8925 Tawes St Fulton MD 20759-2582 |
| Practice Telephone | 2409970326 |
| Practice Fax Number | 4109284907 |
| Mailing Telephone | 2409970326 |
| Mailing Fax Number | 4109284907 |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2014-02-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 05416 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
8925 TAWES ST |
| City | FULTON |
| State | MD |
| Zip Code | 20759-2582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912528274 | Drayer Physical Therapy of Maryland LLC | Clinic/Center | 11710 E Market Place, Suite F, Fulton, MD 20759 | 2020-04-28 |
| 1174081913 | Darrius Humphrey | Counselor | 7625 Wood Lawn Boulevard, Medical Arts Building, Suite Ll50, Laurel, MD 20759 | 2019-03-12 |
| 1578986105 | Total Investment & Marketing, Inc | Assisted Living Facility | 12026 Scaggsville Road, Fulton, MD 20759 | 2014-02-03 |
| 1235489030 | First Sight Vision Care LLC | Clinic/Center | 8160 Maple Lawn Blvd, Suite 140, Fulton, MD 20759 | 2012-09-19 |
| 1669730941 | Urenna Acholonu | Obstetrics & Gynecology | 7625 Maple Lawn Blvd Lowr Lobby, Fulton, MD 20759 | 2012-04-24 |
| 1528228418 | Jill Stern May | Physical Therapist | 11830 W Market Pl Ste D, Fulton, MD 20759 | 2008-06-13 |
| 1750580346 | Standard Medical Home Healthcare, LLC | Home Health | 8115 Maple Lawn Blvd Ste 350, Fulton, MD 20759 | 2007-07-13 |
| 1144388729 | Loretta Sutphin Stenzel | Family Medicine | 8115 Maple Lawn Blvd Ste 140, Fulton, MD 20759 | 2006-12-05 |
| 1659488294 | Tara Guretzky | Ophthalmology | 7625 Maple Lawn Blvd Ste 200, Fulton, MD 20759 | 2006-08-23 |
| 1417327487 | Judith Greengold | Nurse Practitioner | 8115 Maple Lawn Blvd Ste 140, Fulton, MD 20759 | 2015-10-02 |
| Find all providers in zip 20759 | ||||
| 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 |
|---|---|---|---|---|
| 1174153423 | Margaret Piaseczny | Occupational Therapist | 169 Russell Rd, Fulton, NY 13069-4701 | 2020-01-24 |
| 1689144016 | Sharon Renee Kaye | Occupational Therapist | 11600 Scaggsville Rd, Fulton, MD 20759-2208 | 2018-11-28 |
| 1861828105 | Justin Ryan Campbell | Occupational Therapist | 508 Saint Eunice Road, Fulton, MO 65251 | 2013-09-18 |
| 1659427409 | Rita Barbara Cooper | Occupational Therapist | 605 S Ravine St, Fulton, MO 65251-1453 | 2007-01-26 |
| 1942701370 | Angela Saling | Occupational Therapist | 1004 Holiday Ln, Fulton, KY 42041-8458 | 2018-02-21 |
| 1235671546 | Mary Burditt | Occupational Therapist | 1004 Holiday Ln, Fulton, KY 42041-8458 | 2016-11-17 |
| 1477997112 | Stephen Collin Davis | Occupational Therapist | 5 Tower Dr, Fulton, NY 13069-2005 | 2013-04-24 |
| 1730361718 | Joan Maria Soltis | Occupational Therapist | 1510 N Bluff St, Fulton, MO 65251-2352 | 2007-11-30 |
| 1396877452 | Laura Orr | Occupational Therapist | 204 Wheeler Dr, Fulton, MS 38843-8900 | 2007-03-12 |
| 1457483828 | Julie Nicole Benjamin | Occupational Therapist | 204 Wheeler Dr, Fulton, MS 38843-8900 | 2007-03-12 |
| Find all providers in FULTON | ||||
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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.