MARK GILLIES CU (NPI# 1255942876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255942876 |
| Entity Type | Individual |
| Full Name | MARK GILLIES CU |
| Practice Address |
2131 Davidsonville Rd Crofton MD 21114-1632 |
| Mailing Address |
659 211th St Pasadena MD 21122-1435 |
| Practice Telephone | 4107211000 |
| Mailing Telephone | 3102830438 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | A02887 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2131 DAVIDSONVILLE RD |
| City | CROFTON |
| State | MD |
| Zip Code | 21114-1632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093782468 | Crofton Convalescent Center, Inc. | Skilled Nursing Facility | 2131 Davidsonville Rd, Crofton, MD 21114-1632 | 2006-03-03 |
| 1689209033 | Christina Morrison | Physical Medicine & Rehabilitation | 2131 Davidsonville Rd, Crofton, MD 21114-1632 | 2020-03-05 |
| 1558991935 | Ashleigh Conatser | Physical Therapy Assistant | 2131 Davidsonville Rd, Crofton, MD 21114-1632 | 2020-01-24 |
| 1265062954 | Advanced Dialysis Center, LLC | Clinic/Center | 2131 Davidsonville Rd, Crofton, MD 21114-1632 | 2020-01-22 |
| 1538704614 | Christina Cole | Physical Therapy Assistant | 2131 Davidsonville Rd, Crofton, MD 21114-1632 | 2019-11-12 |
| 1962043398 | Areej Yamin | Speech-Language Pathologist | 2131 Davidsonville Rd, Crofton, MD 21114-1632 | 2019-10-07 |
| 1730737073 | Kurt Michael Rinehart | Physical Therapist | 2131 Davidsonville Rd, Crofton, MD 21114-1632 | 2019-08-29 |
| 1043868649 | Robin Demaso | Occupational Therapy Assistant | 2131 Davidsonville Rd, Crofton, MD 21114-1632 | 2019-08-28 |
| 1831746718 | Michael Beeman | Physical Therapy Assistant | 2131 Davidsonville Rd, Crofton, MD 21114-1632 | 2019-08-24 |
| 1649827502 | Ma Elvira Nayal | Physical Therapist | 2131 Davidsonville Rd, Crofton, MD 21114-1632 | 2019-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942857156 | Betty J Wanjau | Occupational Therapy Assistant | 2131 Davidsoville Rd, Crofton, MD 21114 | 2019-08-22 |
| 1972067494 | Brightview Crofton, LLC | Alzheimer Center (Dementia Center) | 1301 Clarity Drive, Crofton, MD 21114 | 2019-01-29 |
| 1225522147 | Jodie Rich | Pharmacist | Shoppers, 1649 Crofton Center, Crofton, MD 21114 | 2018-06-15 |
| 1447769054 | Danielle Ellen Barton | Counselor | 1627 Ardsley Place, Crofton, MD 21114 | 2017-09-26 |
| 1093250474 | Holistic, Re-education, & Empowering Serices, LLC | Community/Behavioral Health | 2305 Fairhaven Lane, Crofton, MD 21114 | 2016-12-21 |
| 1326594201 | Evette Shields | Adult Companion | 1617 Parkridge Circle #152, Crofton, MD 21114 | 2016-08-30 |
| 1861866832 | Kathryn Bucher | Occupational Therapist | 2435 Bolton Lane, Crofton, MD 21114 | 2015-11-13 |
| 1730512062 | James Martin Schwartz | Dentist | 1286 Route 3 North, Crofton, MD 21114 | 2013-08-09 |
| 1184923088 | Jean Louise Dela Torre | Speech-Language Pathologist | 1672 Carlyle Dr. Apt. E, Crofton, MD 21114 | 2011-03-18 |
| 1295033488 | Nancy Fox Royster | Registered Nurse | 1004 Broderick Court, Crofton, MD 21114 | 2011-03-11 |
| Find all providers in zip 21114 | ||||
| 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 |
|---|---|---|---|---|
| 1942857156 | Betty J Wanjau | Occupational Therapy Assistant | 2131 Davidsoville Rd, Crofton, MD 21114 | 2019-08-22 |
| 1043604788 | Rachel Woodruff | Occupational Therapy Assistant | 1816 Judicial Way, Crofton, MD 21114-1629 | 2015-03-19 |
| 1043868649 | Robin Demaso | Occupational Therapy Assistant | 2131 Davidsonville Rd, Crofton, MD 21114-1632 | 2019-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558988618 | Joy C Ikechukwu | Occupational Therapy Assistant | 1801 Metzerott Rd # Md20783, Adelphi, MD 20783-5101 | 2020-07-06 |
| 1225655459 | Frank Moss | Occupational Therapy Assistant | 2703 Bellbrook St, Temple Hills, MD 20748-1103 | 2020-07-04 |
| 1245855865 | Lori Stokes | Occupational Therapy Assistant | 721 Pin Oak Rd, Severna Park, MD 21146-3643 | 2020-06-09 |
| 1093334450 | Sreyleak Sok | Occupational Therapy Assistant | 1400 Forest Glen Rd # 225, Silver Spring, MD 20910-1459 | 2020-04-15 |
| 1255965596 | Kimberly Ann Johnson | Occupational Therapy Assistant | 16512 Honeybunch Ln Se, Oldtown, MD 21555-1325 | 2020-02-25 |
| 1548800402 | Ez Therapy LLC | Occupational Therapy Assistant | 2219 York Rd Ste 106, Timonium, MD 21093-3139 | 2020-01-08 |
| 1992344667 | Sughra Hasan | Occupational Therapy Assistant | 7500 Greenway Center Dr Ste 111, Greenbelt, MD 20770-3502 | 2019-12-30 |
| 1982243978 | 360 Therapy Group LLC | Occupational Therapy Assistant | 2446 N Charles St, Baltimore, MD 21218-5113 | 2019-12-23 |
| 1982249413 | Winifred Tawah Forti | Occupational Therapy Assistant | 1404 Point O Woods Ct, Arnold, MD 21012-2375 | 2019-11-07 |
| 1447891668 | Sharman Patrice Patterson | Occupational Therapy Assistant | 11428 Red Jade Ct, Upper Marlboro, MD 20774-1583 | 2019-09-30 |
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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.