ANTONIA ELENI GRAJEDA (NPI# 1326525593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326525593 |
| Entity Type | Individual |
| Full Name | ANTONIA ELENI GRAJEDA |
| Other Name | ANTONIA ELENI STAVRIANOUDAKIS |
| Credential | OTR/L |
| Practice Address |
534 E Pine St Ste A Stockton CA 95204-5536 |
| Practice Telephone | 2094635800 |
| Practice Fax Number | 2094635900 |
| Mailing Telephone | 2094635800 |
| Mailing Fax Number | 2094635900 |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 840 S Fairmont Ave Ste 5, Lodi, CA 952405105 | 2093391690 | 2093391693 |
| Street Address |
534 E PINE ST STE A |
| City | STOCKTON |
| State | CA |
| Zip Code | 95204-5536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386973915 | Gerald Solberg | Physical Therapist | 534 E Pine St Ste A, Stockton, CA 95204-5536 | 2009-12-10 |
| 1083256838 | Zackary Walter Schallberger | Physical Therapist | 534 E Pine St Ste A, Stockton, CA 95204-5536 | 2019-10-14 |
| 1003304080 | Kyle Stephen Brabaw Sr. | Physical Medicine & Rehabilitation | 534 E Pine St Ste A, Stockton, CA 95204-5536 | 2018-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
| 1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
| 1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
| 1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
| 1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
| 1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
| 1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
| Find all providers in zip 95204 | ||||
| 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 |
|---|---|---|---|---|
| 1356942502 | Sharon Clare Mcgeady | Occupational Therapist | 76 Garboski Rd, Stockton, NJ 08559-1925 | 2020-11-04 |
| 1295350320 | Edreann Jill Soriben Galicinao | Occupational Therapist | 9724 Wintergreen Ct, Stockton, CA 95209-5184 | 2020-06-15 |
| 1760002406 | Kerry Alison Chitwood | Occupational Therapist | 1333 Candlewood Way, Stockton, CA 95209-2003 | 2020-04-23 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1720457468 | Edwin Posada | Occupational Therapist | 3589 W Benjamin Holt Dr Apt 183, Stockton, CA 95219-3468 | 2015-09-23 |
| 1588046106 | Jason Pyle | Occupational Therapist | 11555 E Highway Z, Stockton, MO 65785-9507 | 2015-06-19 |
| 1104222546 | Cheryl Spaulding | Occupational Therapist | 620 Macduff Ave, Stockton, CA 95210-1840 | 2014-11-12 |
| 1710395132 | Linda Roybal | Occupational Therapist | 2256 Wagner Heights Rd, Stockton, CA 95209-1736 | 2014-07-29 |
| 1962702449 | Lifeworks-acs, Inc. | Occupational Therapist | 1755 W. Hammer Lane, Suite# 1, Stockton, CA 95209-2900 | 2010-10-29 |
| 1356587364 | Tracy L. Boyer | Occupational Therapist | 517 W Hilltop Ter, Stockton, IL 61085-1025 | 2008-12-22 |
| Find all providers in STOCKTON | ||||
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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.