BRENDA ANN FAGAN


Address: 302 Silver Ave, San Francisco, CA 94112-1510
Phone: 4154692239

BRENDA ANN FAGAN (NPI# 1336351204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336351204
Entity Type Individual
Full Name BRENDA ANN FAGAN
Credential OTR
Practice Address 302 Silver Ave
San Francisco
CA 94112-1510
Mailing Address 1312 Josephine St
Apt 5
Berkeley
CA 94703-1140
Practice Telephone 4154692239
Enumeration Date 2007-05-04
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist OT6824 CA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 302 SILVER AVE
City SAN FRANCISCO
State CA
Zip Code 94112-1510

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053316828 Jay Stanley Luxenberg Internal Medicine 302 Silver Ave, San Francisco, CA 94112-1510 2005-06-16
1467074807 Aimee Elizabeth Castro Occupational Therapist 302 Silver Ave, San Francisco, CA 94112-1510 2020-05-07
1285277624 Viktoria Futritski Nurse Practitioner 302 Silver Ave, San Francisco, CA 94112-1510 2019-10-17
1205490729 Adrienne Elyse Frachtman Speech-Language Pathologist 302 Silver Ave, San Francisco, CA 94112-1510 2019-04-30
1609377324 Sarah Elizabeth Wiegand Physical Therapist 302 Silver Ave, San Francisco, CA 94112-1510 2018-02-27
1720488794 Stephen E. Hall Md Clinic/Center 302 Silver Ave, San Francisco, CA 94112-1510 2014-08-27
1700015575 Sunui Lee Counselor 302 Silver Ave, San Francisco, CA 94112-1510 2009-07-14
1588891113 Guy T. Guber Psychologist 302 Silver Ave, San Francisco, CA 94112-1510 2009-06-22
1013177963 Jacqueline Delgado Speech-Language Pathologist 302 Silver Ave, San Francisco, CA 94112-1510 2008-06-13
1811164171 Mario Lemay Physical Therapist 302 Silver Ave, San Francisco, CA 94112-1510 2008-05-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235737545 Janine L Gong Physical Therapist 5737 Mission St., San Francisco, CA 94112 2020-10-09
1518449974 Sophia Steffani Behavioral Analyst 385 Niagara Avenue, San Francisco, CA 94112 2018-09-02
1437642097 Victoria Lopez Registered Nurse 1947 Center Street, 2nd Floor, Berkeley, CA 94112 2018-06-08
1962903773 Joshua Jones Behavior Technician 795 Folsom St, 1st Floor, San Francisco, CA 94112 2018-02-27
1861917973 Tiffany Huang Occupational Therapist 262 Broad Street, San Francisco, CA 94112 2017-08-09
1396113858 David Laudenorio Public Health or Welfare 1221 Athens St, San Francisco, CA 94112 2015-09-14
1497133466 Jennifer Michelle Zanoli Student in an Organized Health Care Education/Training Program 1701 Ocean Ave Omi Family Services, San Francisco, CA 94112 2015-05-11
1346653649 Vincent Yan Marriage & Family Therapist 15 Robinson Dr, San Francisco, CA 94112 2014-06-04
1831448430 Kelly Marie Thomas Clinic/Center 4877 Mission Street, San Francisco, CA 94112 2012-08-29
1467756544 Andrew Loukas Dentist 5248 Mission St, San Francisco, CA 94112 2011-01-04
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Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467051755 Sophia Yu Occupational Therapist 1 Hollywood Ct, San Francisco, CA 94112-3710 2020-10-19
1114532298 Carla Stern Occupational Therapist 940 4th Street, San Francisco, CA 94158 2020-09-15
1669086476 Dara Anne Akiko Fong Occupational Therapist 103 Beaumont Ave, San Francisco, CA 94118-4208 2020-08-31
1669085551 Naomi Wong Occupational Therapist 280 21st Ave, San Francisco, CA 94121-2114 2020-08-28
1023628401 Eileen Li Occupational Therapist 2406 40th Ave, San Francisco, CA 94116-2115 2020-07-31
1295351310 Crystal Wong Occupational Therapist 1700 California St Ste 440, San Francisco, CA 94109-4592 2020-06-24
1699397935 Sarah Suzanne Pashby Occupational Therapist 620 29th St, San Francisco, CA 94131-2206 2020-05-08
1821619677 Aluna Healthcare Occupational Therapist 1640 Valencia St Ste 2a3, San Francisco, CA 94110-5047 2020-05-04
1366061871 Marigold Lipardo Occupational Therapist 336 8th Ave Apt 2, San Francisco, CA 94118-2123 2020-04-14
1942834932 Anna H Shaver Occupational Therapist 591 11th Ave, San Francisco, CA 94118-3639 2020-02-27
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Competitor

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City SAN FRANCISCO
Zip Code 94112

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Dataset Information

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.

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