AMBER PENCE (NPI# 1346401791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346401791 |
| Entity Type | Individual |
| Full Name | AMBER PENCE |
| Practice Address |
1517 Knickerbocker Dr Stockton CA 95210-3119 |
| Practice Telephone | 2099574539 |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801362991 | Amber Renee Pence | Behavior Technician | 1750 Commerce Center Blvd, Fairborn, OH 45324-6333 | 2018-10-16 |
| Street Address |
1517 KNICKERBOCKER DR |
| City | STOCKTON |
| State | CA |
| Zip Code | 95210-3119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699310995 | Tasha Lynn Penkova | Speech-Language Pathologist | 1517 Knickerbocker Dr, Stockton, CA 95210-3119 | 2019-11-10 |
| 1497303663 | Sara R Pfeffer | Occupational Therapy Assistant | 1517 Knickerbocker Dr, Stockton, CA 95210-3119 | 2019-08-30 |
| 1518449354 | Jon Chrsitopher Sana Gaspar | Physical Therapist | 1517 Knickerbocker Dr, Stockton, CA 95210-3119 | 2018-08-29 |
| 1619456258 | Gloria Cynthia Yambot | Occupational Therapist | 1517 Knickerbocker Dr, Stockton, CA 95210-3119 | 2018-08-13 |
| 1538683974 | Chesapeake Bay Holdings, LLC | Skilled Nursing Facility | 1517 Knickerbocker Dr, Stockton, CA 95210-3119 | 2017-07-27 |
| 1609038413 | Briana Miller | Occupational Therapist | 1517 Knickerbocker Dr, Stockton, CA 95210-3119 | 2008-07-02 |
| 1245491935 | Odai Thongsmouth | Speech-Language Pathologist | 1517 Knickerbocker Dr, Stockton, CA 95210-3119 | 2008-06-24 |
| 1316108095 | Kathleen Henderson | Physical Therapist | 1517 Knickerbocker Dr, Stockton, CA 95210-3119 | 2008-06-24 |
| 1144481300 | Analucia Souza | Physical Therapy Assistant | 1517 Knickerbocker Dr, Stockton, CA 95210-3119 | 2008-06-20 |
| 1528229820 | Gersam Gonzales | Occupational Therapist | 1517 Knickerbocker Dr, Stockton, CA 95210-3119 | 2008-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
| 1043866692 | Alexis Thomasson | Behavior Technician | 7109 Danny Drive, Stockton, CA 95210 | 2019-08-09 |
| 1821651324 | Maria Guadalupe Toledo | Lactation Consultant, Non-RN | 7912 Hammer Lane, Stockton, CA 95210 | 2019-04-19 |
| 1508226440 | Active Life Adult Day Care, Inc. | Clinic/Center | 7209 Tam O'shanter Dr., Stockton, CA 95210 | 2016-03-04 |
| 1548631260 | Rachel Standley | Substance Abuse Rehabilitation Facility | 8017 El Cajon St, Stockton, CA 95210 | 2015-10-08 |
| 1225435308 | Active Life Medical Produtcs Inc | Durable Medical Equipment & Medical Supplies | 611 W Grider Way, Stockton, CA 95210 | 2014-12-04 |
| 1942633318 | Kimberly Ruiz Dizon | Physician Assistant | 1530 E Hammer Ln, Stockton, CA 95210 | 2013-08-20 |
| 1285920983 | Supplemental Health Care | Preferred Provider Organization | 8425 Kiltie Wy, Stockton, CA 95210 | 2011-06-22 |
| 1770807901 | Stockton Medical Weight Loss Center Inc | Internal Medicine | 1801 E. March Lane, Suite 400d, Stockton, CA 95210 | 2010-03-17 |
| 1699911412 | Pratap Krishna Anne | Pharmacist | 1801 E.march Ln, Suite:b280, Bjrx, Stockton, CA 95210 | 2008-12-29 |
| Find all providers in zip 95210 | ||||
| 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 |
|---|---|---|---|---|
| 1447864897 | Tracy Ann Williams | Occupational Therapy Assistant | 1032 N Lincoln St, Stockton, CA 95203-2409 | 2020-09-02 |
| 1093345845 | Natalie Lynn Gaab | Occupational Therapy Assistant | 9107 Davis Rd, Stockton, CA 95209-1807 | 2020-01-21 |
| 1497303663 | Sara R Pfeffer | Occupational Therapy Assistant | 1517 Knickerbocker Dr, Stockton, CA 95210-3119 | 2019-08-30 |
| 1922580216 | Kristy Chan | Occupational Therapy Assistant | 442 E Hampton St, Stockton, CA 95204-5519 | 2018-09-03 |
| 1154872505 | Alissa Doolan | Occupational Therapy Assistant | 5910 Pacific Ave, Stockton, CA 95207-4704 | 2016-10-20 |
| 1003225046 | Silvia Weimer | Occupational Therapy Assistant | 9107 Davis Rd, Stockton, CA 95209-1807 | 2014-08-04 |
| 1760756134 | Anne-marie Satariano | Occupational Therapy Assistant | 1212 N California St, Stockton, CA 95202-1552 | 2012-03-02 |
| 1124289426 | Rafael Murillo | Occupational Therapy Assistant | 1517 Knickerbocker Dr, Stockton, CA 95210-3119 | 2008-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089304 | Buenaventura Peralta | Occupational Therapy Assistant | 139 N Walnut Ave, Placentia, CA 92870-5643 | 2020-10-07 |
| 1578170619 | Noe Ramirez Lopez | Occupational Therapy Assistant | 650 Marvin Way, Dixon, CA 95620-3342 | 2020-09-23 |
| 1790391415 | Michael Vidal | Occupational Therapy Assistant | 2126 Oregon Ave, Long Beach, CA 90806-4141 | 2020-09-17 |
| 1386259273 | Rachel Le | Occupational Therapy Assistant | 11909 Elmcroft Ave, Norwalk, CA 90650-7730 | 2020-09-09 |
| 1790399913 | Alexander Toussaint | Occupational Therapy Assistant | 3731 E Harding St, Long Beach, CA 90805-3934 | 2020-09-04 |
| 1710590757 | Lisa M Smith | Occupational Therapy Assistant | 920 Westacre Rd, West Sacramento, CA 95691-3224 | 2020-08-28 |
| 1083226419 | Olivia Clark | Occupational Therapy Assistant | 2905 Bearcreek Ct, Fullerton, CA 92835-3143 | 2020-08-18 |
| 1174133961 | Pacasie Kamikazi | Occupational Therapy Assistant | 8501 Bruceville Rd, Elk Grove, CA 95758-7258 | 2020-08-06 |
| 1093323297 | Catherine Hsi | Occupational Therapy Assistant | 1241 Ashby Ave, Berkeley, CA 94702-2401 | 2020-07-14 |
| 1790302453 | Elnura Kim | Occupational Therapy Assistant | 13665 Newcastle Ct, Fontana, CA 92335-0588 | 2020-06-29 |
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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.