MELISSA J BALVANZ (NPI# 1376776088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376776088 |
| Entity Type | Individual |
| Full Name | MELISSA J BALVANZ |
| Credential | OTR/L |
| Practice Address |
3065 College Rd Fairbanks AK 99709-3702 |
| Practice Telephone | 9073741686 |
| Practice Fax Number | 9073741659 |
| Mailing Telephone | 9073741686 |
| Mailing Fax Number | 9077999595 |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2019-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 2089 | AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1002573 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 837 Chief Eddie Hoffman Hwy, Attention: Bh Fit Program, Bethel, AK 995590528 | 9075433690 | 9075431276 |
| Street Address |
3065 COLLEGE RD |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99709-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861054538 | Hannah Brooks Boyer | Physical Therapist | 3065 College Rd, Fairbanks, AK 99709-3702 | 2019-07-02 |
| 1215591813 | Tricia Elizabeth Fredrickson | Speech-Language Pathologist | 3065 College Rd, Fairbanks, AK 99709-3702 | 2019-04-29 |
| 1255994091 | Claire Ferree | Occupational Therapist | 3065 College Rd, Fairbanks, AK 99709-3702 | 2019-04-17 |
| 1174036321 | Madeline Lieb | Physical Therapy Assistant | 3065 College Rd, Fairbanks, AK 99709-3702 | 2017-11-09 |
| 1801276712 | Stephanie Wight | Physical Therapist | 3065 College Rd, Fairbanks, AK 99709-3702 | 2015-06-05 |
| 1245596162 | Hands On Therapy, Inc | Occupational Therapist | 3065 College Rd, Fairbanks, AK 99709-3702 | 2012-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946810 | Beacon Monitoring Professional Services | Technician, Other | 745 Staffordshire Rd, Fairbanks, AK 99709 | 2020-09-10 |
| 1235629544 | Fairbanks Healing Space | Health Educator | 3875 Geist Road, Suite E #136, Fairbanks, AK 99709 | 2018-05-11 |
| 1609395409 | Shawn K Goggins | Counselor | 1423 Peger Road, Fairbanks, AK 99709 | 2017-09-12 |
| 1710433347 | Jay Titus | Technician/Technologist | 2884 Marina Drive, Fairbanks, AK 99709 | 2016-09-01 |
| 1710391610 | Hannah Summerfelt | Dentist | 3539 Thomas St, Fairbanks, AK 99709 | 2014-06-18 |
| 1629407325 | Diane Louise Mitchell | Nurse Practitioner | 4650 Harvard Cir, Fairbanks, AK 99709 | 2013-11-04 |
| 1407147929 | Christina Martz | Counselor | 1270 Summet Drive, Fairbanks, AK 99709 | 2011-05-02 |
| 1255652285 | Surgery Center of Fairbanks LLC | Clinic/Center | 2310 Peger Road, Fairbanks, AK 99709 | 2010-06-14 |
| 1962661835 | John Leo Hughes Jr Jr. | Dentist | 3437 Airport Way, Suite 205, Fairbanks, AL 99709 | 2008-06-05 |
| 1508042417 | Katherine E Johnson, Md PC | Ophthalmology | 2485 Chief William Drive, Suite 100, Fairbanks, AK 99709 | 2008-01-10 |
| Find all providers in zip 99709 | ||||
| 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 |
|---|---|---|---|---|
| 1497125165 | Alissa Mcknight | Occupational Therapist | 3020 Bailey Ln, Fairbanks, AK 99709-6164 | 2015-10-06 |
| 1689641060 | Kathleen Marie Karella | Occupational Therapist | 1327 Kalakaket Street, Fairbanks, AK 99709 | 2006-03-03 |
| 1255994091 | Claire Ferree | Occupational Therapist | 3065 College Rd, Fairbanks, AK 99709-3702 | 2019-04-17 |
| 1598227837 | Brynn Noelle Caslavka | Occupational Therapist | 398 Hamilton Ave, Fairbanks, AK 99701 | 2019-04-04 |
| 1457816498 | Allana Jaclyn Lumbard | Occupational Therapist | 1327 Kalakaket St, Fairbanks, AK 99709-4917 | 2019-02-04 |
| 1336627991 | Lindsey Nicole Cooper | Occupational Therapist | 398 Hamilton Ave, Fairbanks, AK 99701-3537 | 2018-08-04 |
| 1083167746 | Joe Robert Gonzales Jr. | Occupational Therapist | 398 Hamilton Ave, Fairbanks, AK 99701-3537 | 2016-07-29 |
| 1174991137 | Jaclyn Nicole Crook | Occupational Therapist | 1327 Kalakaket St, Fairbanks, AK 99709-4917 | 2015-09-08 |
| 1861834772 | Susan A Guritz | Occupational Therapist | 2555 Phillips Field Rd, Fairbanks, AK 99709-3933 | 2013-07-19 |
| 1265775480 | Steven Alan Trochim | Occupational Therapist | 1327 Kalakaket St, Fairbanks, AK 99709-4917 | 2013-04-05 |
| Find all providers in FAIRBANKS | ||||
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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.