BEVERLY WIKE


Address: 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621
Phone: 6264036200

BEVERLY WIKE (NPI# 1437281219) 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) 1437281219
Entity Type Individual
Full Name BEVERLY WIKE
Credential O.T.
Practice Address 1017 S Fair Oaks Ave
Pasadena
CA 91105-2621
Mailing Address Po Box 50470
Pasadena
CA 91115-0470
Practice Telephone 6264036200
Mailing Telephone 6264036200
Enumeration Date 2007-03-09
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 4116 CA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA CA LICENSE 4116 01

Office Location

Street Address 1017 S FAIR OAKS AVE
City PASADENA
State CA
Zip Code 91105-2621

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629060694 Clayton Alexander Varga Anesthesiology 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 2005-08-16
1871138529 Norman Wong Physical Therapist 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 2019-11-16
1346802840 Shakeela Swaby Nurse Practitioner 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 2019-07-03
1801351531 Rod William Young Physical Therapist 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 2019-02-06
1750890083 Sioneh Paria Nurse Practitioner 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 2017-09-29
1831626043 Faith Adole Nurse Practitioner 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 2017-05-18
1437696226 Michela S. Termechi Nurse Practitioner 1017 S Fair Oaks Ave, Pasadena, CA 91105 2017-01-31
1376093914 Alexandra Kirtchik Nurse Practitioner 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 2016-10-06
1649727587 Amanda Miller Occupational Therapist 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 2016-09-08
1073960613 Aparna Kuvalekar Physical Therapist 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 2016-05-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619451697 Tonya Michlin Registered Nurse 800 Fairmount Ave Ste 110, Pasadena, CA 91105 2018-09-17
1639674161 David Marcus Md, Inc. Psychiatry & Neurology 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 2018-03-27
1548778541 Elias & Jun Dental Corp Dentist 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 2018-01-12
1013429745 Whitney Catalano Dietitian, Registered 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 2017-11-03
1518485630 Marlon O Miller Counselor 1020 South Arroyo Parkway, Pasadena, CA 91105 2017-09-08
1316469976 Alexandra Scott Speech-Language Pathologist 235 La Vereda Road, Pasadena, CA 91105 2017-07-14
1346770443 Amanda Grace Gentz Rehabilitation Practitioner 210 S De Lacey, Ste 110, Pasadena, CA 91105 2017-06-13
1427598390 Melina Gomez Loza Licensed Vocational Nurse 66 Hilburt St #2, Pasadena, CA 91105 2017-02-27
1588115281 Ramon Banuelos Rehabilitation Practitioner 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 2016-10-18
1922554245 Daniel Joseph Ybarra Student in an Organized Health Care Education/Training Program 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 2016-08-28
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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
1912542028 Margaret Park Occupational Therapist 30 N Madison Ave Unit 223, Pasadena, CA 91101-4539 2019-11-12
1508425885 Chantal Johanna Olenczuk Occupational Therapist 50 N Hill Ave Ste 302, Pasadena, CA 91106-1903 2019-06-10
1861961625 Kaitlin Mari Kodani Occupational Therapist 407 S Oak Ave, Pasadena, CA 91107-5026 2018-11-21
1992274807 Tiffany Gu Occupational Therapist 355 S Los Robles Ave Unit 338, Pasadena, CA 91101-3294 2018-11-20
1558837435 Vincent Raymont Quinney Occupational Therapist 4006 Vista Rd, Pasadena, TX 77504-2112 2018-10-18
1376050633 Michael Ang Occupational Therapist 500 N Rosemead Blvd Apt 30, Pasadena, CA 91107-2143 2018-01-08
1609326719 Jillian Fader Occupational Therapist 1862 Cedar Rd, Pasadena, MD 21122-3802 2016-10-12
1811446537 Sabrina Salgia Occupational Therapist 1735 Outpost Ln, Pasadena, CA 91107-1073 2016-09-22
1881067015 Kimberly Broadie Occupational Therapist 8327 Sail Ct, Pasadena, MD 21122-4848 2015-11-10
1558754408 Sara Mcfarland Occupational Therapist 358 Hickory Point Rd, Pasadena, MD 21122-5961 2015-03-16
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Competitor

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City PASADENA
Zip Code 91105

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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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