MR. JUAN F PARDO (NPI# 1447586979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447586979 |
| Entity Type | Individual |
| Full Name | MR. JUAN F PARDO |
| Credential | COTA/L |
| Practice Address |
444 W Harrison Ave Decatur IL 62526-4157 |
| Mailing Address |
113 Pebble Beach Dr Springfield IL 62704-3151 |
| Practice Telephone | 2178777333 |
| Practice Fax Number | 2178726723 |
| Mailing Telephone | 2177873495 |
| Enumeration Date | 2009-10-17 |
| Last Update Date | 2009-10-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 057000919 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730223470 | Juan Michael Pardo | Otolaryngology | 2002 Medical Parkway, Suite 230, Annapolis, MD 21401-3282 | 2007-02-16 |
| 1942307087 | Juan Manuel Pardo | Otolaryngology | 2002 Medical Parkway, Suite 230, Annapolis, MD 21401-3046 | 2006-09-20 |
| Street Address |
444 W HARRISON AVE |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-4157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134168503 | Heartland of Decatur Il LLC | Clinic/Center | 444 W Harrison Ave, Decatur, IL 62526-4157 | 2006-06-04 |
| 1508337338 | Paradox Decatur Operator LLC | Skilled Nursing Facility | 444 W Harrison Ave, Decatur, IL 62526-4157 | 2018-12-05 |
| 1558697029 | Jose Rios Blas Jr. | Occupational Therapy Assistant | 444 W Harrison Ave, Decatur, IL 62526-4157 | 2009-10-19 |
| 1811137037 | Melvin John Pontoy Luces | Physical Therapist | 444 W Harrison Ave, Decatur, IL 62526-4157 | 2009-02-27 |
| 1841439478 | Lori Michelle Kuhn | Occupational Therapist | 444 W Harrison Ave, Decatur, IL 62526-4157 | 2009-02-04 |
| 1619115508 | Breanne Joleen Clair | Speech-Language Pathologist | 444 W Harrison Ave, Decatur, IL 62526-4157 | 2009-01-30 |
| 1215136239 | Nick V. Gabasa Jr. | Physical Therapist | 444 W Harrison Ave, Decatur, IL 62526-4157 | 2007-07-11 |
| 1467677625 | Lorrie Gay Tinker | Speech-Language Pathologist | 444 W Harrison Ave, Decatur, IL 62526 | 2007-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| 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 |
|---|---|---|---|---|
| 1003464413 | Alliah M Iqbal | Occupational Therapy Assistant | 2390 S Lost Bridge Rd, Decatur, IL 62521-4653 | 2019-08-28 |
| 1972061901 | Carol Jean Zilz | Occupational Therapy Assistant | 4825 Evergreen Ct, Decatur, IL 62521-8774 | 2019-03-08 |
| 1992277271 | Mark Anthony Bajkowsky | Occupational Therapy Assistant | 1555 W Business 380, Decatur, TX 76234-3216 | 2018-12-26 |
| 1376015750 | Kailey N Herter | Occupational Therapy Assistant | 7945 Bentonville Rd, Decatur, IL 62521-9512 | 2018-12-21 |
| 1356855241 | Shamia D. James | Occupational Therapy Assistant | 4153 Flat Shoals Pkwy # C300, Decatur, GA 30034-4106 | 2017-11-30 |
| 1568992238 | Ann Marie Barnes | Occupational Therapy Assistant | 341 Winn Way Apt 203, Decatur, GA 30030-2107 | 2017-06-15 |
| 1154850303 | Siran Eller | Occupational Therapy Assistant | 4180 Irving Dr, Decatur, IL 62521-4134 | 2017-06-09 |
| 1871907253 | Cheyanne Harris | Occupational Therapy Assistant | 995 N Park Pl, Decatur, IL 62522-1458 | 2014-06-13 |
| 1962814251 | Elizabeth Scott | Occupational Therapy Assistant | 2531 Brentford Pl, Decatur, GA 30032-5622 | 2014-05-21 |
| 1467884254 | Rebecca Ward | Occupational Therapy Assistant | 1897 Longdale Dr, Decatur, GA 30032-5243 | 2013-08-02 |
| Find all providers in DECATUR | ||||
Please comment or provide details below to improve the information on MR. JUAN F PARDO.
| 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.