JOHAN HALLSTROM (NPI# 1467992206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467992206 |
| Entity Type | Individual |
| Full Name | JOHAN HALLSTROM |
| Credential | M.S OT |
| Practice Address |
321 Genesee St Oneida NY 13421-2611 |
| Mailing Address |
530 Causeway Dr Ste B6 Wrightsville Beach NC 28480-1954 |
| Practice Telephone | 3153636000 |
| Mailing Telephone | 9105092810 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2019-03-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 11061 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | 0206941 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00354590 | 05 |
| Street Address |
321 GENESEE ST |
| City | ONEIDA |
| State | NY |
| Zip Code | 13421-2611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962408203 | Oneida Health Systems, Inc | General Acute Care Hospital | 321 Genesee St, Oneida, NY 13421-2611 | 2005-06-22 |
| 1578124657 | Kimberly Ann Pisarczyk | Nurse Practitioner | 321 Genesee St, Oneida, NY 13421-2611 | 2019-06-27 |
| 1538600655 | Chelsea M Sayles | Registered Nurse | 321 Genesee St, Oneida, NY 13421-2611 | 2017-03-09 |
| 1891248803 | Patrice Ann Cianfrocco | Nurse Practitioner | 321 Genesee St, Oneida, NY 13421-2611 | 2016-07-26 |
| 1144773300 | Corey Corbin | Nurse Practitioner | 321 Genesee St, Oneida, NY 13421-2611 | 2016-07-24 |
| 1700238748 | Matthew R Sayles | Pharmacist | 321 Genesee St, Oneida, NY 13421-2611 | 2016-07-01 |
| 1598138356 | Genesee Physician Practice Pllc | Nurse Anesthetist, Certified Registered | 321 Genesee St, Oneida, NY 13421-2611 | 2015-11-02 |
| 1801278940 | Nelson Johan Caviedes | Nurse Anesthetist, Certified Registered | 321 Genesee St, Oneida, NY 13421-2611 | 2015-06-25 |
| 1972938900 | Jeffrey Kwasniewski | Radiology | 321 Genesee St, Oneida, NY 13421-2611 | 2013-09-10 |
| 1427492073 | Yoel Cruz | Nurse Practitioner | 321 Genesee St, Oneida, NY 13421-2611 | 2013-04-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528607454 | Caitlin George | Physical Therapist | 221 Broad Street, Floor 1, Oneida, NY 13421 | 2019-12-23 |
| 1922655786 | Marilyn Rice | Technician | 528 Broadway, Oneida, NY 13421 | 2019-08-26 |
| 1760991491 | Faxton-st Lukes Healthcare | Clinic/Center | 131 Main St Ste 101, Oneida, NY 13421 | 2017-09-26 |
| 1750805016 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2018 Glenwood Plz, Oneida, NY 13421 | 2017-07-28 |
| 1164953345 | Suzanne Ratnour | Contractor | 180 Kenwood Ave, Oneida, NY 13421 | 2017-03-21 |
| 1083945067 | Debra S Buckland | Dental Hygienist | 211 Broad Street, Oneida, NY 13421 | 2010-01-15 |
| 1649454745 | Marylourdes Laramee | Pharmacist | 25 Glenwood Ave, Oneida, NY 13421 | 2007-12-26 |
| 1861674020 | Susan M Vanvranken | Pharmacist | 449 North Main St, Oneida, NY 13421 | 2007-11-29 |
| 1316155286 | Lynne Marie Mchugh | Marriage & Family Therapist | 248 Main St, Oneida, NY 13421 | 2007-05-21 |
| 1356557821 | Andrea Suzanne Stanton | Pharmacist | 2024 Genesee Street, Oneida, NY 13421 | 2007-05-14 |
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| 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 |
|---|---|---|---|---|
| 1164891784 | Laura Risley | Occupational Therapist | 4202 Sholtz Rd, Oneida, NY 13421-3821 | 2015-09-24 |
| 1154736692 | Amber Mcmichael | Occupational Therapist | 236 Belmont Ave, Oneida, NY 13421-2014 | 2014-06-24 |
| 1366721169 | Brandi Lyn Kochian | Occupational Therapist | 3799 Prospect St # A, Oneida, NY 13421-3639 | 2011-08-10 |
| 1437445749 | Danielle Marie Hertel | Occupational Therapist | 480 Elizabeth St, Oneida, NY 13421-2437 | 2011-06-24 |
| 1235180548 | Pt Solutions, LLC | Occupational Therapist | 281 Underpass Dr Ste B, Oneida, TN 37841-5885 | 2006-05-12 |
| 1629364229 | Kristin Ann Kallet | Occupational Therapist | 565 Sayles St, Oneida, NY 13421-1811 | 2011-06-22 |
| 1801016167 | Edward J Cox | Occupational Therapist | 588 Broad St, Oneida, NY 13421 | 2007-04-27 |
| 1831239326 | Jeffrey Lee Spradlin | Occupational Therapist | 605 N Main St, Oneida, TN 37841-2517 | 2007-02-07 |
| 1952479677 | Alison Kirk Renwick | Occupational Therapist | 588 Broad St, Oneida, NY 13421 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952368 | Dimitry Gomberg | Occupational Therapist | 320 W 31st St, New York, NY 10001-2705 | 2020-11-06 |
| 1689275737 | Emily Christine Olander | Occupational Therapist | 9 Beech Dr, Painted Post, NY 14870-9090 | 2020-11-05 |
| 1588265698 | Kimberly Berganza | Occupational Therapist | 147 Parkdale Dr, North Babylon, NY 11703-3416 | 2020-11-04 |
| 1699376798 | Emily Anne Clark | Occupational Therapist | 3579 Bayview St, Seaford, NY 11783-3316 | 2020-11-04 |
| 1144821489 | Gabrielle Alyn Mcrae | Occupational Therapist | 348 Marshall Dr S Apt 3b, Brooklyn, NY 11209-8534 | 2020-11-03 |
| 1720689342 | Tamara Hirschler | Occupational Therapist | 146 Beach 9th St Apt 8b, Far Rockaway, NY 11691-5628 | 2020-11-02 |
| 1174123913 | Be The Change Occcupational Therapy PC | Occupational Therapist | Garden of Eden Home for Adults (ot/pt Office), 1608 Stillwell Ave, Brooklyn, NY 11223 | 2020-10-30 |
| 1588263065 | Katherine Ann Gaeta | Occupational Therapist | 600 Woodrow Rd, Staten Island, NY 10312-1230 | 2020-10-26 |
| 1710586292 | Isha Iyer | Occupational Therapist | 1013 Union St Apt 2, Brooklyn, NY 11225-1104 | 2020-10-26 |
| 1194325621 | Rosanne Lei | Occupational Therapist | 2447 E 12th St Fl 1, Brooklyn, NY 11235-5019 | 2020-10-26 |
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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.