KIRAN C HANSBERRY (NPI# 1497101943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497101943 |
| Entity Type | Individual |
| Full Name | KIRAN C HANSBERRY |
| Other Name | KIRAN C SIDHWANI |
| Practice Address |
11512 Lake Mead Ave Unit 604 Jacksonville FL 32256-9686 |
| Mailing Address |
5119 Crystal Park Ln Ellicott City MD 21043-7947 |
| Practice Telephone | 9046525408 |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2020-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT20423 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | 07798 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5119 Crystal Park Ln, Ellicott City, MD 210437947 | 8882652680 | |
| 1000 W Broadway St Ste 214, Oviedo, FL 327659262 | 4073595693 | 4077925693 |
| Street Address |
11512 LAKE MEAD AVE UNIT 604 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32256-9686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609045756 | Lymphedema Treatment Center LLC | Occupational Therapist | 11512 Lake Mead Ave Unit 604, Jacksonville, FL 32256-9686 | 2008-02-22 |
| 1386257335 | Elizabeth Bond | Speech-Language Pathologist | 11512 Lake Mead Ave Unit 604, Jacksonville, FL 32256-9686 | 2020-08-28 |
| 1225655855 | Kayla Ramsey | Speech-Language Pathologist | 11512 Lake Mead Ave Unit 604, Jacksonville, FL 32256-9686 | 2020-06-30 |
| 1194354308 | Mikayla Marie Oldham | Speech-Language Pathologist | 11512 Lake Mead Ave Unit 604, Jacksonville, FL 32256-9686 | 2020-04-08 |
| 1477183341 | Jaime Lee Trossevin | Occupational Therapist | 11512 Lake Mead Ave Unit 604, Jacksonville, FL 32256-9686 | 2020-01-20 |
| 1073169389 | Karla Peck | Speech-Language Pathologist | 11512 Lake Mead Ave Unit 604, Jacksonville, FL 32256-9686 | 2019-08-13 |
| 1164074183 | Erin Ruby | Speech-Language Pathologist | 11512 Lake Mead Ave Unit 604, Jacksonville, FL 32256-9686 | 2019-07-10 |
| 1245794312 | Chen Xia | Speech-Language Pathologist | 11512 Lake Mead Ave Unit 604, Jacksonville, FL 32256-9686 | 2019-01-23 |
| 1891259974 | Thoroughfare Consulting LLC | Speech-Language Pathologist | 11512 Lake Mead Ave Unit 604, Jacksonville, FL 32256-9686 | 2019-01-23 |
| 1295239663 | Alexandra M Steele | Occupational Therapist | 11512 Lake Mead Ave Unit 604, Jacksonville, FL 32256-9686 | 2018-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1093327702 | Oaktree Dental LLC | Clinic/Center | 14595 Philips Highway, Jacksonville, FL 32256 | 2020-08-24 |
| 1538787866 | Tywanna Council | Massage Therapist | 4720 Salisbury Road #102, Jacksonville, FL 32256 | 2020-07-13 |
| 1275155368 | Christy Orellana | Social Worker | 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 | 2020-05-11 |
| 1376175117 | Diane Stover | Case Manager/Care Coordinator | 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 | 2020-02-10 |
| 1982235859 | Sandra Josefina Baez Nunez | Nurse Practitioner | 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 | 2020-01-30 |
| 1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
| 1598324113 | Dhaval Yogeshkumar Shah | Dentist | 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 | 2019-06-07 |
| 1003472499 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9143 Philips Highway Suite 270, Jacksonville, FL 32256 | 2019-05-13 |
| 1003479726 | Nichole Bashara | Behavior Technician | 8383 Baymeadows Rd, Jacksonville, FL 32256 | 2019-04-18 |
| Find all providers in zip 32256 | ||||
| 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 |
|---|---|---|---|---|
| 1467050245 | Abigail Faith Moore | Occupational Therapist | 708 Christopher Ct, Jacksonville, NC 28546-5849 | 2020-10-13 |
| 1093324923 | Leigh Ann Curette | Occupational Therapist | 7833 Blackstone River Dr E, Jacksonville, FL 32256-2993 | 2020-07-27 |
| 1992331151 | Jerelyne De Castro Idica | Occupational Therapist | 7801 Point Meadows Dr Unit 1102, Jacksonville, FL 32256-9134 | 2020-03-19 |
| 1265087332 | Thatiana M Howard | Occupational Therapist | 761 Village Center Dr S Apt 227, Jacksonville, FL 32206-1895 | 2019-08-06 |
| 1598310856 | T'erra Dale | Occupational Therapist | 11548 Willet Ct N, Jacksonville, FL 32225-3516 | 2019-08-05 |
| 1710541552 | Kiley Throop | Occupational Therapist | 200 Valencia Dr Ste 160, Jacksonville, NC 28546-6315 | 2019-04-26 |
| 1467912063 | Jacksonville Orthopaedic Institute Inc | Occupational Therapist | 14534 Old Saint Augustine Rd Ste 3220, Jacksonville, FL 32258-2460 | 2019-03-21 |
| 1184181000 | Jeremy Klimek | Occupational Therapist | 910 Assisi Lane, Jacksonville, FL 32233 | 2019-02-27 |
| 1528523917 | Mylee Gamboa | Occupational Therapist | 1334 Iralou Rd, Jacksonville, FL 32254-2224 | 2019-02-10 |
| 1891250049 | Thalia L Honea | Occupational Therapist | 12766 San Jose Blvd, Suite 716 & 717, Jacksonville, FL 32223 | 2019-02-01 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32256 |
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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.