FELICIA SOEDARGO (NPI# 1508474941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508474941 |
| Entity Type | Individual |
| Full Name | FELICIA SOEDARGO |
| Credential | OT |
| Practice Address |
275 W Hospitality Ln Ste 103 San Bernardino CA 92408-3238 |
| Practice Telephone | 9095672221 |
| Practice Fax Number | 9097633216 |
| Mailing Telephone | 9095672221 |
| Mailing Fax Number | 9097633216 |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT20294 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
275 W HOSPITALITY LN STE 103 |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92408-3238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861476079 | Mitree Michael Piromgraipakd | Physical Therapist | 275 W Hospitality Ln Ste 103, San Bernardino, CA 92408-3238 | 2005-12-01 |
| 1609401397 | Brandon Lewis | Physical Therapist | 275 W Hospitality Ln Ste 103, San Bernardino, CA 92408-3238 | 2020-03-03 |
| 1134751266 | Heather Lynn Woolard | Speech-Language Pathologist | 275 W Hospitality Ln Ste 103, San Bernardino, CA 92408-3238 | 2020-02-06 |
| 1427605948 | Nicklaus Ingman | Physical Therapist | 275 W Hospitality Ln Ste 103, San Bernardino, CA 92408-3238 | 2019-08-20 |
| 1699233031 | Sara Lynne Silva | Physical Therapist | 275 W Hospitality Ln Ste 103, San Bernardino, CA 92408-3238 | 2019-03-05 |
| 1316413404 | Carolyn Odabe | Physical Therapist | 275 W Hospitality Ln Ste 103, San Bernardino, CA 92408-3238 | 2018-10-16 |
| 1417485889 | Transit Physical Therapy PC | Clinic/Center | 275 W Hospitality Ln Ste 103, San Bernardino, CA 92408-3238 | 2017-05-31 |
| 1871044404 | Paula Jo Patterson | Physical Therapist | 275 W Hospitality Ln Ste 103, San Bernardino, CA 92408-3238 | 2016-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073124681 | Valeria Armentilla Cecena | Student in an Organized Health Care Education/Training Program | 1950 Sunwest Ln., San Bernardino, CA 92408 | 2020-08-17 |
| 1588272066 | Horizon Therapy Services | Physical Therapist | 418 East Vanderbilt, San Bernardino, CA 92408 | 2020-07-21 |
| 1821627639 | Bl Anderson Medical Corporation | Emergency Medicine | 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 | 2020-04-03 |
| 1922648104 | Infinite Hope Hospice Corp | Hospice Care, Community Based | 225 W Hospitality Ln Suite 305, San Bernardino, CA 92408 | 2020-01-15 |
| 1689210775 | Inland Empire Community Outreach Center | Counselor | 473 East Carnegie Drive, Suite 200, San Bernardino, CA 92408 | 2019-11-23 |
| 1992347801 | Care Marriage and Family Therapists, Inc. | Marriage & Family Therapist | 1881 Commercenter Drive E, Suite 232, San Bernardino, CA 92408 | 2019-10-11 |
| 1366084360 | Theraville Counseling Services, A Licensed Clinical Social Worker Corp | Social Worker | 155 W Hospitality Ln Ste 245, San Bernardino, CA 92408 | 2019-10-10 |
| 1548730419 | Adriana Alcaraz | Behavior Technician | 473 E Carnegie, Ste 200, San Bernardino, CA 92408 | 2018-12-04 |
| 1811467889 | Xavier J Molina-williams | Behavior Technician | 476 E Carnegie Drive, Ste 200, San Bernardino, CA 92408 | 2018-12-03 |
| 1780153148 | Gillian Washington | Behavior Technician | 473 E Carnegie Dr, Ste 200, Riverside, CA 92408 | 2018-11-15 |
| Find all providers in zip 92408 | ||||
| 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 |
|---|---|---|---|---|
| 1962890343 | Rebecca Matthews | Occupational Therapist | 2059 Mesa St, San Bernardino, CA 92407-6537 | 2015-01-07 |
| 1427398619 | Jenny Lane | Occupational Therapist | 5620 Mason Dr, San Bernardino, CA 92407-0246 | 2013-02-25 |
| 1467077016 | Melissa Magdangal | Occupational Therapist | 2101 N Waterman Ave, San Bernardino, CA 92404-4836 | 2020-06-10 |
| 1538704234 | Michelle Dela Cruz Villanueva | Occupational Therapist | 2101 N Waterman Ave, San Bernardino, CA 92404-4836 | 2019-11-17 |
| 1952966715 | David G Erickson | Occupational Therapist | 250 E Caroline St, San Bernardino, CA 92408-3747 | 2019-05-07 |
| 1871064022 | Marla Faye Downs | Occupational Therapist | 410 E Parkcenter Cir N, San Bernardino, CA 92408-2869 | 2018-12-16 |
| 1043781297 | Nancy Elizabeth Maurer | Occupational Therapist | 410 E Parkcenter Cir N, San Bernardino, CA 92408-2869 | 2018-12-16 |
| 1942785829 | Monica Stephen | Occupational Therapist | 1499 S Tippecanoe Ave Bldg A, San Bernardino, CA 92408-2920 | 2018-09-26 |
| 1902324973 | Matthew O Richards | Occupational Therapist | 410 E Parkcenter Cir N, San Bernardino, CA 92408-2869 | 2017-08-30 |
| 1508183518 | United Therapy Network Incorporated | Occupational Therapist | 1845 Business Center Dr, Suite 127, San Bernardino, CA 92408-3467 | 2010-04-29 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92408 |
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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.