KIM GONG (NPI# 1558885624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558885624 |
| Entity Type | Individual |
| Full Name | KIM GONG |
| Practice Address |
2726 Alderwood Ave Bellingham WA 98225-1223 |
| Mailing Address |
1534 Franklin St Apt 1 Bellingham WA 98225-4966 |
| Practice Telephone | 3607332322 |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2017-07-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 02763624 | 05 |
| Street Address |
2726 ALDERWOOD AVE |
| City | BELLINGHAM |
| State | WA |
| Zip Code | 98225-1223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093700148 | Empres At Alderwood, LLC | Skilled Nursing Facility | 2726 Alderwood Ave, Bellingham, WA 98225-1223 | 2005-09-14 |
| 1770104820 | Aaron Patrick Patterson | Occupational Therapist | 2726 Alderwood Ave, Bellingham, WA 98225-1223 | 2020-04-29 |
| 1881229367 | James Lee Wingo | Occupational Therapist | 2726 Alderwood Ave, Bellingham, WA 98225-1223 | 2020-03-05 |
| 1013496611 | Allyson Elizabeth Bonde | Occupational Therapy Assistant | 2726 Alderwood Ave, Bellingham, WA 98225-1223 | 2018-08-14 |
| 1851877724 | Ana Lara Llanos | Physical Therapist | 2726 Alderwood Ave, Bellingham, WA 98225-1223 | 2018-07-13 |
| 1487145983 | Robert Bruce Grieve | Physical Therapy Assistant | 2726 Alderwood Ave, Bellingham, WA 98225-1223 | 2018-05-21 |
| 1568975779 | Andrey Amosovich Datskiy | Physical Therapy Assistant | 2726 Alderwood Ave, Bellingham, WA 98225-1223 | 2017-11-09 |
| 1720508468 | Michael Johnson | Physical Therapy Assistant | 2726 Alderwood Ave, Bellingham, WA 98225-1223 | 2017-06-23 |
| 1174998496 | Caitlin Maire Mccarron | Speech-Language Pathologist | 2726 Alderwood Ave, Bellingham, WA 98225-1223 | 2015-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578183729 | Family Care Network Pllc | Clinic/Center | 3548 Meridian St, Suite #101-b, Bellingham, WA 98225 | 2020-04-17 |
| 1770129264 | Ariella K Ross | Massage Therapist | 2701 Northwest Avenue, Bellingham, WA 98225 | 2019-11-20 |
| 1467006205 | Family Care Network, Pllc | Family Medicine | 805 W. Orchard Drive, Suite 6, Bellingham, WA 98225 | 2019-07-30 |
| 1487110375 | Rhonda Beth Steel | Massage Therapist | Fairhaven Harbor, 1310 9th Street Penthouse No. 504, Fairhaven/bellingham, WA 98225 | 2019-02-15 |
| 1366915316 | Alexander Knight Acupuncture Inc | Acupuncturist | 12 Bellwether Way, Suite 201, Bellingham, WA 98225 | 2019-01-02 |
| 1902372998 | Northwest Telepsychiatry, Pllc | Psychiatry & Neurology | 114 W. Magnolia St., Suite 505, Bellingham, WA 98225 | 2018-10-17 |
| 1639650336 | Jennifer Sue Cogen | Massage Therapist | 2701 Northwest Ave. (ohana Pacific, Inc.), Bellingham, WA 98225 | 2018-08-22 |
| 1013414036 | Tamara C Dee | Social Worker | 1313 E Maple St Ste 229, Bellingham, WA 98225 | 2018-04-06 |
| 1417468596 | Samantha Grace Smith | Counselor | 920 Harris Avenue, 202-e, Bellingham, WA 98225 | 2017-10-17 |
| 1710406731 | Shalom Maria Shreve | Counselor | 1133 Railroad Ave., Suite 100, Bellingham, WA 98225 | 2017-09-11 |
| Find all providers in zip 98225 | ||||
| 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 |
|---|---|---|---|---|
| 1740792191 | Shannon Lee Stice | Occupational Therapy Assistant | 5128 Aldrich Rd, Bellingham, WA 98226-9636 | 2017-10-25 |
| 1053627661 | Micah June Brown | Occupational Therapy Assistant | 1503 Lincoln St, #103, Bellingham, WA 98229 | 2010-08-20 |
| 1164683868 | Lynne Baroni | Occupational Therapy Assistant | 3772 Greenville Pl, Bellingham, WA 98226-8806 | 2008-06-24 |
| 1396390415 | Russell L Baker | Occupational Therapy Assistant | 3121 Squalicum Pkwy, Bellingham, WA 98225-1937 | 2019-08-06 |
| 1013496611 | Allyson Elizabeth Bonde | Occupational Therapy Assistant | 2726 Alderwood Ave, Bellingham, WA 98225-1223 | 2018-08-14 |
| 1285113126 | Kathryn Nell Howard | Occupational Therapy Assistant | 316 E Mcleod Rd Ste 101, Bellingham, WA 98226-6491 | 2018-08-11 |
| 1093218596 | Meghan Cherie Wipf | Occupational Therapy Assistant | 1200 Birchwood Ave, Bellingham, WA 98225-1302 | 2018-03-12 |
| 1528578150 | Hannah Lynn Burgess | Occupational Therapy Assistant | 2905 Connelly Ave, Bellingham, WA 98225-8225 | 2017-10-10 |
| 1477921880 | Natalia Chizhova | Occupational Therapy Assistant | 1200 Birchwood Ave, Bellingham, WA 98225-1302 | 2015-09-02 |
| 1114228947 | Anthony Louis Green | Occupational Therapy Assistant | 2905 Connelly Ave, Bellingham, WA 98225-8225 | 2010-11-10 |
| Find all providers in BELLINGHAM | ||||
| City | BELLINGHAM |
| Zip Code | 98225 |
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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.