MELLISA NICOLE ELROD (NPI# 1558916791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558916791 |
| Entity Type | Individual |
| Full Name | MELLISA NICOLE ELROD |
| Credential | OTR/L |
| Practice Address |
1935 Gravenstein Hwy Sebastopol CA 95472 |
| Mailing Address |
Po Box 24 Penngrove CA 94951-0024 |
| Practice Telephone | 7078277675 |
| Mailing Telephone | 7076950316 |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 9626 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1935 GRAVENSTEIN HWY |
| City | SEBASTOPOL |
| State | CA |
| Zip Code | 95472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457820987 | Isabel Brooke Martinez | Acupuncturist | 961 Gravenstein Hwy South, # 100, Sebastopol, CA 95472 | 2018-11-14 |
| 1275025470 | Shahbano Syeda | Specialist/Technologist | 846/848 Gravenstein Hwy South, Sebastopol, CA 95472 | 2018-06-04 |
| 1467990812 | Mathew Metzgar | Marriage & Family Therapist | 1800 N. Gravenstein Hwy, Sebastopol, CA 95472 | 2017-02-06 |
| 1760939318 | Andrea Kirk | Psychologist | 876 Gravenstein Hwy S., Suite 6, Sebastopol, CA 95472 | 2016-09-01 |
| 1548629371 | Stacy Simons | Massage Therapist | 103 Morris St Ste V, Sebastopol, CA 95472 | 2016-02-22 |
| 1619341880 | Carol Schmid | Counselor | 1800 N, Gravenstein Hwy, Sebastopol, CA 95472 | 2015-11-25 |
| 1801273727 | Aaron Martinez | Specialist/Technologist | 7441 Witter Road, Sebastopol, CA 95472 | 2015-04-29 |
| 1699167049 | Nia Kaye | Marriage & Family Therapist | 130 Petaluma Ave Ste 2c, Sebastopol, CA 95472 | 2015-02-23 |
| 1497091383 | Caitlin Marie Kirkman | Midwife | 5611 Hessel Ave, Sebastopol, CA 95472 | 2012-12-20 |
| 1881943298 | Julia Glanz | Social Worker | 101 Morris Street, Suite 207, Sebastopol, CA 95472 | 2012-08-30 |
| Find all providers in zip 95472 | ||||
| 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 |
|---|---|---|---|---|
| 1457679474 | Anne Casey-nielson | Occupational Therapist | 801 Hurlbut Ave, Sebastopol, CA 95472-2827 | 2010-05-14 |
| 1083936546 | Melinda Kopecky | Occupational Therapist | 4740 Vine Hill Rd, Sebastopol, CA 95472-2237 | 2010-02-24 |
| 1861041188 | Kathleen Coffey | Occupational Therapist | 501 Petaluma Ave, Sebastopol, CA 95472-4215 | 2019-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811854 | Yen Wen Pan | Occupational Therapist | 43051 15th St W, Lancaster, CA 93534-6906 | 2020-11-06 |
| 1134720287 | Trevor Collin Stokes | Occupational Therapist | 30582 Red Fox Ct, Murrieta, CA 92563-7965 | 2020-11-05 |
| 1831799485 | Cherlene Hung | Occupational Therapist | 2501 E Chapman Ave Ste 160, Fullerton, CA 92831-3135 | 2020-10-31 |
| 1831798412 | Samantha Arianna Loris Marrah | Occupational Therapist | 21 Lower Ragsdale Dr, Monterey, CA 93940-5827 | 2020-10-23 |
| 1922607753 | Araya Moua | Occupational Therapist | 5038 Lakeview Cir, Fairfield, CA 94534-7400 | 2020-10-22 |
| 1154920015 | Carlos Miguel Carrasquel | Occupational Therapist | 660 Santa Fe Dr, Encinitas, CA 92024-4643 | 2020-10-21 |
| 1093314965 | Sunitha Warrier | Occupational Therapist | 1253 W Sonya Ln Unit 202, Santa Maria, CA 93458-6587 | 2020-10-21 |
| 1467051755 | Sophia Yu | Occupational Therapist | 1 Hollywood Ct, San Francisco, CA 94112-3710 | 2020-10-19 |
| 1093314205 | Adria Cromosini | Occupational Therapist | 5228 Bellflower Blvd, Lakewood, CA 90713-1815 | 2020-10-19 |
| 1972102242 | Alexis Nalbach | Occupational Therapist | 13900 Panay Way Apt R218, Marina Del Rey, CA 90292-6145 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | SEBASTOPOL |
| Zip Code | 95472 |
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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.