MOLLIE WANG (NPI# 1578161261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578161261 |
| Entity Type | Individual |
| Full Name | MOLLIE WANG |
| Credential | OTD |
| Practice Address |
304 Ne Hood Ave Gresham OR 97030-7450 |
| Practice Telephone | 5036661333 |
| Practice Fax Number | 5036662444 |
| Mailing Telephone | 5036661333 |
| Mailing Fax Number | 5036662444 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 444015 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | STATE LICENSE | 444015 | 01 |
| Street Address |
304 NE HOOD AVE |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-7450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336676634 | Kristen Erich | Physical Medicine & Rehabilitation | 304 Ne Hood Ave, Gresham, OR 97030-7450 | 2017-05-17 |
| 1790398816 | Brooke Demarest | Occupational Therapist | 304 Ne Hood Ave, Gresham, OR 97030-7450 | 2020-08-28 |
| 1992318000 | Ellee Daskalos Nakashima | Physical Therapist | 304 Ne Hood Ave, Gresham, OR 97030-7450 | 2020-08-28 |
| 1932726197 | Katherine Lynn Woodworth | Occupational Therapist | 304 Ne Hood Ave, Gresham, OR 97030-7450 | 2020-07-02 |
| 1215554472 | Mackenzie Russell | Speech-Language Pathologist | 304 Ne Hood Ave, Gresham, OR 97030-7450 | 2020-07-02 |
| 1114543329 | Mckenzie Carol Rushcamp | Speech-Language Pathologist | 304 Ne Hood Ave, Gresham, OR 97030-7450 | 2020-06-23 |
| 1164055539 | Jamie G Morton | Occupational Therapist | 304 Ne Hood Ave, Gresham, OR 97030-7450 | 2020-02-13 |
| 1821621293 | Abigail Katheryn Feltner Smith | Occupational Therapist | 304 Ne Hood Ave, Gresham, OR 97030-7450 | 2020-02-13 |
| 1588213896 | Paige Ryan Rhodes | Physical Therapist | 304 Ne Hood Ave, Gresham, OR 97030-7450 | 2019-09-09 |
| 1477100170 | Karla Gill | Speech-Language Pathologist | 304 Ne Hood Ave, Gresham, OR 97030-7450 | 2019-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| 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 |
|---|---|---|---|---|
| 1740841691 | Ronald Taylor | Occupational Therapist | 24076 Se Stark St Ste 210, Gresham, OR 97030-3376 | 2019-06-21 |
| 1861950891 | Benchmark Physical Therapy of Or, LLC | Occupational Therapist | 283 Ne 223rd Ave, Gresham, OR 97030-8555 | 2019-03-08 |
| 1982114666 | Premere Rehab, LLC | Occupational Therapist | 1410 Ne Cleveland Ave, Gresham, OR 97030-4283 | 2017-10-06 |
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1215271879 | Cynthia Sue Goodman | Occupational Therapist | 1794 Sw Battaglia Ave, Gresham, OR 97080-5733 | 2012-11-20 |
| 1962727784 | Celeste Cheri Delaney | Occupational Therapist | 532 N Main Ave, Gresham, OR 97030 | 2010-04-05 |
| 1841434735 | Armworks Hand Therapy, LLC | Occupational Therapist | 6583 Se 302nd Ave, Gresham, OR 97080-8928 | 2009-04-23 |
| 1609052232 | Kathryn Sue Grotheer | Occupational Therapist | 1280 Ne Kane Dr, Gresham, OR 97030-4699 | 2008-01-14 |
| 1740266105 | Therapeutic Associates Inc | Occupational Therapist | 283 Nw Miller Ave, Gresham, OR 97030-7260 | 2005-12-19 |
| 1790398816 | Brooke Demarest | Occupational Therapist | 304 Ne Hood Ave, Gresham, OR 97030-7450 | 2020-08-28 |
| Find all providers in GRESHAM | ||||
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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.