PHILIP JOSEPH BISSOONDIAL


Address: 741 Kenilworth Ave, Suite 100, Charlotte, NC 28204
Phone: 7046494509

PHILIP JOSEPH BISSOONDIAL (NPI# 1578682225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578682225
Entity Type Individual
Full Name PHILIP JOSEPH BISSOONDIAL
Credential OTR/ L
Practice Address 741 Kenilworth Ave
Suite 100
Charlotte
NC 28204
Mailing Address 1229 Toteros Dr
Waxhaw
NC 28173-6950
Practice Telephone 7046494509
Practice Fax Number 7048439045
Mailing Telephone 7046494509
Mailing Fax Number 7048439045
Enumeration Date 2007-03-27
Last Update Date 2014-04-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 4874 NC Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 7301563 05

Office Location

Street Address 741 KENILWORTH AVE
SUITE 100
City CHARLOTTE
State NC
Zip Code 28204

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396821542 Sabena Sehgal Reddy Occupational Therapist 741 Kenilworth Ave, Suite 100, Charlotte, NC 28204-2933 2006-10-31
1063067957 Alyse Natalie Stempel Audiologist 741 Kenilworth Ave, Charlotte, NC 28204-2933 2019-08-07
1679979470 Cory Surridge Audiologist 741 Kenilworth Ave, Suite100, Charlotte, NC 28204-2933 2014-11-06
1154668614 Elizabeth Christian Stahnke Speech-Language Pathologist 741 Kenilworth Ave, Suite100, Charlotte, NC 28204-2933 2013-01-03
1912286378 Cara M Price Speech-Language Pathologist 741 Kenilworth Ave, Suite 100, Charlotte, NC 28204-3874 2011-08-16
1225285240 Tamia Howze Occupational Therapist 741 Kenilworth Ave, Suite 100, Charlotte, NC 28204-2933 2008-08-20
1134314891 Margaret Bullen Page Hearing Instrument Specialist 741 Kenilworth Ave, Suite 100, Charlotte, NC 28204-3874 2007-09-06
1245382613 Nancy Jean Mckeown Audiologist 741 Kenilworth Ave, Suite 100, Charlotte, NC 28204-2933 2007-01-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285263582 Precise Home Care Service LLC In Home Supportive Care 1935 Baxter Street, Unit 101, Charlotte, NC 28204 2020-04-07
1285276253 Shannon Miller Counselor 1432 E Seventh Street, Charlotte, NC 28204 2019-10-11
1194282202 Madison Joann Mcgarrigle Behavior Technician 1401 East 7th Street, Charlotte, NC 28204 2019-02-25
1255802674 Stacey D. Alston, Dds, Pa Dentist 1020 E. 10th St., Suite 1, Charlotte, NC 28204 2018-12-11
1972082097 Kim Webb Talbert Nurse Practitioner Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 2018-08-09
1164910535 Jesse Elijah Roberts Counselor 1801 E 5th Street, #208, Charlotte, NC 28204 2018-05-01
1336696848 Eight Healthcare Exclusive Provider Organization 2455 Weddington Ave, 2110, Charlotte, NC 28204 2016-09-01
1225480551 Kathleen Quintana Bradley Physician Assistant 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 2016-07-11
1184049777 Della Franklin Speech-Language Pathologist 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 2014-02-19
1225459845 Healing Arts Medical, Pa Family Medicine 335 N. Caswell Rd., Charlotte, NC 28204 2013-12-27
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Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588279863 Jessica Laser Occupational Therapist 8819 Norway Ct, Charlotte, NC 28269-5180 2020-09-13
1700424397 Elizabeth Gendernalik Occupational Therapist 1027 Healthcare Dr, Charlotte, MI 48813-1056 2019-12-15
1598302937 Brigit Boyce Occupational Therapist 8848 Red Oak Blvd, Ste Aa, Charlotte, NC 28217 2019-12-04
1144865734 Darci Pernoud Occupational Therapist 13000 S Tryon St Ste F-349, Charlotte, NC 28278-7652 2019-11-07
1619527199 Paige Nicole Chester Occupational Therapist 206 Livingstone Falls Dr Apt 212, Charlotte, NC 28217-5247 2019-09-16
1528628823 Happy Kids Therapy Occupational Therapist 11012 Knight Castle Dr, Charlotte, NC 28277-0212 2019-06-18
1861957235 Rachel Floren Payne Occupational Therapist 2142 Commonwealth Ave Apt 423, Charlotte, NC 28205-5177 2019-02-09
1497234611 Benchmark Physical Therapy of Nc, LLC Occupational Therapist 16139 Lancaster Hwy Ste 140, Charlotte, NC 28277-2033 2018-08-08
1023520558 Brittany Stanton Occupational Therapist 2301 Crownpoint Executive Dr Ste 3, Charlotte, NC 28227-7824 2017-10-24
1871016816 Monarch Occupational Therapist 1810 Back Creek Drive, Charlotte, NC 28213 2017-07-21
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Competitor

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City CHARLOTTE
Zip Code 28204

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Dataset Information

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.

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