WADE ROACH (NPI# 1588034383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588034383 |
| Entity Type | Individual |
| Full Name | WADE ROACH |
| Credential | COTA/L |
| Practice Address |
888 N Main St 5085876566 Brockton MA 02301-1668 |
| Practice Telephone | 5085876566 |
| Mailing Telephone | 5085876566 |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 3996 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
888 N MAIN ST 5085876566 |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-1668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568671501 | Priyanka Wadhwa | Occupational Therapist | 888 N Main St, Brockton, MA 02301-1668 | 2007-05-22 |
| 1326536483 | Erin Elisabeth Mullen | Occupational Therapist | 888 N Main St, Brockton, MA 02301-1668 | 2018-04-24 |
| 1831643246 | Rachel Finer | Specialist | 888 N Main St, Brockton, MA 02301-1668 | 2016-08-15 |
| 1336504836 | Samantha Lee Thebeault | Student in an Organized Health Care Education/Training Program | 888 N Main St, Brockton, MA 02301-1668 | 2015-12-28 |
| 1336537687 | Jessica Marie Pickett | Occupational Therapist | 888 N Main St, Brockton, MA 02301-1668 | 2015-01-08 |
| 1689071631 | Cynthia Reidmorrison | Physical Therapy Assistant | 888 N Main St, Brockton, MA 02301-1668 | 2014-11-19 |
| 1043622236 | Elisabeth Gardner | Occupational Therapist | 888 N Main St, Brockton, MA 02301-1668 | 2014-05-22 |
| 1376963090 | Francine Kier Decasa Quianzon | Physical Therapist | 888 N Main St, Brockton, MA 02301-1668 | 2014-04-21 |
| 1154618981 | Ellen Morris-manchester | Speech-Language Pathologist | 888 N Main St, Brockton, MA 02301-1668 | 2011-06-30 |
| 1568616464 | Colleen Marie Doherty | Physical Therapist | 888 N Main St, Brockton, MA 02301-1668 | 2008-11-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| 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 |
|---|---|---|---|---|
| 1922205764 | Elida Marleny Debarros | Occupational Therapy Assistant | 87 N Quincy St, Brockton, MA 02302-2655 | 2007-06-27 |
| 1043715063 | Emily Elizabeth Nichols | Occupational Therapy Assistant | 801 Pleasant St, Brockton, MA 02301-3052 | 2018-03-30 |
| 1861622821 | Jaymie Genatossio | Occupational Therapy Assistant | 804 Pleasant St, Brockton, MA 02301-3055 | 2009-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710591813 | Kristen A Berg | Occupational Therapy Assistant | 881 Pike Ave, Attleboro, MA 02703-5323 | 2020-09-04 |
| 1164034096 | Diane M Bowler | Occupational Therapy Assistant | 7 Virginia Rd, Tyngsboro, MA 01879-2350 | 2020-08-21 |
| 1083225650 | Brenda Ann Sylvia | Occupational Therapy Assistant | 101 Luke St, New Bedford, MA 02740-1329 | 2020-08-16 |
| 1912517145 | Sharon E Anderson | Occupational Therapy Assistant | 3 Arrowhead Trl, Ipswich, MA 01938-2413 | 2020-08-03 |
| 1982227427 | Florence N Kimanzi | Occupational Therapy Assistant | 26 Lebanon St, Worcester, MA 01603-1343 | 2020-05-19 |
| 1669093746 | Hanan Hakeem Agban Hanna | Occupational Therapy Assistant | 355 S Worcester St, Norton, MA 02766-3403 | 2020-04-30 |
| 1063047884 | Edwin K Kiptoo | Occupational Therapy Assistant | 270 Union St Ste 304, Lynn, MA 01901-1348 | 2020-03-12 |
| 1376177238 | Marie Massoud | Occupational Therapy Assistant | 26 Tiger Lily Trl, Rehoboth, MA 02769-2124 | 2020-02-28 |
| 1194365783 | Brenda Grace Chouinard | Occupational Therapy Assistant | 21 Buttonwood Rd, Harwich, MA 02645-1825 | 2020-01-10 |
| 1417518515 | Amy Gregoire | Occupational Therapy Assistant | 119 Wareham Rd Unit 107, Marion, MA 02738-1178 | 2019-06-28 |
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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.