JASON E WALLER (NPI# 1598191173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598191173 |
| Entity Type | Individual |
| Full Name | JASON E WALLER |
| Practice Address |
5535 S Williamson Blvd Port Orange FL 32128-8311 |
| Mailing Address |
5301 51st St Apt A7 Lubbock TX 79414-1847 |
| Practice Telephone | 8003307711 |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2013-09-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780987362 | Jason Waller | Counselor | 106b Shadow Peak Ln, Hot Springs, AR 71913-2376 | 2010-12-21 |
| 1245507490 | Jason Lee Waller | Pharmacist | 11509 Abercorn St, Savannah, GA 31419-1901 | 2011-11-16 |
| 1952355653 | Jason Waller | Emergency Medicine | 2301 S Lamar Blvd, Oxford, MS 38655-5373 | 2006-05-19 |
| Street Address |
5535 S WILLIAMSON BLVD |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32128-8311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952371312 | Johnna Mantineo | Family Medicine | 5535 S Williamson Blvd, Suite 700, Port Orange, FL 32128-8311 | 2006-01-26 |
| 1003415670 | Erin Kwiatkowski | Physical Therapist | 5535 S Williamson Blvd, Port Orange, FL 32128-8311 | 2020-10-23 |
| 1932714045 | Alicia Bommarito | Occupational Therapist | 5535 S Williamson Blvd, Port Orange, FL 32128-8311 | 2020-09-15 |
| 1205449717 | Amanda Breitenbach | Speech-Language Pathologist | 5535 S Williamson Blvd, Port Orange, FL 32128-8311 | 2020-08-25 |
| 1619589934 | Emily Ford | Speech-Language Pathologist | 5535 S Williamson Blvd, Port Orange, FL 32128-8311 | 2020-08-18 |
| 1942811237 | Taylor Bruce | Speech-Language Pathologist | 5535 S Williamson Blvd, Port Orange, FL 32128-8311 | 2020-08-11 |
| 1376169706 | Christina Debiasio | Speech-Language Pathologist | 5535 S Williamson Blvd, Port Orange, FL 32128-8311 | 2020-06-22 |
| 1023634425 | Emily Symons | Speech-Language Pathologist | 5535 S Williamson Blvd, Port Orange, FL 32128-8311 | 2020-06-22 |
| 1083251581 | Paige Tschop | Physical Therapist | 5535 S Williamson Blvd, Port Orange, FL 32128-8311 | 2019-12-03 |
| 1205471810 | Sarah Blake | Speech-Language Pathologist | 5535 S Williamson Blvd, Port Orange, FL 32128-8311 | 2019-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487209979 | Encore Hearing Consultants, LLC | Hearing Instrument Specialist | 5889 S. Williamson Blvd, Suite 1409, Port Orange, FL 32128 | 2019-08-02 |
| 1346768835 | T'neill Treherne | Occupational Therapist | 5535 S. Williamson Blvd Suite 774, Port Orange, FL 32128 | 2017-09-05 |
| 1881055440 | Jose Ortiz | Chiropractor | 6315 S Williamson Blvd Apt 132, Port Orange, FL 32128 | 2016-03-10 |
| 1376915132 | Comfortable Care Dental Health Professionals, Pa | Dentist | 5445 S. Williamson Blvd, Port Orange, FL 32128 | 2015-10-20 |
| 1508289570 | Jeffrey Barnes | Physical Therapist | 5535 S. Williamson B;vd, Port Orange, FL 32128 | 2014-01-28 |
| 1881025542 | Rachael Hall | Physical Therapist | 55335 S Williamson Blvd, Suite 774, Port Orange, FL 32128 | 2013-12-06 |
| 1154765840 | Daniel Fleishman | Counselor | 6709 Ferri Circle, Port Orange, FL 32128 | 2013-04-24 |
| 1215282629 | Jeffrey Mclaughlin | Physical Therapist | 5535 S. Williamson Blvd., Ste 774, Port Orange, FL 32128 | 2012-07-23 |
| 1710266812 | Steven Gerald Daniels | Chiropractor | 1807 Creekwater Blvd, Port Orange, FL 32128 | 2011-08-08 |
| 1639489883 | Dr. Michael Hay and Associates, LLC | Optometrist | 5517 S. Williamson Blvd., #310, Port Orange, FL 32128 | 2010-10-20 |
| Find all providers in zip 32128 | ||||
| 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 |
|---|---|---|---|---|
| 1528668639 | Kevin Lee | Occupational Therapist | 1417 Royal Grove Ln, Port Orange, FL 32129-8620 | 2020-10-28 |
| 1154953602 | Lisa Burt | Occupational Therapist | 788 Foxhound Dr, Port Orange, FL 32128-7004 | 2020-02-12 |
| 1891330759 | Jada Gooch | Occupational Therapist | 945 Windridge Ct Apt A, Port Orange, FL 32127-4797 | 2019-11-14 |
| 1346768835 | T'neill Treherne | Occupational Therapist | 5535 S. Williamson Blvd Suite 774, Port Orange, FL 32128 | 2017-09-05 |
| 1992145148 | Lauren Huddleston | Occupational Therapist | 1157 Southwinds Dr, Port Orange, FL 32129-7833 | 2013-07-02 |
| 1942564984 | Katie Ginader | Occupational Therapist | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2012-06-25 |
| 1407165673 | Lindy Dawn Domke | Occupational Therapist | 5535 South Williamson Blvd Ste 774, Port Orange, FL 32128 | 2010-10-05 |
| 1104423045 | Dunya Sleiman | Occupational Therapist | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2020-10-05 |
| 1144836354 | Melissa Koch | Occupational Therapist | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2020-09-22 |
| 1932714045 | Alicia Bommarito | Occupational Therapist | 5535 S Williamson Blvd, Port Orange, FL 32128-8311 | 2020-09-15 |
| Find all providers in PORT ORANGE | ||||
| City | PORT ORANGE |
| Zip Code | 32128 |
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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.