MARY GRACE RAFANAN (NPI# 1629439013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629439013 |
| Entity Type | Individual |
| Full Name | MARY GRACE RAFANAN |
| Practice Address |
1015 W 47th St Norfolk VA 23529-0001 |
| Mailing Address |
704 Redleafe Cir Chesapeake VA 23320-3225 |
| Practice Telephone | 7576837041 |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 0131000985 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1015 W 47TH ST |
| City | NORFOLK |
| State | VA |
| Zip Code | 23529-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720057110 | Lisa Renee Koperna | Physical Therapist | 1015 W 47th St, Norfolk, VA 23529-0001 | 2006-03-16 |
| 1104439371 | Lauren Rice | Occupational Therapist | 1015 W 47th St, Norfolk, VA 23508 | 2020-08-27 |
| 1518590793 | Shea Dineen | Physical Therapist | 1015 W 47th St, Norfolk, VA 23529-0001 | 2020-02-17 |
| 1346807112 | Sharese Joell Douglas | Physical Therapy Assistant | 1015 W 47th St, Norfolk, VA 23508 | 2019-05-28 |
| 1023596681 | Ryan Christopher Hunt | Physical Therapist | 1015 W 47th St, Norfolk, VA 23529-0001 | 2018-08-04 |
| 1962993527 | Tricia Morgan L'heureux | Physical Therapist | 1015 W 47th St, Norfolk, VA 23529-0001 | 2018-05-18 |
| 1124561147 | Rebecca Sargeant | Physical Therapist | 1015 W 47th St, Norfolk, VA 23529-0001 | 2016-11-22 |
| 1821461682 | Leslie Prom | Physical Therapist | 1015 W 47th St, Norfolk, VA 23529-0001 | 2015-11-02 |
| 1558761015 | Samantha Ficksman | Physical Therapist | 1015 W 47th St, Norfolk, VA 23529-0001 | 2014-09-02 |
| 1871929729 | Old Dominion University | Clinic/Center | 1015 W 47th St, Norfolk, VA 23529-0001 | 2013-09-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528681939 | Breanna Jo Davis | Student in an Organized Health Care Education/Training Program | 5115 Hampton Boulevard, Norfolk, VA 23529-0001 | 2020-05-20 |
| 1912564311 | Briana M Lawry | Specialist/Technologist | 4608 Hampton Blvd, Norfolk, VA 23529-0001 | 2019-05-22 |
| 1679054035 | Charles Marshall Mozena | Specialist/Technologist | 4700 Powhatan Avenue, Norfolk, VA 23529-0001 | 2018-08-23 |
| 1669960258 | Dana Slepsky Robertson | Speech-Language Pathologist | 1015 W 47th Street, Norfolk, VA 23529-0001 | 2018-04-29 |
| 1326548140 | Trevor Thompson | Specialist/Technologist | Old Dominion University 5115 Hampton Blvd, Norfolk, VA 23529-0001 | 2018-02-19 |
| 1104335629 | Michael Andrew Burkeitt | Specialist/Technologist | 4500 Parker Avenue, Norfolk, VA 23529-0001 | 2017-09-27 |
| 1437682705 | Robert Medina | Specialist/Technologist | 4500 Parker Ave, Norfolk, VA 23529-0001 | 2017-04-04 |
| 1053767426 | Michael Olson | Specialist/Technologist | Jim Jarrett Athletic Admin Building, Norfolk, VA 23529-0001 | 2016-05-04 |
| 1144639568 | Heather Mckay Byrne | Physical Therapist | Odu Monarch Physical Therapy, 1015 West 47th Street, Norfolk, VA 23529-0001 | 2014-08-11 |
| 1770991051 | Cori Winifred Sinnott | Specialist/Technologist | 5115 Hampton Blvd, Norfolk, VA 23529-0001 | 2014-07-30 |
| Find all providers in zip 23529 | ||||
| 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 |
|---|---|---|---|---|
| 1447737986 | Tanisha Ashley Glover | Occupational Therapy Assistant | 2310 Wyoming Ave, Norfolk, VA 23513-4549 | 2018-07-27 |
| 1124485404 | Gwen Rutkowski | Occupational Therapy Assistant | 200 College Pl Apt 304, Norfolk, VA 23510-0902 | 2016-01-18 |
| 1619349636 | Melissa Sanchez | Occupational Therapy Assistant | 7722 Sheryl Dr, Norfolk, VA 23505-2209 | 2015-10-29 |
| 1417324724 | Camillia Nora Marie Gomez | Occupational Therapy Assistant | 1117 E Balview Ave, Norfolk, VA 23503-2024 | 2015-08-24 |
| 1376966127 | Brianna Prochnow | Occupational Therapy Assistant | 270 W York St Unit 3701, Norfolk, VA 23510-1569 | 2014-01-30 |
| 1861838633 | Tanisha D Drake | Occupational Therapy Assistant | 325 W 31st St, Apt 5, Norfolk, VA 23508-3434 | 2013-05-20 |
| 1619311768 | Larisa Marie Haner | Occupational Therapy Assistant | 1231 Maplewood Ave, Norfolk, VA 23503-3007 | 2013-04-19 |
| 1427248061 | Christopher Scott Martin | Occupational Therapy Assistant | 1044 E Bayview Blvd, Norfolk, VA 23503-3920 | 2007-07-30 |
| 1134780943 | Katherine Nohr | Occupational Therapy Assistant | 1203 N 13th St, Norfolk, NE 68701-2609 | 2019-06-23 |
| 1003477076 | Jakaylah Joyner | Occupational Therapy Assistant | 827 Norview Ave, Norfolk, VA 23509-1540 | 2019-06-21 |
| Find all providers in NORFOLK | ||||
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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.