NICOLE MUNDSTOCK (NPI# 1679930028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679930028 |
| Entity Type | Individual |
| Full Name | NICOLE MUNDSTOCK |
| Credential | OTR/L |
| Practice Address |
500 N Bullard Ave C27 Goodyear AZ 85338-2533 |
| Practice Telephone | 6239865110 |
| Mailing Telephone | 6239865110 |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2016-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
6444 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
500 N BULLARD AVE C27 |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85338-2533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831470335 | Jacob Tryon | Specialist/Technologist | 500 N Bullard Ave, #27, Goodyear, AZ 85338-2533 | 2011-08-30 |
| 1922556182 | William Brett Trujillo | Physical Therapist | 500 N Bullard Ave, C27, Goodyear, AZ 85338-2533 | 2016-09-16 |
| 1619303971 | April L Shinn | Occupational Therapy Assistant | 500 N Bullard Ave, Suite 27, Goodyear, AZ 85338-2533 | 2013-09-18 |
| 1093150872 | Ashley Ryan Bartlett | Occupational Therapy Assistant | 500 N Bullard Ave, Suite #27, Goodyear, AZ 85338-2533 | 2013-05-07 |
| 1851666010 | Melissa Suzanne Serpico | Specialist/Technologist | 500 N Bullard Ave, Goodyear, AZ 85338-2533 | 2012-03-20 |
| 1497027478 | Eleutheria, LLC | Specialist/Technologist | 500 N Bullard Ave, #27, Goodyear, AZ 85338-2533 | 2012-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295226884 | Caroline Chang | Dentist | 15530 W Roosevelt St Ste E106, Goodyear, AZ 85338 | 2018-05-20 |
| 1609376714 | Rosanna Alvarez | Licensed Practical Nurse | 17432 W Elaine Dr, Goodyear, AZ 85338 | 2018-02-15 |
| 1023534419 | Jennifer Elizabeth Lawrence Dixon | Social Worker | 319 N Lichfield Rd, Suite 105, Goodyear, AZ 85338 | 2017-08-17 |
| 1346774916 | Vanessa Castillo | Specialist/Technologist | 18035 W. Yuma Rd, Goodyear, AZ 85338 | 2017-04-20 |
| 1386008076 | Hope Behavioral Health Residential Care | Substance Abuse Rehabilitation Facility | 15985 W.williams Street, Goodyear, AZ 85338 | 2016-04-08 |
| 1952760241 | Jeremy John Abdul-haqq | Dentist | 15661 W Roosevelt St Ste 102, Goodyear, AZ 85338 | 2016-02-16 |
| 1417206897 | Kelly Renee Filo | Occupational Therapy Assistant | 10189 S. Hacienda Dr., Goodyear, AZ 85338 | 2012-08-31 |
| 1194015545 | Nancy Ann Amore | Licensed Practical Nurse | 15578 W Yuma Road, Goodyear, AZ 85338 | 2011-04-19 |
| 1932409208 | Chung Counihan | Pharmacist | 9890 S Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| 1053611327 | Traven Anderson | Pharmacist | 9890 South Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| Find all providers in zip 85338 | ||||
| Taxonomy Code | 225XP0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Pediatrics |
| Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767751 | Courtney Dawn Wright | Occupational Therapist | 13851 W La Mar Blvd Ste D, Goodyear, AZ 85338-1389 | 2020-10-09 |
| 1407334329 | Hana M Eichele | Occupational Therapist | 13385 W Mcdowell Road, Goodyear, AZ 85395 | 2018-08-02 |
| 1639662406 | Kristen Henderson | Occupational Therapist | 14577 W Indian School Road, Goodyear, AZ 85395 | 2018-06-07 |
| 1134606387 | Sara Murray Cloar | Occupational Therapist | 13385 W Mcdowell Rd, Goodyear, AZ 85395 | 2018-07-20 |
| 1457889677 | Kyla Jo Martin | Occupational Therapist | 14557 W Indian School Rd, Goodyear, AZ 85395-9218 | 2017-06-01 |
| 1912221250 | Tonya Lynne Doty | Occupational Therapist | 14557 W Indian School Rd, Suite 500, Goodyear, AZ 85395-9243 | 2010-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353324 | The Village Pediatric Therapy LLC | Occupational Therapist | 24723 N 115th Ave, Sun City, AZ 85373-9723 | 2020-07-06 |
| 1629603550 | Lisa Beth Bergin | Occupational Therapist | 1441 S Lindsay Rd Apt 1042, Mesa, AZ 85204-6288 | 2020-03-11 |
| 1376178301 | Angela Wiltse | Occupational Therapist | 3938 E Morrow Dr, Phoenix, AZ 85050-6332 | 2020-03-10 |
| 1740827047 | Zachary Matthew Ray | Occupational Therapist | 8757 E Lomita Ave, Mesa, AZ 85209-5339 | 2019-12-05 |
| 1467005876 | Taelor Millsap | Occupational Therapist | 2715 S Alma School Rd Ste 3, Chandler, AZ 85286-4402 | 2019-07-24 |
| 1346707924 | Caitlin Murphy | Occupational Therapist | 42211 N 41st Dr Ste A145, Anthem, AZ 85086-3810 | 2019-03-01 |
| 1609373091 | Brooke Kailee Mccown | Occupational Therapist | 4214 E Oak St, Phoenix, AZ 85008-2328 | 2018-04-11 |
| 1841717329 | Michele Ann Flower | Occupational Therapist | 661 N 65th Pl, Mesa, AZ 85205-6801 | 2017-08-25 |
| 1548781578 | Rebeka Camille Martindell | Occupational Therapist | 5812 W Central Rd, Central, AZ 85531 | 2017-06-29 |
| 1770020356 | Cynthia Ruth Carr | Occupational Therapist | 118 W Palmaire Ave, Phoenix, AZ 85021-8748 | 2017-01-20 |
| Find all providers with the same taxonomy | ||||
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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.