ALEXANDRA MARIA RICHARDSON


Address: 3835 Cypress Dr, Petaluma, CA 94954-6965
Phone: 7075089485

ALEXANDRA MARIA RICHARDSON (NPI# 1710456223) 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) 1710456223
Entity Type Individual
Full Name ALEXANDRA MARIA RICHARDSON
Other Name ALEXANDRA RODRIGUEZ VANGELATOS
Credential OTR/L
Practice Address 3835 Cypress Dr
Petaluma
CA 94954-6965
Mailing Address 6461 Sequoia St
Rohnert Park
CA 94928-2833
Practice Telephone 7075089485
Mailing Telephone 7075089485
Enumeration Date 2018-11-14
Last Update Date 2018-11-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 144151 CA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers ALEXANDRA RICHARDSON

NPI Name Taxonomy Address Enumeration
1043701923 Alexandra Dingman Richardson Developmental Therapist 53 Old Bay Rd, Bolton, MA 01740-1344 2018-05-25
1962917666 Alexandra Marie Richardson Student in an Organized Health Care Education/Training Program 6858 Old Dominion Dr Ste 200, Mc Lean, VA 22101-3832 2017-12-05
1114376860 Alexandra Richardson Case Manager/Care Coordinator 1106 N 155th St, Suite B, Basehor, KS 66007-7100 2016-06-03

Office Location

Street Address 3835 CYPRESS DR
City PETALUMA
State CA
Zip Code 94954-6965

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023043494 Lana Ngoc Nguyen Family Medicine 3835 Cypress Dr, Suite 102, Petaluma, CA 94954-6965 2006-07-12
1538406897 United Cerebral Palsy of The North Bay Day Training, Developmentally Disabled Services 3835 Cypress Dr, Suite 103, Petaluma, CA 94954-6965 2013-01-07
1861524118 Blair Andrew Kirk Dentist 3835 Cypress Dr, Suite 208, Petaluma, CA 94954-6965 2007-03-12
1093859969 Martin Richard Steigner Dentist 3835 Cypress Dr, Suite 210, Petaluma, CA 94954-6965 2007-02-16
1588704696 Raymond Anthony Ramos Dentist 3835 Cypress Dr, Suite 210, Petaluma, CA 94954-6965 2007-02-07
1134273592 Mark Roper Dentist 3835 Cypress Dr, Suite 203, Petaluma, CA 94954-6965 2007-01-23
1700800604 Michael I Bozuk Surgery 3835 Cypress Dr, Ste 202, Petaluma, CA 94954-6965 2006-07-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346883840 Miguel Ibarra Counselor 5350 Old Redwood Highway, Petaluma, CA 94954 2019-10-28
1073169223 Monica Renee Najera Behavior Technician 1670 Corporate Circle, Ste. 100, Petaluma, CA 94954 2019-08-14
1326607201 Making Magic Happen - People Helping People, Inc. Marriage & Family Therapist 1318 Redwood Way, Suite 260, Petaluma, CA 94954 2019-06-13
1477019917 Rubi Isela Cruz Mendoza I Behavioral Analyst 8 Round Walk Circle, Petaluma, CA 94954 2019-02-20
1932679511 Karen Christianson Behavior Technician 1670 Corporate Circle Suite 100, Petaluma, CA 94954 2018-11-27
1669956967 Alyssa Messer Assistant Behavior Analyst 1670 Corporate Cir, Petaluma, CA 94954 2018-09-21
1235620592 Mallory Paige Mullikin Nurse Practitioner 141 Lynch Creek Trail, Ste C, Petaluma, CA 94954 2018-05-22
1457723710 Lisabel Dolne Counselor 1360 N. Mcdowell Blvd.1a, Petaluma, CA 94954 2015-10-27
1083080717 Pacific Restorative Center Clinic/Center 1456 Professional Drive, Suite 404, Petaluma, CA 94954 2015-08-17
1619354198 Accu Quest Hearing Centers Clinic/Center 1456 Professional Dr., Suite 404, Petaluma, CA 94954 2015-05-04
Find all providers in zip 94954

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
1528693710 Emily Fowler Cruz Occupational Therapist 1900 Westminster Ln, Petaluma, CA 94954-3938 2020-03-08
1215585773 Michelle Perryman Occupational Therapist 135 Keller St Ste C, Petaluma, CA 94952-2312 2019-08-28
1629624697 Merit Franklin Occupational Therapist 55 Maria Dr Apt 225, Petaluma, CA 94954-3598 2019-08-14
1871040170 Kaitlyn Labarthe Occupational Therapist 1464 Capri Ave, Petaluma, CA 94954-1451 2016-09-02
1437529476 Rosemarie Lion Occupational Therapist 41 Myrtle Ct, Petaluma, CA 94952-3236 2015-10-02
1053723791 Brittany Baughman Occupational Therapist 1321 Beechwood Dr, Petaluma, CA 94954-5409 2014-05-29
1407287949 Mary Tappan Occupational Therapist 805 Cliff Haven Ct, Petaluma, CA 94954-7444 2013-12-10
1215266804 Amery Goodwyn Day Occupational Therapist 394 Fallon Rd, Petaluma, CA 94952-4606 2009-12-10
1184869000 Lyndsey Ann Kinane Occupational Therapist 101 2nd St Apt 302, Petaluma, CA 94952-7404 2008-12-05
1336754761 Skyler J Moon Occupational Therapist 1115 B St, Petaluma, CA 94952-4028 2020-09-11
Find all providers in PETALUMA

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City PETALUMA
Zip Code 94954

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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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