MR. JASPER S BANZON (NPI# 1730200601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730200601 |
| Entity Type | Individual |
| Full Name | MR. JASPER S BANZON |
| Credential | OTR |
| Practice Address |
1313 Dunbar Ave Dunbar WV 25064-2920 |
| Mailing Address |
P.o. Box 398 5585 Madison Creek Rd. Salt Rock WV 25559 |
| Practice Telephone | 3046546892 |
| Mailing Telephone | 3046546892 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2013-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 1092 | WV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | OCCUPATIONAL THERAPY LIC | 1092 | 01 |
| KY | OCCUPATIONAL THERAPY LIC | KY-R2967 | 01 |
| Street Address |
1313 DUNBAR AVE |
| City | DUNBAR |
| State | WV |
| Zip Code | 25064-2920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528166311 | Karen Ano Cruz | Occupational Therapist | 1313 Dunbar Ave, Dunbar, WV 25064 | 2006-09-20 |
| 1205346525 | Sarah Elizabeth Humble | Physical Therapist | 1313 Dunbar Ave, Dunbar, WV 25064-2920 | 2017-10-02 |
| 1063969541 | Tiffany N Evans | Speech-Language Pathologist | 1313 Dunbar Ave, Dunbar, WV 25064-2920 | 2016-09-01 |
| 1558784017 | Christianna Miles | Speech-Language Pathologist | 1313 Dunbar Ave, Dunbar, WV 25064-2920 | 2014-02-03 |
| 1508291477 | Dunbar Therapy Center, LLC | Clinic/Center | 1313 Dunbar Ave, Dunbar, WV 25064-2920 | 2013-09-10 |
| 1619296183 | Diane E Nader-epling | Speech-Language Pathologist | 1313 Dunbar Ave, Dunbar, WV 25064-2920 | 2010-05-24 |
| 1790817104 | Ferdinand P Sorongon | Clinic/Center | 1313 Dunbar Ave, Dunbar, WV 25064-2920 | 2007-03-12 |
| 1205933579 | Kvptc, LLC | Physical Therapist | 1313 Dunbar Ave, Dunbar, WV 25064 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184087 | Janice Carol Brown | Technician | 106 Everette Lane, Dunbar, WV 25064 | 2020-11-03 |
| 1912328154 | Misty Ferguson | Physical Therapy Assistant | 501 Caldwel Lane, Dunbar, WV 25064 | 2013-12-13 |
| 1154626349 | City of Dunbar | Non-emergency Medical Transport (VAN) | 210 12th St., Dunbar, WV 25064 | 2011-01-19 |
| 1366600439 | Csi Community Services Inc | Community/Behavioral Health | 1400 Ohio Ave Ste A, Dunbar, WV 25064 | 2008-05-27 |
| 1962604975 | Stephen O'keefe | Psychologist | 1215 Stewart Plaza, Dunbar, WV 25064 | 2007-06-01 |
| 1518031384 | Lisa Hicks | Speech-Language Pathologist | 1313 Dunbar Avenue, Dunbar, WV 25064 | 2006-11-20 |
| 1770662579 | Mahmood Partovi | Family Medicine | 210 11th Street, Dunbar, WV 25064 | 2006-11-03 |
| 1154381572 | John Vincent Merrifield | Family Medicine | 1100 Grosscup Avenue, Dunbar, WV 25064 | 2006-03-28 |
| 1073596284 | James S Morris | Chiropractor | 100 Westmoreland Office Center, Dunbar, WV 25064 | 2005-11-22 |
| 1093702219 | Kci Usa, Inc. | Durable Medical Equipment & Medical Supplies | 300 Roxalana Business Park, Dunbar, WV 25064 | 2005-10-03 |
| Find all providers in zip 25064 | ||||
| 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 |
|---|---|---|---|---|
| 1831738129 | Maricris Yaplito Miller | Occupational Therapist | 501 Caldwell Ln, Dunbar, WV 25064-2026 | 2020-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912517665 | Laura Bashour | Occupational Therapist | 105 Stanley St, Morgantown, WV 26508-9115 | 2020-08-07 |
| 1043838345 | Kristi A Fawcett | Occupational Therapist | 205 Shawnee Est, Winfield, WV 25213-9710 | 2020-07-13 |
| 1164046090 | Mayflower LLC | Occupational Therapist | 202 Hidden Hollow Ln, Cameron, WV 26033-1671 | 2020-06-06 |
| 1134778459 | Carly Ann Harris | Occupational Therapist | 1228 National Rd, Wheeling, WV 26003-5787 | 2019-09-09 |
| 1386206910 | Paige A Harman | Occupational Therapist | 26 Commerce Dr, Westover, WV 26501-3874 | 2019-07-03 |
| 1306401807 | Rae Ann Smith | Occupational Therapist | 1 Diane Dr., Fort Ashby, WV 26719 | 2019-05-09 |
| 1588229165 | Jaimie K Merinar | Occupational Therapist | 2478 Sand Hill Rd, Wheeling, WV 26003-8926 | 2019-05-08 |
| 1063972099 | Phillip King | Occupational Therapist | 225 Sunbridge Dr., Salem, WV 26426 | 2019-03-25 |
| 1366916546 | Professional Sportscare & Rehab of West Virginia, LLC | Occupational Therapist | 34 W Virginia Way, Ranson, WV 25438-4882 | 2019-01-22 |
| 1588146658 | Bridgeport Physical Therapy Services, Inc. | Occupational Therapist | 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 | 2018-09-05 |
| 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.