EDWARD GEORGE DOUGHERTY (NPI# 1760650808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760650808 |
| Entity Type | Individual |
| Full Name | EDWARD GEORGE DOUGHERTY |
| Credential | COTA |
| Practice Address |
1579 Wellington Lane 51 Vista CA 92081 |
| Practice Telephone | 7607174365 |
| Mailing Telephone | 7607174365 |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-02-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA1286 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326297136 | Edward James Dougherty | Psychologist | 152 Vosseller Ave, Bound Brook, NJ 08805-1828 | 2008-09-17 |
| 1366631988 | Edward A. Dougherty | Family Medicine | 3483 Gulf Shore Blvd N Apt 104, Naples, FL 34103-3620 | 2007-10-19 |
| 1992077200 | Edward T Dougherty Jr. | Dentist | 12308 Ocean Gtwy, Ocean City, MD 21842-9341 | 2012-02-01 |
| Street Address |
1579 WELLINGTON LANE 51 |
| City | VISTA |
| State | CA |
| Zip Code | 92081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548896202 | Maritza Mercado | Behavior Technician | 1926 Civic Center Dr Suite B, Vista, CA 92081 | 2020-03-13 |
| 1417599267 | Cherelle Artise Lewis | Behavior Technician | 1926 Via Centre Drive, Suite B, Vista, CA 92081 | 2019-10-14 |
| 1194101295 | Mary Stewart | Physical Therapist | 1515 S Melrose Dr, Vista, CA 92081 | 2015-07-31 |
| 1184069122 | Houri Fatourachi, Dds Inc | Dentist | 2325 S Melrose Dr., Vista, CA 92081 | 2013-05-03 |
| 1821377037 | Mori Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 2320 La Mirada Dr, Vista, CA 92081 | 2011-08-05 |
| 1497068563 | Gerald Francis Moore | Dentist | 610 S. Melrose Dr, Vista, CA 92081 | 2010-07-19 |
| 1316274749 | Mahtab Saadatmandi | Dentist | 2311 S. Melrose Dr., Vista, CA 92081 | 2009-11-05 |
| 1831398676 | Longs Drug Stores California LLC | Pharmacy | 635 S Melrose Dr, Vista, CA 92081 | 2007-07-12 |
| 1346462231 | Houri Fatourachi | Dentist | 2325 South Melrose Drive, Vista, CA 92081 | 2007-05-02 |
| 1417178005 | James Heavilin | Chiropractor | 1611a So Melrose Dr #331, Vista, CA 92081 | 2007-05-01 |
| Find all providers in zip 92081 | ||||
| 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 |
|---|---|---|---|---|
| 1114168960 | Jennifer Koles | Occupational Therapy Assistant | 1580 Shadowridge Dr Apt 279, Vista, CA 92081-9040 | 2009-03-07 |
| 1730728247 | Joo Youn Lim | Occupational Therapy Assistant | 247 E Bobier Dr, Vista, CA 92084-3026 | 2019-12-31 |
| 1992343495 | Dana Rose Tomkins | Occupational Therapy Assistant | 247 E Bobier Dr, Vista, CA 92084-3026 | 2019-12-15 |
| 1437797156 | Francisco Hernandez | Occupational Therapy Assistant | 304 N Melrose Dr, Vista, CA 92083-4899 | 2019-12-12 |
| 1538701149 | Gillian Gail Enriquez | Occupational Therapy Assistant | 911 Hacienda Dr Ste B, Vista, CA 92081-6503 | 2019-10-15 |
| 1619413796 | Samantha Lee Murray | Occupational Therapy Assistant | 2000 Westwood Rd, Vista, CA 92083-5123 | 2017-01-12 |
| 1770029878 | Martha Rosinsky | Occupational Therapy Assistant | 2000 Westwood Rd, Vista, CA 92083-5123 | 2017-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089304 | Buenaventura Peralta | Occupational Therapy Assistant | 139 N Walnut Ave, Placentia, CA 92870-5643 | 2020-10-07 |
| 1578170619 | Noe Ramirez Lopez | Occupational Therapy Assistant | 650 Marvin Way, Dixon, CA 95620-3342 | 2020-09-23 |
| 1790391415 | Michael Vidal | Occupational Therapy Assistant | 2126 Oregon Ave, Long Beach, CA 90806-4141 | 2020-09-17 |
| 1386259273 | Rachel Le | Occupational Therapy Assistant | 11909 Elmcroft Ave, Norwalk, CA 90650-7730 | 2020-09-09 |
| 1790399913 | Alexander Toussaint | Occupational Therapy Assistant | 3731 E Harding St, Long Beach, CA 90805-3934 | 2020-09-04 |
| 1710590757 | Lisa M Smith | Occupational Therapy Assistant | 920 Westacre Rd, West Sacramento, CA 95691-3224 | 2020-08-28 |
| 1083226419 | Olivia Clark | Occupational Therapy Assistant | 2905 Bearcreek Ct, Fullerton, CA 92835-3143 | 2020-08-18 |
| 1174133961 | Pacasie Kamikazi | Occupational Therapy Assistant | 8501 Bruceville Rd, Elk Grove, CA 95758-7258 | 2020-08-06 |
| 1093323297 | Catherine Hsi | Occupational Therapy Assistant | 1241 Ashby Ave, Berkeley, CA 94702-2401 | 2020-07-14 |
| 1790302453 | Elnura Kim | Occupational Therapy Assistant | 13665 Newcastle Ct, Fontana, CA 92335-0588 | 2020-06-29 |
| 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.