NICHOLETTA FORTUNATO-TAMAYO (NPI# 1831655331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831655331 |
| Entity Type | Individual |
| Full Name | NICHOLETTA FORTUNATO-TAMAYO |
| Credential | OTR/L |
| Practice Address |
1828 E Florence Blvd Casa Grande AZ 85122-4783 |
| Mailing Address |
1450 S Colt Dr Gilbert AZ 85296-7344 |
| Practice Telephone | 5203816300 |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OTH-007625 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1828 E FLORENCE BLVD |
| City | CASA GRANDE |
| State | AZ |
| Zip Code | 85122-4783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275538456 | Francis Charles Salisbury | Obstetrics & Gynecology | 1828 E Florence Blvd, Building C, Ste 142, Casa Grande, AZ 85222-4783 | 2005-06-15 |
| 1295235505 | Charissa Wee | Speech-Language Pathologist | 1828 E Florence Blvd, Casa Grande, AZ 85122-4783 | 2018-02-14 |
| 1144729211 | Trevor Dickman | Physical Therapist | 1828 E Florence Blvd, Casa Grande, AZ 85122-4783 | 2018-02-05 |
| 1598264665 | Erica A Dickman | Physical Therapist | 1828 E Florence Blvd, Casa Grande, AZ 85122-4783 | 2018-02-05 |
| 1356858906 | Bhsm Rehabilitation, LLC | Durable Medical Equipment & Medical Supplies | 1828 E Florence Blvd, Casa Grande, AZ 85122-4783 | 2018-01-04 |
| 1679851760 | Yoosif Mohamed Ali Abdalla | Internal Medicine | 1828 E Florence Blvd, Casa Grande, AZ 85122-4783 | 2011-07-25 |
| 1649563412 | Lashonda Ann Carlton | Obstetrics & Gynecology | 1828 E Florence Blvd, Ste 110, Casa Grande, AZ 85122-4783 | 2011-05-26 |
| 1851601488 | Ambar Rahman | Internal Medicine | 1828 E Florence Blvd, 138, Casa Grande, AZ 85122-4783 | 2010-10-17 |
| 1932365954 | Praveen Devardhan | Hospitalist | 1828 E Florence Blvd, Suite C-138, Casa Grande, AZ 85222-4783 | 2008-07-29 |
| 1710155296 | United Pulmonary & Sleep Medicine, Inc | Internal Medicine | 1828 E Florence Blvd, Suite 112, Casa Grande, AZ 85222-4783 | 2008-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043857097 | Karen M Garcia | Registered Nurse | 2631 N Brown Avenue, Casa Grande, AZ 85122 | 2019-12-09 |
| 1063060291 | Martha Bollin | Registered Nurse | 2631 N. Brown Ave., Casa Grande, AZ 85122 | 2019-08-30 |
| 1841846920 | Banner Imaging Services LLC | Radiology | 1828 E. Florence Blvd Bldg B Ste 118 & 128, Suite 118 and 128, Casa Grande, AZ 85122 | 2019-08-14 |
| 1629532692 | Kirk Lee Mackley | Physical Therapist | Vibrant Care, 1355 E Florence Blvd #137, Casa Grande, AZ 85122 | 2019-01-24 |
| 1205307436 | Natalie T Trujillo | Physician Assistant | 301 E Cottonwood Ln Ste 1&2, Casa Grande, AZ 85122 | 2018-12-16 |
| 1710455860 | Community Intervention Associates, Inc | Clinic/Center | 1667 N. Trekell Rd, Suite 101 & 102, Casa Grande, AZ 85122 | 2018-11-07 |
| 1245728302 | Jenkins Chiropractic LLC | Chiropractor | 1891 N Trekell Rd Ste 2, Casa Grande, AZ 85122 | 2018-04-24 |
| 1497242408 | Kelly Winnett | Naturopath | 1415 N Trekell Rd Ste 102, Casa Grande, AZ 85122 | 2018-04-16 |
| 1851895783 | Michael Brubaker Counseling | Community/Behavioral Health | 1927 N. Trekell Rd, Ste D, Casa Grande, AZ 85122 | 2018-03-23 |
| 1770095317 | Walmart Stores Inc. | Pharmacy | 1741 E. Florence Blvd, Casa Grande, AZ 85122 | 2017-11-03 |
| Find all providers in zip 85122 | ||||
| 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 |
|---|---|---|---|---|
| 1518038710 | Erica Hazel Whitney | Occupational Therapist | 453 E Cactus Wren Dr, Casa Grande, AZ 85122-6289 | 2006-11-11 |
| 1760939938 | Nicholas Murray | Occupational Therapist | 220 W Kortsen Rd, Casa Grande, AZ 85122-5910 | 2016-09-06 |
| 1306159157 | Dht Hand Therapy Limited Partnership | Occupational Therapist | 520 N Camino Mercado, Bldg 5 Suite 11, Casa Grande, AZ 85122-5754 | 2010-07-22 |
| 1063747780 | Megan E. Andree | Occupational Therapist | 220 W Kortsen Rd, Casa Grande, AZ 85122-5910 | 2009-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790237 | Taylor Seery Schwab | Occupational Therapist | Marana Unified School District, 7651 North Oldfather Dr, Tucson, AZ 85741 | 2020-11-03 |
| 1205435146 | Arizona Ot Solutions LLC | Occupational Therapist | 7450 W. Karen Lee Lane, Peoria, AZ 85382 | 2020-10-21 |
| 1699382499 | Alexandra Contreras | Occupational Therapist | 123 W South Mountain Ave, Phoenix, AZ 85041-8102 | 2020-09-25 |
| 1235746249 | Kaitlyn Landess | Occupational Therapist | 1190 W. Missouri Ave, Suite 100, Phoenix, AZ 85014 | 2020-09-24 |
| 1346856044 | Jayne Louise Lancaster-fisher | Occupational Therapist | 1105 N Delmar, Mesa, AZ 85203-5003 | 2020-09-17 |
| 1295340214 | Rebecca Lange | Occupational Therapist | 9638 W Butler Dr, Peoria, AZ 85345-7711 | 2020-09-15 |
| 1780299958 | Carly Jo Glazier-kersavage | Occupational Therapist | 4225 E Mcdowell Rd Apt 2093, Phoenix, AZ 85008-7472 | 2020-09-14 |
| 1558976159 | Michelle Cerda | Occupational Therapist | 27546 W Tonopah Dr, Buckeye, AZ 85396-2008 | 2020-09-10 |
| 1437763513 | Shannon Siemsen | Occupational Therapist | 3011 N 26th St, Phoenix, AZ 85016-7921 | 2020-09-04 |
| 1215540513 | Elissa Marie Leyvas Van Horn | Occupational Therapist | 3237 E Maldonado Dr, Phoenix, AZ 85042-6115 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | CASA GRANDE |
| Zip Code | 85122 |
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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.