KELLY L REILLY GARDNER


Address: 4211 E 4th St Apt 9, Long Beach, CA 90814-4912
Phone: 5623552719

KELLY L REILLY GARDNER (NPI# 1922333624) 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) 1922333624
Entity Type Individual
Full Name KELLY L REILLY GARDNER
Other Name KELLY L HUFFMAN
Credential COTA/L
Practice Address 4211 E 4th St Apt 9
Long Beach
CA 90814-4912
Mailing Address 4211 East 4th Street #9
Long Beach
CA 90814
Practice Telephone 5623552719
Mailing Telephone 5623552719
Enumeration Date 2009-10-14
Last Update Date 2009-10-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224Z00000X Occupational Therapy Assistant 1807 CA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 4211 E 4TH ST APT 9
City LONG BEACH
State CA
Zip Code 90814-4912

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164797056 Recovery At Sea Community/Behavioral Health 2345 East 4th Street, Long Beach, CA 90814 2012-03-12
1982869616 James R Gaither Jr. Rehabilitation Practitioner 2017 E 4th Street, Long Beach, CA 90814 2008-07-22
1760676274 Charles Edward Criddle Chiropractor 352 Newport Ave, Long Beach, CA 90814 2007-08-29
1891911459 Ting-wey Yen Dentist 319 Redondo Ave., Long Beach, CA 90814 2007-04-18
1194850495 Donna Marie Camagay Calima Dentist 389 Redondo Ave, Long Beach, CA 90814 2007-02-23
1366595332 Roger Justin Wood Marriage & Family Therapist 3424 E 4th St, Long Beach, CA 90814 2007-01-20
1467558338 Rudy Steven Mendoza Dentist 392 Redondo Ave, Long Beach, CA 90814 2006-09-16
1578670766 Seany Renfrow Psychologist 5170 Colorado, Long Beach, CA 90814 2006-08-24
1245210368 Johnny L Triplett Anesthesiology 4674 East Barker Way, Long Beach, CA 90814 2006-01-17
1992960371 Maria Veronica Uvero Racelis Rehabilitation Practitioner 2017 E 4th Street, Long Beach, CA 90814 2008-07-24
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Taxonomy Information

Taxonomy Code 224Z00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapy Assistant

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790391415 Michael Vidal Occupational Therapy Assistant 2126 Oregon Ave, Long Beach, CA 90806-4141 2020-09-17
1790399913 Alexander Toussaint Occupational Therapy Assistant 3731 E Harding St, Long Beach, CA 90805-3934 2020-09-04
1053841486 Rechil Alipuyo Krause Occupational Therapy Assistant 1885 Lewis Ave, Long Beach, CA 90806-5008 2017-06-18
1740728633 Livia Evangelista Occupational Therapy Assistant 110 Georgia Ave, Long Beach, NY 11561-1238 2017-02-10
1730632670 Arabia Bryant Occupational Therapy Assistant 2020 Lewis Ave, Long Beach, CA 90806-5013 2016-07-27
1730574336 Rosilene Driggs Occupational Therapy Assistant 3665 E 1st St, Unit 303, Long Beach, CA 90803-2706 2015-03-31
1366831679 Alecia Brown Occupational Therapy Assistant 651 E 46th St Apt 11, Long Beach, CA 90807-1571 2015-01-10
1235527755 Rosemary Rualo Occupational Therapy Assistant 3069 Pacific Ave, Long Beach, CA 90806-1355 2015-01-06
1982092094 Richard Howard Atterberry Occupational Therapy Assistant 1951 Daisy Ave, Long Beach, CA 90806-5222 2014-12-26
1891067096 Marites David Occupational Therapy Assistant 2337 Cota Ave, Long Beach, CA 90810-3230 2012-02-02
Find all providers in LONG BEACH

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City LONG BEACH
Zip Code 90814

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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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