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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 1807 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
4211 E 4TH ST APT 9 |
City | LONG BEACH |
State | CA |
Zip Code | 90814-4912 |
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 |
Find all providers in zip 90814 |
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 |
---|---|---|---|---|
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 |
City | LONG BEACH |
Zip Code | 90814 |
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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.