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Active NPI 1609012582 Individual Practitioner Female Practitioner

Hazel Nalyn Basa , COTA

Occupational Therapy Assistant • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Hazel Basa, COTA is a registered healthcare professional specializing in Occupational Therapy Assistant in Fort Wayne, IN. Practice services are available at 2237 ENGLE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2237 Engle Rd

Fort Wayne, IN 468091404

Telephone 2607472353
Associated Practice Facility / Clinic
🏢 Riverview Hospital Facility NPI 1427165059

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapy Assistant in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.0 Yrs
Regional Practice Density
119 Specialists

Practicing in Fort Wayne, IN (1107 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Occupational Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 224Z00000X

State License IN 32001575A

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dawn Lang , MPT

Physical Therapist

NPI 1003026113

Master of Physical Therapy

Tywanna Jackson , COTA

Occupational Therapy Assistant

NPI 1376662015

Certified Occupational Therapy Assistant

Kullen Quinlan

Occupational Therapist

NPI 1760802516
Ashley Kirkwood , PTA

Physical Therapy Assistant

NPI 1831323005

Physical Therapist Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 26, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location December 26, 2008

Registered at 2237 ENGLE RD, FORT WAYNE, IN 468091404 (Tel: 2607472353)

📍
Updated Business Mailing Address December 26, 2008

Registered at 1800 N WABASH RD STE 200, MARION, IN 469521300 (Tel: 7656513229)

👤
Provider Name / Credentials Updated December 26, 2008

Recorded as HAZEL BASA, COTA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 26, 2008

Occupational Therapy Assistant (License #32001575A in IN)

🟢
Initial NPI Registration & Enumeration December 26, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1609012582
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 26, 2008
Last Update: December 26, 2008
Sole Proprietor: No

Mailing Address

1800 N Wabash Rd Ste 200

Marion, IN 469521300

Phone: 7656513229

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.