MIRACLE WATKINS (NPI# 1013208875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013208875 |
| Entity Type | Individual |
| Full Name | MIRACLE WATKINS |
| Practice Address |
1865 Bold Springs Rd Nw Monroe GA 30656-4605 |
| Mailing Address |
2671 Wynter Snow Run Bethlehem GA 30620-4696 |
| Practice Telephone | 7702678677 |
| Mailing Telephone | 7709624760 |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA000187 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1865 BOLD SPRINGS RD NW |
| City | MONROE |
| State | GA |
| Zip Code | 30656-4605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780680652 | Nursing Home Pharmacy LLC | Pharmacy | 1865 Bold Springs Rd Nw, Monroe, GA 30656-4605 | 2005-06-24 |
| 1700359973 | Juliet Eziafa Olele | Occupational Therapist | 1865 Bold Springs Rd Nw, Monroe, GA 30656-4605 | 2019-01-09 |
| 1740732163 | James Townsend Merwin Iv | Physical Therapist | 1865 Bold Springs Rd Nw, Monroe, GA 30656-4605 | 2016-11-02 |
| 1356893705 | Deasia Monique Mcmillan | Occupational Therapy Assistant | 1865 Bold Springs Rd Nw, Monroe, GA 30656-4605 | 2016-11-02 |
| 1366991580 | Tyler Pyles | Physical Therapist | 1865 Bold Springs Rd Nw, Monroe, GA 30656-4605 | 2016-09-29 |
| 1275087363 | Jamie Jenkins | Physical Therapy Assistant | 1865 Bold Springs Rd Nw, Monroe, GA 30656-4605 | 2016-08-07 |
| 1376096081 | Yun Lee | Occupational Therapy Assistant | 1865 Bold Springs Rd Nw, Monroe, GA 30656-4605 | 2016-07-28 |
| 1780056622 | Trent Gabriel | Physical Therapy Assistant | 1865 Bold Springs Rd Nw, Monroe, GA 30656-4605 | 2015-10-29 |
| 1942600226 | Keri Mooney | Speech-Language Pathologist | 1865 Bold Springs Rd Nw, Monroe, GA 30656-4605 | 2014-08-24 |
| 1174965768 | Lauren Mcneely | Physical Therapy Assistant | 1865 Bold Springs Rd Nw, Monroe, GA 30656-4605 | 2013-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679087274 | Misty Sue's Adult Day Health Center LLC | Clinic/Center | 517 Hill St, Monroe, GA 30656-1507 | 2017-11-20 |
| 1285022186 | Frances Campbell | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2773 Oakmont Way, Monroe, GA 30656-2702 | 2014-12-30 |
| 1750536819 | Magnolia Blooms PCh,llc | Clinic/Center | 1250 Nicholsville Rd Nw, Monroe, GA 30656-3469 | 2008-11-17 |
| 1821492034 | Elizabeth Smith | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1227 Dale Dr, Monroe, GA 30656-3500 | 2014-10-17 |
| 1851868293 | Lusi Yang | Chiropractor | 2311 Shockley Rd Nw, Monroe, GA 30656-3677 | 2018-10-24 |
| 1578733291 | Guldmann Southeast | Durable Medical Equipment & Medical Supplies | 2040 Mount Vernon Rd Nw, Monroe, GA 30656-4360 | 2008-03-10 |
| 1295775955 | Susan Gerald Cook | Physical Therapist | 1045 Old Mill Trce, Monroe, GA 30656-4379 | 2006-06-08 |
| 1871732040 | Natalie H Grooms | Occupational Therapist | 1045 Old Mill Trce, Monroe, GA 30656-4379 | 2009-02-11 |
| 1881770949 | Mary Hinch | Physical Therapist | 1045 Old Mill Trce, Monroe, GA 30656-4379 | 2006-10-31 |
| 1326120932 | Activekidz and Adult Therapy Services | Physical Therapist | 1045 Old Mill Trce, Monroe, GA 30656-4379 | 2006-10-20 |
| Find all providers in zip 30656 | ||||
| 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 |
|---|---|---|---|---|
| 1548752967 | Mariah Mohns | Occupational Therapy Assistant | N3150 Wi- 81, Monroe, WI 53566 | 2018-06-01 |
| 1720538994 | Danielle Goldstein | Occupational Therapy Assistant | 154 Rye Hill Rd, Monroe, NY 10950-3018 | 2016-10-11 |
| 1780047084 | Stephanie Santiago | Occupational Therapy Assistant | 27 Sandra Ln, Monroe, NY 10950 | 2016-04-04 |
| 1427423433 | Rebecca Chase-pellicone | Occupational Therapy Assistant | 148 Pastors Walk, Monroe, CT 06468-1070 | 2015-12-02 |
| 1679964472 | Robin Flynn | Occupational Therapy Assistant | 1419 N Hills Dr, Monroe, NC 28110-9453 | 2015-02-15 |
| 1447663984 | Laura Ellis | Occupational Therapy Assistant | 565 Randy Ln, Monroe, OH 45050-1698 | 2014-06-03 |
| 1184034282 | Sarah Jones | Occupational Therapy Assistant | 16 Berkley Terrace, Monroe, NY 10950 | 2014-04-29 |
| 1851721112 | Kirstin Luke | Occupational Therapy Assistant | 88 Secret Hollow Rd, Monroe, CT 06468-1284 | 2013-11-22 |
| 1225313141 | Laura Kelly | Occupational Therapy Assistant | 94 Peddler Hill Rd, Monroe, NY 10950-2022 | 2011-10-12 |
| 1376841809 | Maureen Gallagher | Occupational Therapy Assistant | 38 Moulton Cir, Monroe, NY 10950-3204 | 2011-03-08 |
| Find all providers in MONROE | ||||
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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.