AMY ANDERSON (NPI# 1063719839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063719839 |
| Entity Type | Individual |
| Full Name | AMY ANDERSON |
| Practice Address |
1250 South A.w. Grimes Blvd. Round Rock TX 78664 |
| Practice Telephone | 5123107665 |
| Practice Fax Number | 5123109228 |
| Mailing Telephone | 5123107665 |
| Mailing Fax Number | 5123109228 |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2011-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 209849 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 0944746-02 | 05 | |
| TX | BLUE CROSS BLUE SHIELD | 0031DG | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1407477748 | Amy Anderson | Pharmacist | 2101 Kennedy St Ne, Minneapolis, MN 55413-2606 | 2020-04-28 |
| 1639648769 | Amy J Anderson | Nurse Practitioner | 721 American Ave Ste 310, Waukesha, WI 53188-5071 | 2018-11-19 |
| 1215413570 | Amy Beth Anderson | Community Health Worker | 3735 Se Sherman St, Portland, OR 97214-5855 | 2018-07-18 |
| 1508368366 | Amy Leigh Anderson | Licensed Vocational Nurse | 150 County Road 174, Brownwood, TX 76801-0697 | 2018-03-07 |
| 1841705662 | Amy L Anderson | Case Manager/Care Coordinator | 10355 E Palmer Wasilla Hwy Ste 100, Palmer, AK 99645-8876 | 2017-12-04 |
| 1235653288 | Amy Marie Anderson | Physician Assistant | 113 Waite Avenue South #101, Centracare Clinic Convenience Care, Waite Park, MN 56387-1348 | 2017-08-01 |
| 1801249321 | Amy Anderson | Counselor | 1870 Second Baxter Xing, Fort Mill, SC 29708-6401 | 2016-07-20 |
| 1962883629 | Amy Anderson | Registered Nurse | 39870 County Road 20, Saint Peter, MN 56082-4331 | 2015-06-17 |
| 1083004675 | Amy Anderson | Dental Hygienist | 978 Michigan Ave, Coos Bay, OR 97420-3140 | 2015-02-03 |
| Street Address |
1250 SOUTH A.W. GRIMES BLVD. |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710526900 | Yan Wei Chan | Acupuncturist | 894 Summit St. Suite 109, Round Rock, TX 78664 | 2020-01-06 |
| 1285139030 | Coffee Rx LLC | Pharmacy | 106 S Mays St Ste 100, Round Rock, TX 78664 | 2018-03-26 |
| 1508369224 | Daniel Bernard Hall | Nurse Practitioner | 1700 East Palm Valley Blvd, Roundrock, TX 78664 | 2018-03-09 |
| 1407361561 | Double Creek Assisted Living Lp | Assisted Living Facility | 3200 Louis Henna Blvd., Round Rock, TX 78664 | 2017-12-11 |
| 1396254694 | Gezahgne T Bogale | Driver | 1908 Huxley Ln, Round Rock, TX 78664 | 2017-09-29 |
| 1942728563 | Kathryn Dufresne | Massage Therapist | 896 Summit Street Suite 104b, Round Rock, TX 78664 | 2017-09-04 |
| 1699213686 | I&r Health Services | Case Management | 2501 Louis Henna Blvd Apt 914, Round Rock, TX 78664 | 2017-02-09 |
| 1588018394 | The Heidi Group | Family Medicine | 894 Summit St Ste 108, Round Rock, TX 78664 | 2016-04-18 |
| 1902264963 | Round Rock Emergency Physicians | Clinic/Center | 1925 Aw Grimes Blvd, Round Rock, TX 78664 | 2016-02-05 |
| 1508230137 | Michael Fuentes | Community Health Worker | 117-b Louis Henna Blvd, Ste. 200, Round Rock, TX 78664 | 2015-11-19 |
| Find all providers in zip 78664 | ||||
| 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 |
|---|---|---|---|---|
| 1730726688 | Susan R Cornett | Occupational Therapy Assistant | 1700 Fallen Leaf Ln, Round Rock, TX 78665-5657 | 2019-12-10 |
| 1265082820 | Criselda Vara | Occupational Therapy Assistant | 7720 Oconnor Dr Apt 3309, Round Rock, TX 78681-5582 | 2019-09-16 |
| 1134695208 | Sunmi Kim | Occupational Therapy Assistant | 5033 Veranda Trce, Round Rock, TX 78665-2099 | 2018-10-16 |
| 1912489634 | Jennifer Sumampong Rogers | Occupational Therapy Assistant | 1704 Rosenborough Cv, Round Rock, TX 78665-7861 | 2018-08-29 |
| 1629557277 | Crystal Lauren Shackelford | Occupational Therapy Assistant | 1100 Hidden Valley Dr, Round Rock, TX 78665-1565 | 2018-08-13 |
| 1477111961 | Weon Kyung Ahn | Occupational Therapy Assistant | 1000 E Main St, Round Rock, TX 78664-4442 | 2019-05-30 |
| 1104308816 | Jeanine Verkaik | Occupational Therapy Assistant | 1000 E Main St, Round Rock, TX 78664-4442 | 2018-08-30 |
| 1184106874 | Melanie Ann May | Occupational Therapy Assistant | 4105 Teravista Club Dr, Round Rock, TX 78665-1525 | 2018-08-30 |
| 1073094447 | Julie T Stauffer | Occupational Therapy Assistant | 401 Oakwood Blvd, Round Rock, TX 78681-4067 | 2018-08-23 |
| 1841771516 | Helen Lee Keesee | Occupational Therapy Assistant | 17751 Park Valley Dr, Round Rock, TX 78681-3592 | 2018-08-22 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78664 |
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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.