PEGGY DAVENPORT-MENDOZA (NPI# 1083012389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083012389 |
| Entity Type | Individual |
| Full Name | PEGGY DAVENPORT-MENDOZA |
| Practice Address |
625 N Main St Boerne TX 78006-1621 |
| Practice Telephone | 8302493085 |
| Practice Fax Number | 8302496343 |
| Mailing Telephone | 8302493085 |
| Mailing Fax Number | 8302496343 |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2014-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 203572 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
625 N MAIN ST |
| City | BOERNE |
| State | TX |
| Zip Code | 78006-1621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548241466 | Town & Country Manor, Lp | Skilled Nursing Facility | 625 N Main St, Boerne, TX 78006-1621 | 2005-11-08 |
| 1811422769 | Clayton Thome | Physical Therapy Assistant | 625 N Main St, Boerne, TX 78006-1621 | 2017-04-28 |
| 1386188506 | Lynn Roberts | Occupational Therapist | 625 N Main St, Boerne, TX 78006-1621 | 2016-12-06 |
| 1619367232 | Sarah Jeanne Adams | Physical Therapist | 625 N Main St, Boerne, TX 78006-1621 | 2015-02-03 |
| 1134517501 | Carol Fuentes | Occupational Therapist | 625 N Main St, Boerne, TX 78006-1621 | 2015-01-07 |
| 1548668742 | Kathryn R Villanueva | Occupational Therapist | 625 N Main St, Boerne, TX 78006-1621 | 2014-12-21 |
| 1225436462 | Barbara Vogt | Physical Therapist | 625 N Main St, Boerne, TX 78006-1621 | 2014-12-19 |
| 1285032581 | Jaime Beaumont | Physical Therapy Assistant | 625 N Main St, Boerne, TX 78006-1621 | 2014-12-18 |
| 1346298981 | Medina County Hospital District | Skilled Nursing Facility | 625 N Main St, Boerne, TX 78006-1621 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218517 | Boerne Mens Clinic | Family Medicine | 138 Tx-46, Boerne, TX 78006 | 2020-09-01 |
| 1700431798 | Methodist Ambulatory Surgery Center of Boerne, LLC | Clinic/Center | 110 Menger Springs, Boerne, TX 78006 | 2019-08-06 |
| 1144704156 | Lauren Elizabeth Settle | Counselor | 26254 Interstate 10, Suite 224, Boerne, TX 78006 | 2018-09-17 |
| 1265914600 | Shana North | Physical Therapy Assistant | 200 Ryan Street, Boerne, TX 78006 | 2018-09-02 |
| 1598258352 | Alamo Prosthetics LLC | Durable Medical Equipment & Medical Supplies | 28711 I 10 W, Boerne, TX 78006 | 2018-06-07 |
| 1578052312 | Premium Pharma, LLC | Pharmacy | 1 Fm 3351 S Ste 115, Boerne, TX 78006 | 2018-05-08 |
| 1952814386 | Advanced Surgical Care of Boerne, LLC | Clinic/Center | 138 Old San Antonio Rd # 400, Boerne, TX 78006 | 2017-11-07 |
| 1184151532 | River Road Pharmacy | Pharmacy | 910 River Rd Ste 103, Boerne, TX 78006 | 2017-05-16 |
| 1487191565 | Olive Branch Hope Center, Inc | Counselor | 215 W Bandera Rd 114 Pmb 239, Boerne, TX 78006 | 2017-01-26 |
| 1063955367 | Leigh Ann Grasso | Pharmacist | 31007 Ih 10 W, Ste 108, Boerne, TX 78006 | 2016-11-18 |
| Find all providers in zip 78006 | ||||
| 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 |
|---|---|---|---|---|
| 1730366576 | Barbara Sue Lowry | Occupational Therapy Assistant | 109 Falls Ct Ste 600, Boerne, TX 78006-2983 | 2008-01-23 |
| 1588275820 | Victoria Regina Rodriguez | Occupational Therapy Assistant | 200 Ryan St, Boerne, TX 78006-2046 | 2020-08-11 |
| 1487118246 | Roxann Breidenbach | Occupational Therapy Assistant | 200 Ryan St, Boerne, TX 78006-2046 | 2019-01-25 |
| 1861976672 | Elizabeth Ann Quinn | Occupational Therapy Assistant | 1050 Grand Blvd, Boerne, TX 78006-9242 | 2018-09-18 |
| 1982186367 | Ashley Bradford | Occupational Therapy Assistant | 200 Ryan St, Boerne, TX 78006-2046 | 2018-09-03 |
| 1053891945 | Tiffany Devlin | Occupational Therapy Assistant | 1102 River Rd, Boerne, TX 78006-2436 | 2018-08-20 |
| 1942780218 | Donna Kay Horton | Occupational Therapy Assistant | 1440 River Rd, Boerne, TX 78006-1958 | 2018-08-16 |
| 1275013633 | Cyndi Montes | Occupational Therapy Assistant | 7 Upper Balcones Rd, Boerne, TX 78006-8546 | 2018-08-15 |
| 1881174258 | Cristina Solis | Occupational Therapy Assistant | 7 Upper Balcones Rd, Boerne, TX 78006-8546 | 2018-08-15 |
| 1104306562 | Mylove Francois | Occupational Therapy Assistant | 7 Upper Balcones Rd, Boerne, TX 78006-8546 | 2018-08-15 |
| Find all providers in BOERNE | ||||
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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.