MR. WILLIAM RUSSELL BLAYLOCK (NPI# 1104903020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104903020 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM RUSSELL BLAYLOCK |
| Credential | OTR |
| Practice Address |
1912 E Hebron Pkwy #104 Carrollton TX 75007 |
| Mailing Address |
1803 Peach Tree Ct Allen TX 75002 |
| Practice Telephone | 9724920383 |
| Practice Fax Number | 9724922074 |
| Mailing Telephone | 9724920383 |
| Mailing Fax Number | 9724922074 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 103091 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740277698 | William O Blaylock | Registered Nurse | 963 County Road 1340, Chico, TX 76431-2613 | 2005-10-04 |
| 1831207893 | William E Blaylock | Urology | 6701 Airport Blvd, Ste. B111, Mobile, AL 36608-6705 | 2006-08-29 |
| 1396794947 | William K Blaylock | Personal Emergency Response Attendant | 400 Gresham Dr, Medical Tower, Suite 702, Norfolk, VA 23507-1901 | 2006-05-10 |
| 1811973423 | William Blaylock | Internal Medicine | 1930 Braeburn Cir, Salem, VA 24153-7388 | 2005-12-16 |
| Street Address |
1912 E HEBRON PKWY #104 |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821252677 | Timothy Scott Keese | Occupational Therapist | 1912 E Hebron Pkwy, 104, Carrollton, TX 75007-1531 | 2008-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184106510 | Reshaped Pllc | Family Medicine | 2008 E Hebron Pkwy #114, Carrollton, TX 75007 | 2018-09-01 |
| 1912436353 | Amanda M Nguyen | Pharmacist | 4112 N Josey, Carollton, TX 75007 | 2017-06-08 |
| 1811423379 | Kvillage Dental | Dentist | 1028 Mac Arthur Dr, #100, Carrollton, TX 75007 | 2017-05-03 |
| 1205362928 | Harichandana Vemireddy Dmd Pllc | Clinic/Center | 1000 West Rosemeade Parkway Ste 100, Carrolton, TX 75007 | 2017-05-02 |
| 1215477195 | Patrick Vo | Pharmacist | 1725 Flowers Dr, Carrollton, TX 75007 | 2017-02-27 |
| 1538514500 | Rimvin, LLC | Clinic/Center | 2710 N Josey Ln., Suite 301, Carrollton, TX 75007 | 2016-04-27 |
| 1780052985 | Double A Hospice Care Inc | Hospice Care, Community Based | 3712 Old Denton Rd, Ste 120, Carrollton, TX 75007 | 2015-09-04 |
| 1619360450 | Trinity J & S, Inc. | Dentist | 1000 West Rosemeade Parkway, Carrollton, TX 75007 | 2015-03-17 |
| 1659762987 | Sheena Thomas Kottackal | Pharmacist | 1453 Meadow Vista Dr, Carrollton, TX 75007 | 2015-02-09 |
| 1144638099 | Courtney Leigh Rodriguez | Behavioral Analyst | 2020 E Hebron Pkwy Ste 120, Carrollton, TX 75007 | 2014-07-23 |
| Find all providers in zip 75007 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912510140 | Edna Mabuti | Occupational Therapist | 1020 Raleigh Dr Apt 1207, Carrollton, TX 75007-7975 | 2020-08-27 |
| 1962968578 | Bethany Krenek Toth | Occupational Therapist | 2020 E Hebron Pkwy Ste 100, Carrollton, TX 75007-1609 | 2019-02-19 |
| 1033690417 | Tammy Gersh | Occupational Therapist | 2106 Province Ct, Carrollton, TX 75007-1642 | 2018-08-24 |
| 1861995193 | Cherise Austin | Occupational Therapist | 4501 Plano Pkwy, Carrollton, TX 75010-4971 | 2018-03-13 |
| 1952848202 | Supreet Brar | Occupational Therapist | 4541 N Josey Ln Ste 130, Carrollton, TX 75010-4662 | 2017-01-25 |
| 1699191254 | Ashley Dawn Whitley | Occupational Therapist | 215 Marsh Landing Dr Apt 204, Carrollton, VA 23314-4160 | 2014-03-06 |
| 1891098232 | Gerry Nichols | Occupational Therapist | 2208 Sunrise Ln, Carrollton, TX 75006-2754 | 2010-12-07 |
| 1316253743 | Nichole Ann Adamson | Occupational Therapist | 180 Martin St, Carrollton, GA 30117 | 2010-08-23 |
| 1518191808 | Sheila Denney Reagan | Occupational Therapist | 2515 Oak Grove Church Rd, Carrollton, GA 30117-9525 | 2009-05-14 |
| 1386768133 | Lisa Marie Fore | Occupational Therapist | 1000 W Crosby Rd Ste 136, Carrollton, TX 75006-6904 | 2007-03-19 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 75007 |
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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.