MRS. JENNIE BREANNE TIDWELL (NPI# 1114159688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114159688 |
| Entity Type | Individual |
| Full Name | MRS. JENNIE BREANNE TIDWELL |
| Other Name | BREANNE TIDWELL |
| Credential | OTR/L |
| Practice Address |
821 E Park St Carlisle AR 72024-9024 |
| Mailing Address |
18 Ponderosa Dr Lonoke AR 72086-3603 |
| Practice Telephone | 8705527110 |
| Practice Fax Number | 8705527115 |
| Mailing Telephone | 5019206808 |
| Mailing Fax Number | 8705527115 |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2013-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OTR2314 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
821 E PARK ST |
| City | CARLISLE |
| State | AR |
| Zip Code | 72024-9024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609400308 | Alex Lauren Walker | Dietitian, Registered | 821 E Park St, Carlisle, AR 72024-9024 | 2020-03-03 |
| 1205307642 | Arcare | Pharmacy | 821 E Park St, Carlisle, AR 72024-9024 | 2018-12-11 |
| 1619309358 | Matthew Bryan Tharp | Physical Therapist | 821 E Park St, Carlisle, AR 72024-9024 | 2013-08-05 |
| 1184064446 | Brittany Howard | Pharmacist | 821 E Park St, Carlisle, AR 72024 | 2013-07-01 |
| 1689920126 | Shala D Neal | Occupational Therapist | 821 E Park St, Carlisle, AR 72024-9024 | 2012-08-02 |
| 1164712725 | Reaper Therapy, LLC | Clinic/Center | 821 E Park St, Carlisle, AR 72024-9024 | 2011-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699008672 | Robin Lynn Isaacks | Physician Assistant | 821 East Park Street, Highway 70, Carlisle, AR 72024 | 2009-09-09 |
| 1043472962 | Edward J Merritt | Family Medicine | 821 East Park Street, Hwy 70, Carlisle, AR 72024 | 2008-07-01 |
| 1982737169 | Nick Paslidis Md Pa Central Arkansas Internal Medicine Consutling | Internal Medicine | 821 E Park Hwy 70, Carlilse, AR 72024 | 2007-03-14 |
| 1588633200 | Chambers Nursing Home Center, Inc | Skilled Nursing Facility | 1001 East Park Street, Carlisle, AR 72024 | 2006-03-15 |
| 1346247210 | Lewis Cook Drug Store Inc | Pharmacy | 121 North Court Street, Carlisle, AR 72024 | 2005-07-07 |
| 1366605081 | Inman Dental Clinic | Dentist | 513 N Williams, Carlisle, AR 72024 | 2008-07-02 |
| 1750595757 | Dr. Clifford M Turner II Od | Optometrist | 116 East Second St., Carlisle, AR 72024-0859 | 2007-05-09 |
| 1174674394 | Connie L. Medsker | Pharmacist | 121 North Court, Carlisle, AR 72024-1512 | 2007-01-15 |
| 1942414461 | Thomas G Inman | Dentist | 513 N Williams, Carlisle, AR 72024-1514 | 2007-05-10 |
| 1033170576 | Arcare | Clinic/Center | 821 East Park Street Hwy 70, Carlisle, AR 72024-9024 | 2006-03-31 |
| Find all providers in zip 72024 | ||||
| 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 |
|---|---|---|---|---|
| 1457714867 | Jessica Rower | Occupational Therapist | 898 Waggoners Gap Rd, Carlisle, PA 17013-1813 | 2016-04-02 |
| 1568854503 | Diane Makovsky | Occupational Therapist | 38 Litchfield Dr, Carlisle, Carlisle, MA 01741-1140 | 2015-02-27 |
| 1215352455 | Ruth Marie Atwood | Occupational Therapist | 910 Alexander Spring Rd, Carlisle, PA 17015-9183 | 2014-02-25 |
| 1346531290 | Courtney L Pincin | Occupational Therapist | 417 Village Dr Ste 4, Carlisle, PA 17015-6945 | 2011-04-27 |
| 1053625137 | Martha Stevens | Occupational Therapist | 8439 Bobby Pl, Carlisle, OH 45005-4258 | 2010-08-02 |
| 1669072104 | Amber Burd | Occupational Therapist | 3 Jennifer Ct Ste A, Carlisle, PA 17015-7791 | 2020-10-26 |
| 1659994416 | Christopher P Hoffman | Occupational Therapist | 1000 Claremont Rd, Carlisle, PA 17013-7310 | 2020-05-27 |
| 1518503663 | Chantelle Voyack | Occupational Therapist | 801 N Hanover St, Carlisle, PA 17013-1599 | 2019-11-25 |
| 1912554049 | Kim Dao | Occupational Therapist | 801 N Hanover St, Carlisle, PA 17013-1599 | 2019-08-22 |
| 1639730682 | Robyn Schneider | Occupational Therapist | 1000 W South St, Carlisle, PA 17013-2798 | 2019-06-20 |
| Find all providers in CARLISLE | ||||
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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.