MRS. MADORA DORIE MASOU PEARSON (NPI# 1174620850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174620850 |
| Entity Type | Individual |
| Full Name | MRS. MADORA DORIE MASOU PEARSON |
| Credential | OTR |
| Practice Address |
1315 Walnut Texarkana TX 75501 |
| Mailing Address |
19 Oakridge Dr Texarkana TX 75503 |
| Practice Telephone | 9037942705 |
| Practice Fax Number | 9037931203 |
| Mailing Telephone | 9038317653 |
| Mailing Fax Number | 9037931203 |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 225X00000X | Occupational Therapist | 107168 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
107168 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8T6174 | 01 |
| Street Address |
1315 WALNUT |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780787390 | Christina Michelle Griffin | Physical Therapist | 1315 Walnut, Temple Memorial Rehabiliation Ctr, Texarkana, TX 75501 | 2006-09-07 |
| 1992809248 | Sherry Carolyn Judd | Occupational Therapist | 1315 Walnut, Texarkana, TX 75501 | 2006-09-08 |
| 1124121736 | Brenda Diann Hector-reid | Physical Therapist | 1315 Walnut, Temple Memorial Rehab Ctr, Texarkana, TX 75501 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598227951 | Shayla Lasonde Williams | Licensed Vocational Nurse | 409 Tracey Ave, Wake Village, TX 75501 | 2019-04-04 |
| 1861900904 | Tiffany Anne Baugus | Nurse Practitioner | 2600 St. Michael Drive, Texarkana, TX 75501 | 2018-01-10 |
| 1104363258 | Brent Willis | Nurse Anesthetist, Certified Registered | 203 La Grange Dr., Texarkana, TX 75501 | 2017-01-27 |
| 1154627644 | Patricia Maree Baker | Counselor | 1001 Texas Blvd., Suite 106, Texarkana, TX 75501 | 2011-02-01 |
| 1730323452 | William Leonard | Occupational Therapy Assistant | 2108 5th Street, Bridgeport, TX 75501 | 2009-04-24 |
| 1700071552 | Roger House Md, Psychiatric Services | Case Management | 2401 Summerhill Rd., Suite A, Texarkana, TX 75501 | 2007-09-13 |
| 1134248271 | Brent Bultemeier Pa | Chiropractor | 3207 New Boston Road, Texarkana, TX 75501 | 2007-03-28 |
| 1346395977 | Sharon E. Moore | Registered Nurse | Youree Drive, Shreveport, LA 75501 | 2007-01-24 |
| 1962553024 | Leary Independent School District | Local Education Agency (LEA) | 9500 W. New Boston Rd, Texarkana, TX 75501 | 2007-01-16 |
| 1871530204 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 4415 W 7th St, Wake Village, TX 75501 | 2006-06-02 |
| Find all providers in zip 75501 | ||||
| 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 |
|---|---|---|---|---|
| 1700492287 | Darby L Durel | Occupational Therapist | 2102 Woodway Dr, Texarkana, AR 71854-8282 | 2020-09-19 |
| 1598251258 | Glenda Darlene Barnes | Occupational Therapist | 3078 Trexler Rd, Texarkana, TX 75501-2314 | 2018-07-06 |
| 1740514876 | Morgan Maxwell Bennett | Occupational Therapist | 1008 Citizens Trl, Texarkana, TX 75501-5922 | 2009-09-22 |
| 1033304639 | Karla Watson | Occupational Therapist | 3505 Summerhill Rd Ste 17, Texarkana, TX 75503-3569 | 2007-09-07 |
| 1922216605 | Signature Therapy | Occupational Therapist | 3410 Jack Cullen, Texarkana, AR 71854 | 2007-05-18 |
| 1104033125 | Ashley Mclean Sr. | Occupational Therapist | 3410 Jack Cullen Drive, Texarkana, AR 71854 | 2007-05-17 |
| 1477612224 | Brian Paul Liles | Occupational Therapist | 1417 Rolling Ridge Cir, Texarkana, AR 71854-9036 | 2006-12-07 |
| 1073627873 | Christy J Lummus | Occupational Therapist | 350 Scott Lynn Dr, Texarkana, TX 75501-0972 | 2006-08-18 |
| 1740218056 | Catherine B Townsend | Occupational Therapist | 3410 Magnolia St, Texarkana, TX 75503-3729 | 2006-06-28 |
| 1033194980 | Lisa G. Wren | Occupational Therapist | 12018 Highway 196, Texarkana, AR 71854-1280 | 2005-12-14 |
| Find all providers in TEXARKANA | ||||
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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.