MADONNA BALLOU (NPI# 1235471145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235471145 |
| Entity Type | Individual |
| Full Name | MADONNA BALLOU |
| Credential | OTR/L, PTA |
| Practice Address |
1635 Ne Loop 410 Suite 600 San Antonio TX 78209-1625 |
| Mailing Address |
121 Ebensberger Ave Boerne TX 78006-2409 |
| Practice Telephone | 2104572000 |
| Mailing Telephone | 8304461445 |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2016-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225200000X | Physical Therapy Assistant | 2077540 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225X00000X | Occupational Therapist | 117960 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1635 NE LOOP 410 SUITE 600 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78209-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881792257 | Barbara Jo Brothers | Social Worker | 1635 Ne Loop 410, Suite 501, San Antonio, TX 78209 | 2006-09-20 |
| 1114450046 | Erica Gonzalez | Speech-Language Pathologist | 1635 Ne Loop 410, Suite 600, San Antonio, TX 78209-1625 | 2017-04-07 |
| 1851748503 | Hailey Blanchard | Occupational Therapist | 1635 Ne Loop 410, San Antonio, TX 78209-1625 | 2016-05-23 |
| 1982016184 | Vidal Isaac Hinojosa | Audiologist | 1635 Ne Loop 410, San Antonio, TX 78209-1625 | 2014-05-22 |
| 1891105391 | Jennifer Vega | Case Manager/Care Coordinator | 1635 Ne Loop 410, Suite 700, San Antonio, TX 78209-1625 | 2014-05-06 |
| 1689937872 | Sandra Yamasaki Villasenor | Speech-Language Pathologist | 1635 Ne Loop 410, Suite 900, San Antonio, TX 78209-1625 | 2012-06-21 |
| 1558489187 | Nora Roth Williams | Social Worker | 1635 Ne Loop 410, Ste 901, San Antonio, TX 78209 | 2007-03-26 |
| 1881746337 | Polly A Fowler | Counselor | 1635 Ne Loop 410, Suite 901, San Antonio, TX 78209-1625 | 2007-01-17 |
| 1679657282 | Dorothy W Le Pere | Social Worker | 1635 Ne Loop 410, Ste 501, San Antonio, TX 78209 | 2006-10-24 |
| 1982784682 | Carla Jean Moton | Social Worker | 1635 Ne Loop 410, S 501, San Antonio, TX 78209-1625 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891346359 | Westlake Dermatology of San Antonio Pllc | Dermatology | 5500 Broadway Ave Ste R100, Alamo Heights, TX 78209 | 2019-09-26 |
| 1265086045 | Westlake Dermatology, Pa | Dermatology | 5500 Broadway Ave, Alamo Heights, TX 78209 | 2019-07-30 |
| 1194207530 | Arthur Davies | Licensed Vocational Nurse | 8700 Crownhill Blvd #300, San Antonio, TX 78209 | 2018-09-01 |
| 1538649462 | Jessica Michelle Moore | Licensed Vocational Nurse | 8400 Crown Hill Blvd, San Antonio, TX 78209 | 2018-08-20 |
| 1871072645 | Olawunmi Olapeju Odele | Licensed Vocational Nurse | 8700 Crownhill Blvd. Ste.300, San Antonio, TX 78209 | 2018-08-12 |
| 1265921126 | Ashley L Garcia | Physician Assistant | 414 W Sunset Rd Ste 205, San Antonio, TX 78209 | 2018-05-07 |
| 1083117428 | New Choices Treatment Center LLC | Substance Abuse Rehabilitation Facility | 3050 Eisenhauer Rd Apt 501, San Antonio, TX 78209 | 2018-03-12 |
| 1629570106 | Julieta Rubio Hobbs | Counselor | 4301 Broadway St. 438, San Antonio, TX 78209 | 2018-03-01 |
| 1326550187 | Shannon Lee Crowley | Occupational Therapy Assistant | 403 Irvington Dr, San Antonio, TX 78209 | 2017-11-01 |
| 1932627007 | Juanita De Luna Salazar | Physical Therapist | 1635 Ne Interstate 410 Loop, #600, San Antonio, TX 78209 | 2017-09-08 |
| Find all providers in zip 78209 | ||||
| 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 |
|---|---|---|---|---|
| 1134741531 | Carlos Herrera | Occupational Therapist | 3201 Cherry Ridge St Ste 323c, San Antonio, TX 78230-4831 | 2020-05-08 |
| 1306499173 | Dawn Theresa Vigue | Occupational Therapist | 21626 Stonewall Pkwy Apt 4402, San Antonio, TX 78256-1724 | 2019-07-22 |
| 1851944136 | Allie Peugh | Occupational Therapist | 431 Wolfe Rd Ste 201, San Antonio, TX 78216-4628 | 2019-07-16 |
| 1992361612 | Jonanthony Jimenez | Occupational Therapist | 501 Ogden Ln, San Antonio, TX 78209-5142 | 2019-05-17 |
| 1033685029 | Jlyb, LLC | Occupational Therapist | 120 N Mesquite St Ste 5, San Antonio, TX 78202-2727 | 2018-10-17 |
| 1366924730 | David Edward Dupuy | Occupational Therapist | 307 West Cypress, San Antonio, TX 78212 | 2018-09-03 |
| 1184106544 | Marissa Kaye Bruton | Occupational Therapist | 505 Madison Oak, San Antonio, TX 78258 | 2018-09-02 |
| 1215418249 | Xavier Esteban Hernandez | Occupational Therapist | 8602 Cinnamon Creek Dr Apt 1705, San Antonio, TX 78240-1475 | 2018-08-28 |
| 1063992907 | Kaela Ann Donbavand | Occupational Therapist | 11212 State Highway 151 Ste 305, San Antonio, TX 78251-4498 | 2018-08-20 |
| 1427538016 | Stephanie Renee Jackson | Occupational Therapist | 626 Colosseo Way, San Antonio, TX 78253-5687 | 2018-08-14 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78209 |
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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.