SIMONE WALLIS BOOTA (NPI# 1366924573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366924573 |
| Entity Type | Individual |
| Full Name | SIMONE WALLIS BOOTA |
| Practice Address |
811 Garner Rd Pasadena TX 77502-2315 |
| Practice Telephone | 7868997346 |
| Mailing Telephone | 7868997346 |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 211624 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
811 GARNER RD |
| City | PASADENA |
| State | TX |
| Zip Code | 77502-2315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104947647 | Ssc Pasadena Operating Company LLC | Skilled Nursing Facility | 811 Garner Rd, Pasadena, TX 77502-2315 | 2007-04-03 |
| 1336621531 | David Barrios | Physical Therapy Assistant | 811 Garner Rd, Pasadena, TX 77502-2315 | 2018-09-04 |
| 1780164756 | Mithun Raju | Physical Therapist | 811 Garner Rd, Pasadena, TX 77502-2315 | 2018-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306310040 | Daniel Max & Marcandrea LLC | Optometrist | 310 Southmore Ave, Pasadena, TX 77502 | 2019-01-16 |
| 1700393931 | Michelle D Hanson | Family Medicine | 1430 Pasadena Blvd Ste A, Pasadena, TX 77502 | 2018-01-09 |
| 1164952693 | Christopher James Coroneos | Student in an Organized Health Care Education/Training Program | 1515 Holocombe Blvd. The University of Texas Md Anderso, Houston, TX 77502 | 2017-06-18 |
| 1205368529 | National Vision, Inc. | Technician/Technologist | 1008 E Southmore Ave, Suite 120, Pasadena, TX 77502 | 2017-03-28 |
| 1265973101 | Ahmad Khalil | Dentist | 1313 Strawberry Rd, Pasadena, TX 77502 | 2017-03-11 |
| 1609242486 | Abc Dentistry Strawberry, Pllc | Dentist | 1319 Strawberry, Pasadena, TX 77502 | 2015-08-17 |
| 1578812079 | Apollo Healthcare At Bay Area, Lp | Skilled Nursing Facility | 4900 E. Sam Houston South, Pasadena, TX 77502 | 2012-08-30 |
| 1487956553 | Kkt Medical, Pllc | Clinic/Center | 2615 Strawberry Road, Pasadena, TX 77502 | 2010-11-23 |
| 1780811604 | Richard Daniel Hall | Chiropractor | 1210 W Allendale Rd, Pasadena, TX 77502 | 2009-06-18 |
| 1285880435 | Angel Amador Roman | Dentist | 2515 Strawberry, Pasadena, TX 77502 | 2008-08-07 |
| Find all providers in zip 77502 | ||||
| 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 |
|---|---|---|---|---|
| 1184246928 | Erica Tran | Occupational Therapy Assistant | 4723 Wilbury Heights Dr, Pasadena, TX 77505-3824 | 2020-05-14 |
| 1316573637 | Dakota Iverson | Occupational Therapy Assistant | 563 N Marengo Ave Apt 6, Pasadena, CA 91101-1081 | 2020-03-18 |
| 1427612381 | Dan Collins Odhiambo | Occupational Therapy Assistant | 4747 Burke Rd Apt 217, Pasadena, TX 77504-4043 | 2019-04-26 |
| 1093297459 | Hieu Ngoc Minh Hutt | Occupational Therapy Assistant | 4900 East Sam Houston Pkwy S, Pasadena, TX 77505 | 2018-09-02 |
| 1336538602 | Leslie Baghdadi | Occupational Therapy Assistant | 3140 Del Vina St, Pasadena, CA 91107-2954 | 2015-01-09 |
| 1184965337 | Kiersten Chieko Sugano-weaver | Occupational Therapy Assistant | 680 W Washington Bl, Pasadena, CA 91103-2020 | 2013-03-13 |
| 1689138943 | Hellen Gesare Orina | Occupational Therapy Assistant | 4006 Vista Rd, Pasadena, TX 77504-2112 | 2019-01-30 |
| 1467924100 | Brian Exceus | Occupational Therapy Assistant | 5020 Space Center Blvd, Pasadena, TX 77505-3966 | 2018-12-19 |
| 1699258731 | Brian Smith | Occupational Therapy Assistant | 3434 Watters Rd, Pasadena, TX 77504-2015 | 2018-09-14 |
| 1912489212 | David Rowe | Occupational Therapy Assistant | 3434 Watters Rd, Pasadena, TX 77504-2015 | 2018-09-04 |
| Find all providers in PASADENA | ||||
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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.