MISS TYWANNA LASHEA JACKSON (NPI# 1376662015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376662015 |
| Entity Type | Individual |
| Full Name | MISS TYWANNA LASHEA JACKSON |
| Credential | COTA |
| Practice Address |
2237 Engle Rd Fort Wayne IN 46809-1404 |
| Mailing Address |
Po Box 11532 Fort Wayne IN 46859-1532 |
| Practice Telephone | 2607472353 |
| Mailing Telephone | 2603480124 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 32001156A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2237 ENGLE RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46809-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427165059 | Riverview Hospital | Skilled Nursing Facility | 2237 Engle Rd, Fort Wayne, IN 46809-1404 | 2006-08-23 |
| 1760802516 | Kullen Quinlan | Occupational Therapist | 2237 Engle Rd, Fort Wayne, IN 46809-1404 | 2014-04-20 |
| 1831323005 | Ashley Renea Kirkwood | Physical Therapy Assistant | 2237 Engle Rd, Fort Wayne, IN 46809-1404 | 2009-05-04 |
| 1609012582 | Hazel Nalyn Basa | Occupational Therapy Assistant | 2237 Engle Rd, Fort Wayne, IN 46809-1404 | 2008-12-26 |
| 1003026113 | Dawn Rochner Lang | Physical Therapist | 2237 Engle Rd, Fort Wayne, IN 46809-1404 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497038574 | Zachary L Roberts | Pharmacist | 12279 Bluffton Road, Fort Wayne, IN 46809 | 2011-09-24 |
| 1679660278 | Kool Smiles In Ft. Wayne, PC | Dentist | 1852 Bluffton Road, Ft. Wayne, IN 46809 | 2006-10-06 |
| 1477512564 | Brian Thomas Raypole | Specialist/Technologist | 5050 N. Clinton Street, Fort Wayne, IN 46809 | 2006-03-20 |
| 1669016895 | Trinity Health Pharmacy Services, LLC | Pharmacy | 12279 Bluffton Road, Fort Wayne, IN 46809 | 2019-10-31 |
| 1871049981 | Mark Sexton | Physical Therapist | 3534 Brooklyn Ave, Fort Wayne, IN 46809 | 2016-08-29 |
| 1841573318 | Vicki Eileen Caccamo | Pharmacist | 6730 Bluffton Rd, Fort Wayne, IN 46809 | 2011-09-21 |
| 1104988112 | Karena Diane Schroeder | Physical Therapist | 3534 Brooklyn Ave, Fort Wayne, IN 46809 | 2006-12-15 |
| 1013084946 | David L Kuhn | Physical Therapist | 3534 Brooklyn Ave, Fort Wayne, IN 46809 | 2006-11-29 |
| 1265588404 | May R. Dahman | Specialist | 1733 Kinsmoor Ave, Fort Wayne, IN 46809-1025 | 2007-01-27 |
| 1134746209 | Laurel Schroeder | Occupational Therapist | 1726 Bluffton Rd, Fort Wayne, IN 46809-1305 | 2020-07-06 |
| Find all providers in zip 46809 | ||||
| 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 |
|---|---|---|---|---|
| 1609491414 | Kerry Herndon | Occupational Therapy Assistant | 3715 Union Chapel Rd, Fort Wayne, IN 46845-7400 | 2020-06-08 |
| 1588121552 | Danelle Hair | Occupational Therapy Assistant | 12909 Arcola Rd, Fort Wayne, IN 46818-9726 | 2019-02-26 |
| 1326557877 | Kimberly K Kolb | Occupational Therapy Assistant | 1431 Runnion Ave, Fort Wayne, IN 46808 | 2017-09-28 |
| 1548626740 | Sheila Faye Lefevra | Occupational Therapy Assistant | 2515 Hubertus Ave, Fort Wayne, IN 46805-3722 | 2016-01-05 |
| 1134594179 | Lynnette Latrice Pickett | Occupational Therapy Assistant | 4419 Marquette Dr, Fort Wayne, IN 46806-4623 | 2015-12-02 |
| 1528430576 | Brittany Morel | Occupational Therapy Assistant | 1345 Ashley Ave, Fort Wayne, IN 46825-3205 | 2015-10-28 |
| 1992174098 | Justin Eutsler | Occupational Therapy Assistant | 4814 W Wallen Rd, Fort Wayne, IN 46818-9407 | 2015-09-18 |
| 1063801348 | Jami Long | Occupational Therapy Assistant | 4180 Sage Bluff Crossin, Fort Wayne, IN 46804 | 2015-01-09 |
| 1083012785 | Joshua Entenman | Occupational Therapy Assistant | 5531 Hopkinton Dr, Fort Wayne, IN 46814-7542 | 2014-12-11 |
| 1578983359 | Sarah Buzzard | Occupational Therapy Assistant | 9426 Lima Road, A, Fort Wayne, IN 46818 | 2014-04-21 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46809 |
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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.