VALIR OUTPATIENT CLINIC #16 LLC (NPI# 1417496324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417496324 |
| Entity Type | Organization |
| Organization Name | VALIR OUTPATIENT CLINIC #16 LLC |
| Practice Address |
4645 W Gore Blvd Ste E Lawton OK 73505-5962 |
| Mailing Address |
700 Nw 7th St Oklahoma City OK 73102-1212 |
| Practice Telephone | 5803556785 |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2020-03-22 |
| Authorized Official Name | SAVANAH PATT (VP) |
| Authorized Official Telephone | 4056093600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200051680R | 05 |
| Street Address |
4645 W GORE BLVD STE E |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-5962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| 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 |
|---|---|---|---|---|
| 1740650068 | Julie Capuccio | Occupational Therapist | 510 Ne 45th St, Lawton, OK 73507-6101 | 2015-09-29 |
| 1871902585 | Tamara Claes | Occupational Therapist | 716 Delaware Ct, Lawton, MI 49065-9715 | 2014-08-06 |
| 1205267291 | Aubree Beckman | Occupational Therapist | 1601 Nw Andrews Ave, Lawton, OK 73507-3536 | 2013-12-02 |
| 1124205786 | Mary L Kuehn | Occupational Therapist | 4506 Sw 45th Pl, Lawton, OK 73505-6811 | 2008-01-25 |
| 1528289634 | Nancy Contos | Occupational Therapist | 6223 W Gore Blvd, Lawton, OK 73505 | 2007-05-02 |
| 1881645604 | Stacy Elizabeth Mcglory | Occupational Therapist | 4645 W Gore Blvd, Suite E, Lawton, OK 73505-6041 | 2006-05-15 |
| 1174148191 | Anna Louise Barkman | Occupational Therapist | 501 Se Flower Mound Rd, Lawton, OK 73501-6388 | 2020-06-15 |
| 1316411036 | Heather Marie Dougherty | Occupational Therapist | 501 Se Flower Mound Rd, Lawton, OK 73501-6388 | 2019-01-15 |
| 1275986622 | Monica Jacobi | Occupational Therapist | 1001 Sw A Ave, Lawton, OK 73501-3951 | 2016-07-21 |
| 1215309190 | Sheri May | Occupational Therapist | 102 E Gore Blvd, Lawton, OK 73501-3025 | 2015-10-30 |
| Find all providers in LAWTON | ||||
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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.