MS. CAROLYN RAYE MCCULLOUGH (NPI# 1437373826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437373826 |
| Entity Type | Individual |
| Full Name | MS. CAROLYN RAYE MCCULLOUGH |
| Credential | COTA |
| Practice Address |
409 S 10th St Haines City FL 33844-5603 |
| Mailing Address |
707 Wildabon Ave Lake Wales FL 33853-3457 |
| Practice Telephone | 8634228656 |
| Mailing Telephone | 8636789791 |
| Enumeration Date | 2007-04-13 |
| 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 | OTA7259 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
409 S 10TH ST |
| City | HAINES CITY |
| State | FL |
| Zip Code | 33844-5603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154328102 | M-k of Haines City L L C | Skilled Nursing Facility | 409 S 10th St, Haines City, FL 33844-5603 | 2005-07-06 |
| 1518528520 | Haines City Rehab, LLC | Skilled Nursing Facility | 409 S 10th St, Haines City, FL 33844-5603 | 2019-06-21 |
| 1962627828 | Bonita Lynn Walter | Physical Therapist | 409 S 10th St, Haines City, FL 33844-5603 | 2007-04-16 |
| 1306060363 | William T Rigby | Physical Therapy Assistant | 409 S 10th St, Haines City, FL 33844-5603 | 2007-04-12 |
| 1154545184 | Marisell Albert | Physical Therapy Assistant | 409 S 10th St, Haines City, FL 33844-5603 | 2007-04-12 |
| 1538382965 | Candace C. Deiling | Occupational Therapy Assistant | 409 S 10th St, Haines City, FL 33844-5603 | 2007-04-11 |
| 1386867737 | Ivette Garcia | Occupational Therapist | 409 S 10th St, Haines City, FL 33844-5603 | 2007-04-11 |
| 1447473855 | Barbara Webb | Physical Therapy Assistant | 409 S 10th St, Haines City, FL 33844-5603 | 2007-04-11 |
| 1538281795 | Natalie Carol Mundy | Speech-Language Pathologist | 409 S 10th St, Haines City, FL 33844-5603 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134608342 | Patricia Vogl | Counselor | 360 S. 10th Street, Suite A, Haines City, FL 33844 | 2018-08-08 |
| 1639657257 | Jessica Herring | Physical Therapist | 35902 Us-27, Haines City, FL 33844 | 2018-08-06 |
| 1366896482 | Jovita Moise-brown | Custodial Care Facility | 2411 Dorado Ave, Haines City, FL 33844 | 2016-04-14 |
| 1730564170 | Maria Dolores Jimenez | Social Worker | 9024 Orange Blossom Loop, Haines City, FL 33844 | 2015-07-28 |
| 1346565819 | Elaine Carol Weinstein | Respiratory Therapist, Registered | 330 10th Street South, Haines City, FL 33844 | 2010-03-29 |
| 1194999813 | Janice Ramos Colon | General Practice | 502 E Hinson Ave, Haines City, FL 33844 | 2008-04-14 |
| 1225151913 | Erika Selga Grimes | Specialist/Technologist | 262 Paradise Island Dr, Haines City, FL 33844 | 2007-04-09 |
| 1912034265 | Xtra Discount Drugs Hc | Pharmacy | 401 East Hinson Ave, Haines City, FL 33844 | 2007-02-27 |
| 1689727562 | Sports and Orthopedic Rehabilitation Services Inc | Clinic/Center | 19 North 6th Street, Suite A, Haines City, FL 33844 | 2007-01-22 |
| 1194898841 | Jeffrey S Smith | Chiropractor | 101 S 10th Street, Haines City, FL 33844 | 2006-11-17 |
| Find all providers in zip 33844 | ||||
| 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 |
|---|---|---|---|---|
| 1861766057 | Ashley Green | Occupational Therapy Assistant | 25 Pine Forest Ln, Haines City, FL 33844-9675 | 2012-03-06 |
| 1538382965 | Candace C. Deiling | Occupational Therapy Assistant | 409 S 10th St, Haines City, FL 33844-5603 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407760 | Thalia Mercedes Romero | Occupational Therapy Assistant | 2040 Sr-a1a, Unit 203, Indian Harbour Beach, FL 32937 | 2020-11-06 |
| 1720689557 | Chelsie Briana Caudill | Occupational Therapy Assistant | 150 Woodland Dr, Santa Rosa Beach, FL 32459-4412 | 2020-11-06 |
| 1720688252 | Elizabeth Lawler | Occupational Therapy Assistant | 11804 Old Course Rd, Cantonment, FL 32533-4881 | 2020-10-26 |
| 1104425677 | Aiza Dela Cruz Clyde | Occupational Therapy Assistant | 121 Sw 96th Ter Apt 205, Plantation, FL 33324-2325 | 2020-10-25 |
| 1720687296 | Reginal Louissaint | Occupational Therapy Assistant | 20720 Nw 7th Ave Apt 304, Miami Gardens, FL 33169-7015 | 2020-10-25 |
| 1164020095 | Lisa M Harrison | Occupational Therapy Assistant | 83 Pepperdine Dr, Palm Coast, FL 32164-7498 | 2020-10-13 |
| 1902404130 | Joseph Spyros | Occupational Therapy Assistant | 9808 Quadrangle Ct, Ruskin, FL 33573-1204 | 2020-10-09 |
| 1811594534 | Eliette Junco | Occupational Therapy Assistant | 335 Nw 58th Ave, Miami, FL 33126-4723 | 2020-10-06 |
| 1205433133 | Valentina Della Volpe | Occupational Therapy Assistant | 6221 Willow Beck Ln Apt 104, Bradenton, FL 34202-5248 | 2020-10-05 |
| 1053918052 | Yuliet Armas | Occupational Therapy Assistant | 941 E 37th St, Hialeah, FL 33013-2824 | 2020-10-03 |
| Find all providers with the same taxonomy | ||||
| City | HAINES CITY |
| Zip Code | 33844 |
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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.