MRS. BRENNA STANLEY JOHNSON (NPI# 1508874637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508874637 |
| Entity Type | Individual |
| Full Name | MRS. BRENNA STANLEY JOHNSON |
| Credential | OTR |
| Practice Address |
817 N Mound St Nacogdoches TX 75961 |
| Mailing Address |
817 N Mound St Nacogdoches TX 75961-4427 |
| Practice Telephone | 9365646907 |
| Practice Fax Number | 9365640509 |
| Mailing Telephone | 9365646907 |
| Mailing Fax Number | 9365640509 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2019-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 107063 | TX | Other Service Providers |
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
107063 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS # | 659657 | 01 |
| TX | 1637803-02 | 05 | |
| TX | TAX ID # FOR OTHER INSURA | 73-1698740 | 01 |
| TX | 1637803-01 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 817 N Mound St, Nacogdoches, TX 75961 | 9365646907 | 9365640509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831654664 | Brenna Erin Johnson | Registered Nurse | 424 Savannah Rd, Lewes, DE 19958-1462 | 2019-02-06 |
| 1205378478 | Brenna Johnson | Assistant Behavior Analyst | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2016-11-04 |
| Street Address |
817 N MOUND ST |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851906630 | Janet Westbrook | Occupational Therapist | 817 N Mound St, Nacogdoches, TX 75961-4427 | 2020-09-09 |
| 1396353728 | Rachel Newton | Speech-Language Pathologist | 817 N Mound St, Nacogdoches, TX 75961-4427 | 2020-07-22 |
| 1144860131 | Lauren Taylor Reid | Speech-Language Pathologist | 817 N Mound St, Nacogdoches, TX 75961-4427 | 2020-01-08 |
| 1225519754 | Amy Reneau | Speech-Language Pathologist | 817 N Mound St, Nacogdoches, TX 75961-4427 | 2018-08-23 |
| 1386136372 | Andrea Jo Dejean | Occupational Therapist | 817 N Mound St, Nacogdoches, TX 75961-4427 | 2018-06-05 |
| 1881071686 | Caylee Donice Moore | Speech-Language Pathologist | 817 N Mound St, Nacogdoches, TX 75961-4427 | 2015-04-30 |
| 1366854606 | Mary Crocker | Speech-Language Pathologist | 817 N Mound St, Nacogdoches, TX 75961-4427 | 2014-05-21 |
| 1124379581 | Megan Wiggins | Speech-Language Pathologist | 817 N Mound St, Nacogdoches, TX 75961-4427 | 2012-09-26 |
| 1487940490 | Katie K Schneider | Speech-Language Pathologist | 817 N Mound St, Nacogdoches, TX 75961-4427 | 2011-06-28 |
| 1821384983 | Kalisha Wade | Speech-Language Pathologist | 817 N Mound St, Nacogdoches, TX 75961-4427 | 2011-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578195582 | Trevon Jerrell Jones | Specialist/Technologist | 13010 Sfa Station, Nacogdoches, TX 75961 | 2020-02-07 |
| 1275014094 | Connie Nicole Hamner | Licensed Vocational Nurse | 214 Cr 387, Nacogdoches, TX 75961 | 2018-08-29 |
| 1689175804 | Barbara Stracener | Registered Nurse | 234 Grove Lane, Nacogdoches, TX 75961 | 2018-02-22 |
| 1710425541 | St.alyssamedical Center | Clinic/Center | 1303 N. Mound Street, Nacogdoches, TX 75961 | 2017-01-31 |
| 1609319458 | Nacogdoches Internal Medicine Pllc | Internal Medicine | 412 North St Ste E, Nacogdoches, TX 75961 | 2016-11-28 |
| 1972982866 | Deanna Ellen Bishop | Nurse Practitioner | 1309 S. University Dr, East Texas Community Health Services, Inc., Nacogdoches, TX 75961 | 2015-05-25 |
| 1659798155 | Dr. Ronnie Hancock Family Dentistry, Pllc | Dental Hygienist | 1302 Raguet Street, Nacogdoches, TX 75961 | 2014-03-21 |
| 1205095585 | Chris R Chambers | Surgery | 1018 N Mound St Ste 106, Nacogdoches, TX 75961 | 2008-06-03 |
| 1972790285 | Assisted Living Concepts Inc | Assisted Living Facility | 901 Oakview Drive, Nacogdoches, TX 75961 | 2007-10-01 |
| 1356492151 | James Knox Dowling | Pediatrics | 2106 N. Raguet, Nacogdoches, TX 75961 | 2007-01-16 |
| Find all providers in zip 75961 | ||||
| Taxonomy Code | 225XP0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Pediatrics |
| Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284588 | Haley Lunday | Occupational Therapist | 110 Myers Rd, Heath, TX 75032-8601 | 2020-10-29 |
| 1255948360 | Jamelle Antonio Brownlee | Occupational Therapist | 3737 Watonga Blvd Apt 105, Houston, TX 77092-6719 | 2020-09-23 |
| 1720690605 | Vanessa M Luna | Occupational Therapist | 8810 Landwood Dr, Houston, TX 77040-4715 | 2020-08-20 |
| 1144838954 | Gabriela Alex | Occupational Therapist | 937 Royal Oaks Dr, Lewisville, TX 75067-6137 | 2020-07-17 |
| 1639787575 | Gabrielle Iris Marie George | Occupational Therapist | 11507 Starlight Bay Ct, Pearland, TX 77584-8281 | 2020-07-16 |
| 1134747322 | Discovery Kids Therapy Pllc | Occupational Therapist | 112 Laurel Ln Unit A, Austin, TX 78705-2814 | 2020-07-14 |
| 1437775087 | Anne Leslie Tijerina | Occupational Therapist | 6416 Us Highway 80 E, Marshall, TX 75672-3395 | 2020-06-19 |
| 1326660481 | Cassandra Caron Sutton | Occupational Therapist | 4635 Pineridge St, Houston, TX 77009-4424 | 2020-05-12 |
| 1073140687 | Stac Ventures, Inc. | Occupational Therapist | 1620 Silver Ln, Aubrey, TX 76227-1623 | 2020-03-24 |
| 1023643830 | Allison Burns | Occupational Therapist | 513 E 20th St Apt 11, Houston, TX 77008-2600 | 2020-03-12 |
| Find all providers with the same taxonomy | ||||
| City | NACOGDOCHES |
| Zip Code | 75961 |
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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.