COLTON JAMES JORGENSEN (NPI# 1548722010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548722010 |
| Entity Type | Individual |
| Full Name | COLTON JAMES JORGENSEN |
| Credential | COTA/L |
| Practice Address |
3100 Olympus Blvd Ste 500 Coppell TX 75019-5473 |
| Mailing Address |
155 Sherwood Cir Casper WY 82609-3562 |
| Practice Telephone | 8662215405 |
| Mailing Telephone | 3072776219 |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-04-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 224Z00000X | Occupational Therapy Assistant | OTA-1398 | WY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3100 OLYMPUS BLVD STE 500 |
| City | COPPELL |
| State | TX |
| Zip Code | 75019-5473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982176954 | Katie Cunningham | Physical Therapist | 3100 Olympus Blvd Ste 500, Coppell, TX 75019 | 2019-01-01 |
| 1992344477 | Michael Kypros | Physical Therapist | 3100 Olympus Blvd Ste 500, Coppell, TX 75019-5473 | 2019-12-31 |
| 1235776600 | Bria Iman Savage | Physical Therapist | 3100 Olympus Blvd Ste 500, Coppell, TX 75019-5473 | 2019-12-04 |
| 1720621766 | Christopher Wen | Physical Therapist | 3100 Olympus Blvd Ste 500, Coppell, TX 75019-5473 | 2019-10-22 |
| 1831740398 | Hannah Marie Davison | Physical Therapy Assistant | 3100 Olympus Blvd Ste 500, Coppell, TX 75019-5473 | 2019-09-26 |
| 1689221392 | Alyssa Jansen | Physical Therapist | 3100 Olympus Blvd Ste 500, Coppell, TX 75019-5473 | 2019-08-19 |
| 1154977080 | William Jesse Bullard | Physical Therapist | 3100 Olympus Blvd Ste 500, Coppell, TX 75019-5473 | 2019-08-15 |
| 1922653088 | Mayra Miluska Zerpa Calderon | Clinic/Center | 3100 Olympus Blvd Ste 500, Coppell, TX 75019-5473 | 2019-08-06 |
| 1801440680 | Emily Baumann | Physical Therapist | 3100 Olympus Blvd Ste 500, Coppell, TX 75019-5473 | 2019-07-30 |
| 1538728423 | Jake C Jensen | Physical Therapist | 3100 Olympus Blvd Ste 500, Coppell, TX 75019-5473 | 2019-06-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366065997 | Siai, Pllc | Pain Medicine | 149 E State Highway 121, Suite 105, Coppell, TX 75019 | 2020-05-18 |
| 1609498146 | Carie Medical Group (de), P.a. | Internal Medicine | 8951 Cypress Waters Blvd., Suite 160-1045, Dallas, TX 75019 | 2020-05-07 |
| 1154981983 | Coe Dentistry Pllc | Dentist | 137 Sh 121, Ste 110, Coppell, TX 75019 | 2019-06-14 |
| 1831655695 | Nicole Erhart | Physical Therapist | 3100 Olympus Blvd, Suite 500, Dallas, TX 75019 | 2019-02-18 |
| 1780140467 | Leah Faith Fifelski | Physical Therapist | 3100 Olympus Blvd. Suite 500, Dallas, TX 75019 | 2019-02-18 |
| 1780140988 | Living Euphoria, LLC | Community/Behavioral Health | 106 N Denton Tap Rd Ste 210 #151, Coppell, TX 75019 | 2019-02-13 |
| 1659853000 | Shelley Kniss | Licensed Vocational Nurse | 1717 E Beltline Rd Apt 1323, Coppell, TX 75019 | 2018-09-02 |
| 1881197705 | Natasha Paulina Boylan | Speech-Language Pathologist | 370 W Highway 121, Ste. 105, Coppell, TX 75019 | 2018-03-16 |
| 1407354392 | Mahvash Roya Soltani | Nurse Practitioner | 1323 Barrington Dr., Coppell, TX 75019 | 2018-01-25 |
| 1831618131 | Md, Ride LLC | Emergency Medicine | 720 N Denton Tap Rd., Coppell, TX 75019 | 2017-09-18 |
| Find all providers in zip 75019 | ||||
| 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 |
|---|---|---|---|---|
| 1427614643 | Maizie Ann Brown | Occupational Therapy Assistant | 3100 Olympus Blvd, Coppell, TX 75019-5472 | 2019-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215727 | Madison Brooke Foskey | Occupational Therapy Assistant | 3700 Legacy Dr Apt 22105, Frisco, TX 75034-6650 | 2020-11-07 |
| 1528668464 | Jerjean Casalem-dahl | Occupational Therapy Assistant | 8522 Cookglass Dr, Houston, TX 77072-4808 | 2020-10-29 |
| 1144829706 | Dickson Innemeset Etukudoh | Occupational Therapy Assistant | 21630 Merchants Way Ste 200, Katy, TX 77449-2514 | 2020-10-23 |
| 1861091019 | Erin Quinn | Occupational Therapy Assistant | 7130 Durango Creek Dr, Magnolia, TX 77354-2781 | 2020-10-20 |
| 1154920502 | Allison Hill | Occupational Therapy Assistant | 600 Nottingham Oaks Trl Apt 197, Houston, TX 77079-6233 | 2020-10-17 |
| 1518565951 | Susana Sifford | Occupational Therapy Assistant | 14515 Old Tybee Rd, Houston, TX 77084-7158 | 2020-10-16 |
| 1528666088 | Davie Michelle Kennington | Occupational Therapy Assistant | 1100 Sarah Swamy Ln, Sherman, TX 75090 | 2020-10-15 |
| 1386241735 | Tracy Lynn Price | Occupational Therapy Assistant | 15002 Zenith Glen Ln, Cypress, TX 77429-7644 | 2020-10-07 |
| 1003413782 | Gabriela Coronado Lopez | Occupational Therapy Assistant | 3206 Hummingbird Ln, Humble, TX 77396-4136 | 2020-10-05 |
| 1962009746 | Kayci Dawn Lane | Occupational Therapy Assistant | 290 Country Ridge Rd Unit 37, Lewisville, TX 75067-4503 | 2020-10-05 |
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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.