SHELLY BLACK (NPI# 1588172613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588172613 |
| Entity Type | Individual |
| Full Name | SHELLY BLACK |
| Credential | COTA/CLT |
| Practice Address |
5111 Canyon Dr Amarillo TX 79110-3037 |
| Practice Telephone | 8062120741 |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 207384 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487200028 | Shelly Black | Social Worker | 3021 W Horizon Ridge Pkwy, Henderson, NV 89052-3990 | 2019-08-09 |
| Street Address |
5111 CANYON DR |
| City | AMARILLO |
| State | TX |
| Zip Code | 79110-3037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356390496 | Neil Veggeberg | Physical Medicine & Rehabilitation | 5111 Canyon Dr, Amarillo, TX 79110-3037 | 2006-05-08 |
| 1083173587 | Michele Anaya Veloz | Dietitian, Registered | 5111 Canyon Dr, Amarillo, TX 79110-3037 | 2019-03-14 |
| 1184123796 | Jill Boxwell Patterson | Occupational Therapist | 5111 Canyon Dr, Amarillo, TX 79110-3037 | 2018-02-09 |
| 1376042093 | Krista Halford | Physical Therapy Assistant | 5111 Canyon Dr, Amarillo, TX 79110-3037 | 2018-02-08 |
| 1649779356 | Pam Upshaw | Occupational Therapist | 5111 Canyon Dr, Amarillo, TX 79110-3037 | 2018-02-08 |
| 1346749017 | Vonda Kay Marquez | Occupational Therapy Assistant | 5111 Canyon Dr, Amarillo, TX 79110-3037 | 2018-02-07 |
| 1710494091 | Jimmy Silvers | Physical Therapy Assistant | 5111 Canyon Dr, Amarillo, TX 79110-3037 | 2018-01-08 |
| 1861908816 | Kristin Gerber | Speech-Language Pathologist | 5111 Canyon Dr, Amarillo, TX 79110-3037 | 2017-12-28 |
| 1952816837 | Kassidy Brechbill | Occupational Therapist | 5111 Canyon Dr, Amarillo, TX 79110-3037 | 2017-12-13 |
| 1740795186 | Agnes L Posadas | Physical Therapy Assistant | 5111 Canyon Dr, Amarillo, TX 79110-3037 | 2017-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972060234 | Brenda Carole Hoot | Dietitian, Registered | 5111 Canyon Drive, Amarillo, TX 79110 | 2019-02-22 |
| 1861856288 | Andrea Walker | Contractor | 4004 Business Park Dr, Amarillo, TX 79110 | 2016-04-12 |
| 1801181508 | Kendra Mclaughlin | Counselor | 7601 S Western St, Amarillo, TX 79110 | 2011-06-10 |
| 1780620674 | Mobile Xray of Amarillo | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4303 South Fannin, Amarillo, TX 79110-0000 | 2006-06-21 |
| 1649373861 | Daniel M Novak | Internal Medicine | 3108 S. Fillmore St., Amarillo, TX 79110-1026 | 2006-09-06 |
| 1356397301 | Amarillo Multiservice Center for The Aging, Inc. | Clinic/Center | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2006-05-25 |
| 1992256887 | Angelica Sanchez Lopez | Registered Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2016-10-17 |
| 1891109773 | Breezi Leeann Wilson | Registered Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2014-06-18 |
| 1619380516 | Christel Holt | Registered Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2014-06-09 |
| 1417207408 | Petra Lashun Telford | Licensed Vocational Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2012-09-17 |
| Find all providers in zip 79110 | ||||
| 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 |
|---|---|---|---|---|
| 1508495888 | Samantha Busby | Occupational Therapy Assistant | 3607 Running M Trl, Amarillo, TX 79118-8068 | 2020-04-07 |
| 1790314540 | Cheryl Ann Rigler | Occupational Therapy Assistant | 4917 Matador Trl, Amarillo, TX 79109-6107 | 2020-04-03 |
| 1932735081 | Tammy Diane Dye | Occupational Therapy Assistant | 6800 Bent Oak Dr, Amarillo, TX 79124-1412 | 2020-03-20 |
| 1063048684 | Chasity Shivon Guajardo | Occupational Therapy Assistant | 1906 Rogers St, Amarillo, TX 79106-4538 | 2020-03-15 |
| 1053959056 | Jamie Davis | Occupational Therapy Assistant | 1300 S Harrison St, Amarillo, TX 79101-4204 | 2019-12-20 |
| 1457999401 | Crystal Baird | Occupational Therapy Assistant | 1106 Ottawa Trl, Amarillo, TX 79118-5164 | 2019-12-19 |
| 1962040022 | Tareka Posey | Occupational Therapy Assistant | 6602 Deer Park Dr, Amarillo, TX 79124-1500 | 2019-12-19 |
| 1316408792 | Sandra Rae Jackson | Occupational Therapy Assistant | 6308 Parkwood Pl, Amarillo, TX 79119-5003 | 2019-03-27 |
| 1750859021 | Abigail Suzann Huber | Occupational Therapy Assistant | 14305 Blanton St, Amarillo, TX 79119-7568 | 2018-11-05 |
| 1124539754 | Reagan A Kruse | Occupational Therapy Assistant | 7001 Wolflin Ave Apt 1027w, Amarillo, TX 79106-2172 | 2017-10-23 |
| Find all providers in AMARILLO | ||||
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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.