FULL SPECTRUM HEALING PLLC (NPI# 1609009042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609009042 |
| Entity Type | Organization |
| Organization Name | FULL SPECTRUM HEALING PLLC |
| Practice Address |
801 Panorama Dr Dripping Springs TX 78620-2532 |
| Practice Telephone | 5125385748 |
| Mailing Telephone | 5125385748 |
| Mailing Fax Number | 5123829040 |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2009-09-21 |
| Authorized Official Name | MS. TINA M ANDERSON (CE) |
| Authorized Official Telephone | 5125385748 |
| Authorized Official Credential | OTR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | 103532 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XH1200X |
Occupational Therapist Specialization: Hand |
103532 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
112162 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XE0001X |
Occupational Therapist Specialization: Environmental Modification |
103532 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XF0002X |
Occupational Therapist Specialization: Feeding, Eating & Swallowing |
103532 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XH1200X |
Occupational Therapist Specialization: Hand |
112162 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | 112162 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
103532 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
801 PANORAMA DR |
| City | DRIPPING SPRINGS |
| State | TX |
| Zip Code | 78620-2532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659848943 | Corey Paul Devillier | Nurse Practitioner | 13830 Sawyer Ranch Rd Ste 102, Dripping Springs, TX 78620 | 2018-10-25 |
| 1023513751 | Southwest Austin Foot & Ankle Clinic | Podiatrist | 170 Benney Lane Ste 100, Dripping Springs, TX 78620 | 2018-03-26 |
| 1811405384 | Henly Community Clinic Pllc | Nurse Practitioner | 101 Hays St Ste 410, Dripping Springs, TX 78620 | 2018-01-17 |
| 1538674601 | Lifetime Recovery Academy Inc. | Clinic/Center | 13900 Sawyer Ranch Rd., Dripping Springs, TX 78620 | 2017-12-11 |
| 1639610421 | Dripping Springs Pediatric Dental, Pllc | Dentist | 2440 E Highway 290. Building C, Suite B, Dripping Springs, TX 78620 | 2017-03-14 |
| 1972059269 | Christine Kloppe | General Practice | 190 Easy St., Dripping Springs, TX 78620 | 2016-08-28 |
| 1750758355 | Blake Liles | Nurse Practitioner | 598 Us-290, Dripping Spring, TX 78620 | 2015-08-31 |
| 1407258775 | Rediclinic Austin, LLC | Clinic/Center | 598 E. Hwy Us 290, Dripping Springs, TX 78620 | 2014-09-18 |
| 1871904607 | Brenda Watkins | Dermatology | 170 Benney Ln Ste 203, Dripping Springs, TX 78620 | 2014-05-14 |
| 1043641657 | Elaine Brown | Counselor | 13900 Sawyer Ranch Rd, Dripping Springs, TX 78620 | 2013-12-06 |
| Find all providers in zip 78620 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384121 | Texas Agapecare, LLC | Day Training, Developmentally Disabled Services | 2211 N Lamar St Ste 225, Dallas, TX 75202-1005 | 2020-10-17 |
| 1467067538 | Jacorea Breon Taylor | Day Training, Developmentally Disabled Services | 1727 Park Oak Dr, Conroe, TX 77304-1777 | 2020-09-15 |
| 1184247926 | Two Hands Pllc | Day Training, Developmentally Disabled Services | 3945 Braxton Dr Ste 1, Houston, TX 77063 | 2020-05-27 |
| 1073152823 | Together We Care | Day Training, Developmentally Disabled Services | 507c S Lake Dallas Dr, Lake Dallas, TX 75065-2778 | 2019-12-26 |
| 1679118863 | Eric L Middleton | Day Training, Developmentally Disabled Services | 1701 Lennox Ave, Killeen, TX 76549-2147 | 2019-11-12 |
| 1538702576 | Karehab LLC | Day Training, Developmentally Disabled Services | 1034 1st St E, Humble, TX 77338-4778 | 2019-10-22 |
| 1609418110 | Damswill Care Services, LLC | Day Training, Developmentally Disabled Services | 103 Carlie Way, Stafford, TX 77477-5239 | 2019-10-16 |
| 1427690692 | Treasured Hearts Life Skills Activity Center | Day Training, Developmentally Disabled Services | 914 N Dallas Ave, Lancaster, TX 75146-1616 | 2019-10-09 |
| 1093366882 | Pamela Ann Knebel | Day Training, Developmentally Disabled Services | 2106 Huisache St, Brenham, TX 77833-5818 | 2019-09-24 |
| 1871143800 | Sonya Lorraine Townsend | Day Training, Developmentally Disabled Services | 12814 Hawthorne Shores Dr, Houston, TX 77044-1255 | 2019-09-11 |
| Find all providers with the same taxonomy | ||||
| City | DRIPPING SPRINGS |
| Zip Code | 78620 |
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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.