ANQUANETTE EVETTE NETHERLY (NPI# 1619458239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619458239 |
| Entity Type | Individual |
| Full Name | ANQUANETTE EVETTE NETHERLY |
| Credential | COTA |
| Practice Address |
611 Nw Stallings Dr Nacogdoches TX 75964-3847 |
| Mailing Address |
Po Box 1467 Center TX 75935-1467 |
| Practice Telephone | 9365641138 |
| Mailing Telephone | 9365641138 |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 210097 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
611 NW STALLINGS DR |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75964-3847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033183850 | Bmw Healthcare, Inc | Skilled Nursing Facility | 611 Nw Stallings Dr, Nacogdoches, TX 75964-3847 | 2006-02-16 |
| 1942397047 | Pinnacle Health Facilities Xv Lp | Skilled Nursing Facility | 611 Nw Stallings Dr, Nacogdoches, TX 75964-3847 | 2006-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497250450 | Aubrey Elyse Laurent | Specialist/Technologist | 5623 County Road 817, Nacogdoches, TX 75964 | 2018-03-29 |
| 1821194168 | Gary Warren Mcclinton | Chiropractor | 1923 South Street, Nacogdoches, TX 75964 | 2006-09-15 |
| 1215337720 | Whitney Revette Hamilton | Physician Assistant | 1106 South St, Nacogdoches, TX 75964 | 2014-09-03 |
| 1881171353 | Lauren Homer | Nurse Practitioner | 115 County Road 9151, Nacogdoches, TX 75964-0272 | 2018-07-26 |
| 1285139444 | Adam's Therapy Services Pllc | Physical Therapist | 3002 Westward Dr, Nacogdoches, TX 75964-1207 | 2018-03-28 |
| 1811205370 | Cbl Medical Enterprises, Inc. | Home Health | 2719 Westward Dr, Nacogdoches, TX 75964-1229 | 2010-09-17 |
| 1396787834 | Wt Manor Lp | Skilled Nursing Facility | 3001 Westward Dr, Nacogdoches, TX 75964-1232 | 2006-06-11 |
| 1437106960 | Arbor Assisted Living, Lp | Assisted Living Facility | 3002 Westward Dr, Nacogdoches, TX 75964-1232 | 2006-05-29 |
| 1326529645 | Douglas Bowlin | Physical Therapy Assistant | 3001 Westward Dr, Nacogdoches, TX 75964-1232 | 2018-08-24 |
| 1083195630 | Aimee Bird | Speech-Language Pathologist | 3001 Westward Dr, Nacogdoches, TX 75964-1232 | 2018-08-22 |
| Find all providers in zip 75964 | ||||
| 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 |
|---|---|---|---|---|
| 1104431311 | Shauna Lynn Bond | Occupational Therapy Assistant | 4133 Ne Stallings Dr Apt 304, Nacogdoches, TX 75965-1637 | 2020-09-14 |
| 1831671569 | Tatanya Rene Gerik | Occupational Therapy Assistant | 123 Elm St, Nacogdoches, TX 75965-2849 | 2018-08-29 |
| 1689155376 | Maria Lorena Dominguez | Occupational Therapy Assistant | 4616 Ne Stallings Dr, Nacogdoches, TX 75965-1608 | 2018-08-22 |
| 1053892778 | Sandra Patricia Rangel | Occupational Therapy Assistant | 4616 Ne Stallings Dr, Nacogdoches, TX 75965-1608 | 2018-08-22 |
| 1891276440 | April Tamez | Occupational Therapy Assistant | 3001 Westward Dr, Nacogdoches, TX 75964-1232 | 2018-08-22 |
| 1619457348 | Deanna Calhoun | Occupational Therapy Assistant | 611 Ne Stallings Dr, Nacogdoches, TX 75961-5952 | 2018-08-21 |
| 1447730395 | Lasonia Natasha Lister | Occupational Therapy Assistant | 4616 Ne Stallings Dr, Nacogdoches, TX 75965-1608 | 2018-08-20 |
| 1467954602 | Whitney Havins | Occupational Therapy Assistant | 619 Se Stallings Dr, Nacogdoches, TX 75964-7208 | 2018-03-04 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | NACOGDOCHES |
| Zip Code | 75964 |
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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.