AUBREY CORLETTE MENTIS JR. (NPI# 1629460241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629460241 |
Entity Type | Individual |
Full Name | AUBREY CORLETTE MENTIS JR. |
Credential | COTA |
Practice Address |
1601 Academy Rd Ponca City OK 74604-4409 |
Mailing Address |
228 S Forestview Ct None Wichita KS 67235-8225 |
Practice Telephone | 5807495923 |
Practice Fax Number | 5807495924 |
Mailing Telephone | 3163055073 |
Enumeration Date | 2015-02-19 |
Last Update Date | 2015-02-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 1801136 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1601 ACADEMY RD |
City | PONCA CITY |
State | OK |
Zip Code | 74604-4409 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215150297 | Via Christi Village Ponca City Inc | Assisted Living Facility | 1601 Academy Rd, Ponca City, OK 74604-4409 | 2007-04-10 |
1386260974 | Taylor Christine Lovell | Speech-Language Pathologist | 1601 Academy Rd, Ponca City, OK 74604-4409 | 2020-06-19 |
1558996702 | Phillip David Whetstone | Physical Therapist | 1601 Academy Rd, Ponca City, OK 74604-4409 | 2020-03-09 |
1912538000 | Stacy Heather Bergman | Occupational Therapy Assistant | 1601 Academy Rd, Ponca City, OK 74604-4409 | 2020-01-28 |
1093361636 | Daniel Joseph Ore | Physical Therapy Assistant | 1601 Academy Rd, Ponca City, OK 74604-4409 | 2019-08-09 |
1306401443 | Haley Kathryn Jonus | Speech-Language Pathologist | 1601 Academy Rd, Ponca City, OK 74604-4409 | 2019-05-03 |
1346724481 | Christine Louise Pameticky | Occupational Therapy Assistant | 1601 Academy Rd, Ponca City, OK 74604-4409 | 2018-09-24 |
1598112609 | Jamie Kihega | Speech-Language Pathologist | 1601 Academy Rd, Ponca City, OK 74604-4409 | 2016-05-18 |
1952788622 | Chelsea Sprague | Speech-Language Pathologist | 1601 Academy Rd, Ponca City, OK 74604-4409 | 2015-05-01 |
1992198626 | Jennifer Kohl | Physical Therapy Assistant | 1601 Academy Rd, Ponca City, OK 74604-4409 | 2015-03-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598316960 | Kathryn L Nipper | Registered Nurse | Jane Morris, 13 Hillcrest Dr, Ponca City, OK 74604 | 2019-09-26 |
1043617723 | Tim Henslee | Occupational Therapy Assistant | 1601 Academy Road, Ponca City, OK 74604 | 2014-11-25 |
1154736221 | Paula Oast | Occupational Therapy Assistant | 1601 Academy Rd., Ponca City, OK 74604 | 2014-06-26 |
1154657948 | Limb Salvage International, Inc | General Practice | 2210 N 14th St, Ponca City, OK 74604 | 2009-10-29 |
1124150305 | Scott Thomas Kirkpatrick Sr. | Chiropractor | 1916 Lake Road, Ponca City, OK 74604 | 2007-03-12 |
1093854556 | Jamie Dawn Phillips | Counselor | 1300 Summers Pl, Ponca City, OK 74604 | 2007-02-05 |
1790160224 | Ann Mayse | Counselor | 1912 Lake Rd, Ponca City, OK 74604 | 2015-07-27 |
1013217462 | Laura Anne Peitz | Counselor | 3415 Meadow Ln, Ponca City, OK 74604-1318 | 2010-11-01 |
1194362913 | Stephanie Lynn Wright | Peer Specialist | 1512 Queens Ave, Ponca City, OK 74604-1321 | 2019-12-01 |
1073881314 | Triad Family Chiropractic, LLC | Chiropractor | 3004 Turner St, Ponca City, OK 74604-1512 | 2011-12-01 |
Find all providers in zip 74604 |
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 |
---|---|---|---|---|
1679172951 | Children S Therapy Zone LLC | Occupational Therapy Assistant | 220 Village Cir, Ponca City, OK 74601-4021 | 2020-10-19 |
1043617723 | Tim Henslee | Occupational Therapy Assistant | 1601 Academy Road, Ponca City, OK 74604 | 2014-11-25 |
1154736221 | Paula Oast | Occupational Therapy Assistant | 1601 Academy Rd., Ponca City, OK 74604 | 2014-06-26 |
1912538000 | Stacy Heather Bergman | Occupational Therapy Assistant | 1601 Academy Rd, Ponca City, OK 74604-4409 | 2020-01-28 |
1720549181 | Marcy Edwards | Occupational Therapy Assistant | 1400 N Waverly St, Ponca City, OK 74601-2134 | 2019-03-28 |
1346724481 | Christine Louise Pameticky | Occupational Therapy Assistant | 1601 Academy Rd, Ponca City, OK 74604-4409 | 2018-09-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134734239 | Robbie Newman | Occupational Therapy Assistant | 10817 E 25th Pl, Tulsa, OK 74129-4807 | 2020-09-15 |
1841809811 | Carlos Wren | Occupational Therapy Assistant | 4647 N Hartford Ave, Tulsa, OK 74126-3360 | 2020-07-27 |
1356965628 | Amber Dawn Taylor | Occupational Therapy Assistant | 11150 Wolf Creek Dr, Crescent, OK 73028-9350 | 2020-06-02 |
1891315578 | Kelly Dee Rabe | Occupational Therapy Assistant | 6699 Windridge Cir, Lexington, OK 73051-9468 | 2020-04-22 |
1235760976 | Andy Goodnight | Occupational Therapy Assistant | 16993 Elm Ln, Morris, OK 74445-2837 | 2020-01-31 |
1780215947 | Denise Kay Kliewer | Occupational Therapy Assistant | 1412 Spoonwood Dr, Norman, OK 73071 | 2020-01-27 |
1982247623 | Tammie Lee Haworth | Occupational Therapy Assistant | Quest, 400 N Eastern Ave, Moore, OK 73160 | 2019-10-25 |
1487202677 | Jane Marie Rhoades | Occupational Therapy Assistant | 412 N Broadway Ave # 416, Shawnee, OK 74801-6922 | 2019-08-30 |
1831741032 | Shelby Nicole Mondloch | Occupational Therapy Assistant | 4300 S Juniper Pl, Broken Arrow, OK 74011-2832 | 2019-07-09 |
1790346864 | Kristi Jo Brown | Occupational Therapy Assistant | 28686 S 4340 Rd, Vinita, OK 74301-7708 | 2019-06-27 |
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City | PONCA CITY |
Zip Code | 74604 |
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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.