CRYSTAL LAUREN SHACKELFORD (NPI# 1629557277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629557277 |
| Entity Type | Individual |
| Full Name | CRYSTAL LAUREN SHACKELFORD |
| Credential | COTA |
| Practice Address |
1100 Hidden Valley Dr Round Rock TX 78665-1565 |
| Mailing Address |
4005 Banister Ln Austin TX 78704-8077 |
| Practice Telephone | 5125765909 |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1100 HIDDEN VALLEY DR |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78665-1565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314306 | Prolab Incorporated | Clinical Medical Laboratory | Pro-lab Diagnostics Us, 21 Cypress Blvd. Ste. 1155, Round Rock, TX 78665 | 2020-07-31 |
| 1902420391 | Seton Family of Doctors | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 201 University Oaks Blvd, Suite 1260, Round Rock, TX 78665 | 2020-06-02 |
| 1629538848 | Julie Mai Nguyen | Student in an Organized Health Care Education/Training Program | 425 University Blvd., Suite 300, Ms-m2 3.006, Round Rock, TX 78665 | 2019-03-22 |
| 1881154177 | Emily Victoria Bergstrom | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Clinic, 425 University Blvd., Suite 345, Round Rock, TX 78665 | 2019-03-22 |
| 1710473210 | Brandi Weldon | Doula | 1561 Kenneys Way, Round Rock, TX 78665 | 2018-07-08 |
| 1528564531 | Stacy Danielle Arrington | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center- Round Rock, 425 University Blvd, Suite 300, Ms-m2 3.005, Round Rock, TX 78665 | 2018-03-30 |
| 1386152601 | Stephanie Michelle Martinez | Behavioral Analyst | 1503 Balsam Way, Round Rock, TX 78665 | 2018-01-22 |
| 1245758507 | The Natural Birthing Center, LLC | Clinic/Center | 1101 Satellite View Suite 104, Round Rock, TX 78665 | 2017-09-06 |
| 1386160554 | Bloom Consulting, LLC | Community/Behavioral Health | 3001 Joe Dimaggio Blvd Ste 800, Round Rock, TX 78665 | 2017-08-18 |
| 1508387226 | Ipyana Anyelwisye | Psychologist | 3636 Short Horn Ln, Round Rock, TX 78665 | 2017-07-03 |
| Find all providers in zip 78665 | ||||
| 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 |
|---|---|---|---|---|
| 1730726688 | Susan R Cornett | Occupational Therapy Assistant | 1700 Fallen Leaf Ln, Round Rock, TX 78665-5657 | 2019-12-10 |
| 1265082820 | Criselda Vara | Occupational Therapy Assistant | 7720 Oconnor Dr Apt 3309, Round Rock, TX 78681-5582 | 2019-09-16 |
| 1134695208 | Sunmi Kim | Occupational Therapy Assistant | 5033 Veranda Trce, Round Rock, TX 78665-2099 | 2018-10-16 |
| 1912489634 | Jennifer Sumampong Rogers | Occupational Therapy Assistant | 1704 Rosenborough Cv, Round Rock, TX 78665-7861 | 2018-08-29 |
| 1063719839 | Amy Anderson | Occupational Therapy Assistant | 1250 South A.w. Grimes Blvd., Round Rock, TX 78664 | 2011-02-14 |
| 1477111961 | Weon Kyung Ahn | Occupational Therapy Assistant | 1000 E Main St, Round Rock, TX 78664-4442 | 2019-05-30 |
| 1104308816 | Jeanine Verkaik | Occupational Therapy Assistant | 1000 E Main St, Round Rock, TX 78664-4442 | 2018-08-30 |
| 1184106874 | Melanie Ann May | Occupational Therapy Assistant | 4105 Teravista Club Dr, Round Rock, TX 78665-1525 | 2018-08-30 |
| 1073094447 | Julie T Stauffer | Occupational Therapy Assistant | 401 Oakwood Blvd, Round Rock, TX 78681-4067 | 2018-08-23 |
| 1841771516 | Helen Lee Keesee | Occupational Therapy Assistant | 17751 Park Valley Dr, Round Rock, TX 78681-3592 | 2018-08-22 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78665 |
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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.