KELLEY E BRODBECK (NPI# 1639460611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639460611 |
| Entity Type | Individual |
| Full Name | KELLEY E BRODBECK |
| Credential | OT |
| Practice Address |
18323 Sonterra Pl San Antonio TX 78258-4353 |
| Mailing Address |
2222 Sullivan Trl Easton PA 18040-7958 |
| Practice Telephone | 2104954606 |
| Mailing Telephone | 6109912034 |
| Mailing Fax Number | 6104382046 |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2011-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 106525 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
18323 SONTERRA PL |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78258-4353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003257460 | Jennifer G Classy | Physical Therapist | 18323 Sonterra Pl, San Antonio, TX 78258-4353 | 2013-07-15 |
| 1891040127 | Catered Living Sa, LLC | In Home Supportive Care | 18323 Sonterra Pl, San Antonio, TX 78258-4353 | 2012-07-24 |
| 1780955468 | Brandi L Street | Physical Therapist | 18323 Sonterra Pl, San Antonio, TX 78258-4353 | 2012-01-26 |
| 1972880599 | Barbara B Mcglothlin | Speech-Language Pathologist | 18323 Sonterra Pl, San Antonio, TX 78258-4353 | 2011-11-10 |
| 1609167238 | Rebecca Pinkus | Physical Therapist | 18323 Sonterra Pl, San Antonio, TX 78258-4353 | 2011-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
| 1720649080 | Miguel Ibarra | Pharmacist | 18866 Stone Oak Pkwy., St.101, San Antonio, TX 78258 | 2019-06-26 |
| 1528538113 | Kevin Scott Farnsworth | Dentist | 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 | 2018-11-27 |
| 1891262176 | Dentists of Stone Oak, PC | Dentist | 23714 Hardy Oak Blvd, Suite 110, San Antonio, TX 78258 | 2018-10-25 |
| 1003399437 | Jesus Alcala | Physical Therapist | 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 | 2018-09-11 |
| 1184106544 | Marissa Kaye Bruton | Occupational Therapist | 505 Madison Oak, San Antonio, TX 78258 | 2018-09-02 |
| 1508346933 | Desiree Carroll | Occupational Therapy Assistant | 18803 Hardy Oak Drive, San Antonio, TX 78258 | 2018-08-15 |
| 1700376456 | Conner Jay Mcnabb | Optometrist | 810 Knights Cross Dr Ste 101, San Antonio, TX 78258 | 2018-05-17 |
| 1982191516 | Freehand Solutions LLC | Chiropractor | Nec Stone Oak Parkway & Loop 1604, San Antonio, TX 78258 | 2018-04-19 |
| Find all providers in zip 78258 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741531 | Carlos Herrera | Occupational Therapist | 3201 Cherry Ridge St Ste 323c, San Antonio, TX 78230-4831 | 2020-05-08 |
| 1306499173 | Dawn Theresa Vigue | Occupational Therapist | 21626 Stonewall Pkwy Apt 4402, San Antonio, TX 78256-1724 | 2019-07-22 |
| 1851944136 | Allie Peugh | Occupational Therapist | 431 Wolfe Rd Ste 201, San Antonio, TX 78216-4628 | 2019-07-16 |
| 1992361612 | Jonanthony Jimenez | Occupational Therapist | 501 Ogden Ln, San Antonio, TX 78209-5142 | 2019-05-17 |
| 1033685029 | Jlyb, LLC | Occupational Therapist | 120 N Mesquite St Ste 5, San Antonio, TX 78202-2727 | 2018-10-17 |
| 1366924730 | David Edward Dupuy | Occupational Therapist | 307 West Cypress, San Antonio, TX 78212 | 2018-09-03 |
| 1184106544 | Marissa Kaye Bruton | Occupational Therapist | 505 Madison Oak, San Antonio, TX 78258 | 2018-09-02 |
| 1215418249 | Xavier Esteban Hernandez | Occupational Therapist | 8602 Cinnamon Creek Dr Apt 1705, San Antonio, TX 78240-1475 | 2018-08-28 |
| 1063992907 | Kaela Ann Donbavand | Occupational Therapist | 11212 State Highway 151 Ste 305, San Antonio, TX 78251-4498 | 2018-08-20 |
| 1427538016 | Stephanie Renee Jackson | Occupational Therapist | 626 Colosseo Way, San Antonio, TX 78253-5687 | 2018-08-14 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78258 |
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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.