ELIZABETH DANIELLE BROCK (NPI# 1649722737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649722737 |
| Entity Type | Individual |
| Full Name | ELIZABETH DANIELLE BROCK |
| Other Name | DANIELLE BROCK |
| Practice Address |
3918 Pecan Grove Rd Rudy AR 72952-9026 |
| Practice Telephone | 4796326337 |
| Practice Fax Number | 4796325916 |
| Mailing Telephone | 4796326337 |
| Mailing Fax Number | 4796325916 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA1088 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | STATE LICENSE | OTA1088 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437192358 | Elizabeth T Brock | Nurse Practitioner | 9314 Parkwest Blvd., Suite 100, Knoxville, TN 37923-4303 | 2006-06-14 |
| 1881682599 | Elizabeth Brannen Brock | Social Worker | 335 Buckhalter Rd, Savannah, GA 31405-6111 | 2005-10-07 |
| 1184178733 | Elizabeth Brock | Physical Therapist | 1305 S Gilbert Rd, Gilbert, AZ 85296-4019 | 2016-08-12 |
| 1760876643 | Elizabeth Brock | Assistant Behavior Analyst | 9153 W 133rd St, Overland Park, KS 66213-4333 | 2015-03-27 |
| 1255542809 | Elizabeth Ann Brock | Nurse Practitioner | 2855 Valmont Rd, Boulder, CO 80301-1309 | 2007-05-25 |
| 1841381795 | Elizabeth Katz Brock | Nurse Practitioner | 110 Irving St Nw, Rm 4b42, Washington, DC 20010-2976 | 2006-09-27 |
| 1437116332 | Elizabeth Brock | Physical Therapy Assistant | 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 | 2006-04-26 |
| Street Address |
3918 PECAN GROVE RD |
| City | RUDY |
| State | AR |
| Zip Code | 72952-9026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932165438 | Hand Rehabilitation of W. Ark., Inc. | Specialist | 3918 Pecan Grove Rd, Rudy, AR 72952-9026 | 2006-04-24 |
| 1215395421 | Krismas Trotter | Occupational Therapy Assistant | 3918 Pecan Grove Rd, Rudy, AR 72952-9026 | 2016-02-02 |
| 1609234806 | Melissa Brannan | Occupational Therapy Assistant | 3918 Pecan Grove Rd, Rudy, AR 72952-9026 | 2016-02-02 |
| 1013385483 | Justin Suggs | Occupational Therapist | 3918 Pecan Grove Rd, Rudy, AR 72952-9026 | 2015-09-02 |
| 1699161695 | Sherry Sartin | Occupational Therapy Assistant | 3918 Pecan Grove Rd, Rudy, AR 72952-9026 | 2015-04-07 |
| 1790177954 | Amy Brashear | Occupational Therapy Assistant | 3918 Pecan Grove Rd, Rudy, AR 72952-9026 | 2015-02-25 |
| 1942692199 | Daune Holzman | Occupational Therapy Assistant | 3918 Pecan Grove Rd, Rudy, AR 72952-9026 | 2015-02-25 |
| 1205232741 | Jeaneen Kidwell | Occupational Therapy Assistant | 3918 Pecan Grove Rd, Rudy, AR 72952-9026 | 2014-11-11 |
| 1366858458 | Deron Johnson | Occupational Therapist | 3918 Pecan Grove Rd, Rudy, AR 72952-9026 | 2014-07-09 |
| 1790101012 | Leyna Morgan | Occupational Therapy Assistant | 3918 Pecan Grove Rd, Rudy, AR 72952-9026 | 2014-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831407840 | Lindsey Nicole Holt | Occupational Therapist | 3918 Pecan Grove Road, Rudy, AR 72952 | 2010-09-24 |
| 1265849996 | Nick Keeter | Counselor | 10227 Old 88 Rd, Rudy, AR 72952-8525 | 2014-07-15 |
| 1023306719 | Kala D Price | Speech-Language Pathologist | 5653 Highway 282, Rudy, AR 72952-9008 | 2011-07-14 |
| 1609256452 | The Pediatric Promise Center LLC | Clinic/Center | 5653 Highway 282, Rudy, AR 72952-9008 | 2015-06-08 |
| 1467830562 | Kala Price Inc | Speech-Language Pathologist | 5653 Highway 282, Rudy, AR 72952-9008 | 2015-05-11 |
| 1124459474 | Stephen Storm | Occupational Therapy Assistant | 3028 Highway 348, Rudy, AR 72952-9564 | 2013-12-11 |
| 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 |
|---|---|---|---|---|
| 1124459474 | Stephen Storm | Occupational Therapy Assistant | 3028 Highway 348, Rudy, AR 72952-9564 | 2013-12-11 |
| 1215395421 | Krismas Trotter | Occupational Therapy Assistant | 3918 Pecan Grove Rd, Rudy, AR 72952-9026 | 2016-02-02 |
| 1609234806 | Melissa Brannan | Occupational Therapy Assistant | 3918 Pecan Grove Rd, Rudy, AR 72952-9026 | 2016-02-02 |
| 1699161695 | Sherry Sartin | Occupational Therapy Assistant | 3918 Pecan Grove Rd, Rudy, AR 72952-9026 | 2015-04-07 |
| 1790177954 | Amy Brashear | Occupational Therapy Assistant | 3918 Pecan Grove Rd, Rudy, AR 72952-9026 | 2015-02-25 |
| 1942692199 | Daune Holzman | Occupational Therapy Assistant | 3918 Pecan Grove Rd, Rudy, AR 72952-9026 | 2015-02-25 |
| 1205232741 | Jeaneen Kidwell | Occupational Therapy Assistant | 3918 Pecan Grove Rd, Rudy, AR 72952-9026 | 2014-11-11 |
| 1790101012 | Leyna Morgan | Occupational Therapy Assistant | 3918 Pecan Grove Rd, Rudy, AR 72952-9026 | 2014-03-11 |
| 1285056044 | Brandi Fox | Occupational Therapy Assistant | 3918 Pecan Grove Rd, Rudy, AR 72952-9026 | 2014-01-14 |
| 1629408919 | Jamie Edgin | Occupational Therapy Assistant | 3918 Pecan Grove Rd, Rudy, AR 72952-9026 | 2013-11-22 |
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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.