MALLORY JO SPENCER (NPI# 1669094983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669094983 |
| Entity Type | Individual |
| Full Name | MALLORY JO SPENCER |
| Credential | COTA |
| Practice Address |
4159 Fm 13 W Henderson TX 75654-9395 |
| Practice Telephone | 9036463742 |
| Mailing Telephone | 9036463742 |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-05-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 215209 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4159 FM 13 W |
| City | HENDERSON |
| State | TX |
| Zip Code | 75654-9395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657689 | Danielle Villanueva | Lactation Consultant, Non-RN | 502 Smith Street, Henderson, TX 75654 | 2020-04-06 |
| 1194374488 | Peggie Foreman | Technician | 6984 7.m. 13 W, Henderson, TX 75654 | 2019-09-09 |
| 1174086714 | Kc Creek Equestrian, LLC | Psychologist | 9906 Cr 468 W, Henderson, TX 75654 | 2019-04-10 |
| 1639529753 | J.l. Miguez, Inc. | Hearing Aid Equipment | 522 Us Hwy 79 South, Suite B, Henderson, TX 75654 | 2016-06-20 |
| 1073940227 | Amberly Hopson | Nurse Practitioner | 1115 U.S. 259, Henderson, TX 75654 | 2013-10-02 |
| 1790002632 | Chris Cummings | Marriage & Family Therapist | 1048 County Road 306d, Henderson, TX 75654 | 2010-05-03 |
| 1649412354 | Mt. Enterprise Community Health Clinic | Clinic/Center | 1115 Highway 259 South, Henderson, TX 75654 | 2009-03-26 |
| 1861678146 | Crystal Cloutier | Occupational Therapy Assistant | 2009 Price St, Henderson, TX 75654 | 2008-01-16 |
| 1477739225 | Wcg Henderson Home Health Care Supply LLC | Durable Medical Equipment & Medical Supplies | 702 Fair Park Dr., Suite 103, Henderson, TX 75654 | 2008-01-10 |
| 1316127806 | Advancing At Home Health Care LLC | Home Health | 702 Fair Park Dr, Suite 101, Henderson, TX 75654 | 2007-11-13 |
| Find all providers in zip 75654 | ||||
| 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 |
|---|---|---|---|---|
| 1164034328 | Heather R Omlin | Occupational Therapy Assistant | 508 Fork Mesa Ct, Henderson, NV 89015-5701 | 2020-08-19 |
| 1336767649 | Tiffany Murphy | Occupational Therapy Assistant | 624 Severn St, Henderson, NV 89002-8204 | 2020-07-13 |
| 1912539768 | Crystal Mikhail Yvonnie Harris | Occupational Therapy Assistant | 851 S Beckford Dr Ste Beckford, Henderson, NC 27536-5910 | 2020-02-10 |
| 1942749486 | Michael Goo | Occupational Therapy Assistant | 301 N Pecos Rd Ste B, Henderson, NV 89074-1350 | 2017-02-16 |
| 1366895393 | Lori Vowels | Occupational Therapy Assistant | 107 Washington St, Henderson, KY 42420-3105 | 2016-07-14 |
| 1982073532 | Therafun Therapy Services | Occupational Therapy Assistant | 177 Cobalt Sky, Henderson, NV 89002 | 2015-09-24 |
| 1992124028 | Traci Goodman | Occupational Therapy Assistant | 1521 Wright St, Henderson, KY 42420-4553 | 2014-04-16 |
| 1124398318 | Oquisha Lashay Jordan | Occupational Therapy Assistant | 900 W Fordall St Apt 19, Henderson, TX 75652-6417 | 2012-01-05 |
| 1861678146 | Crystal Cloutier | Occupational Therapy Assistant | 2009 Price St, Henderson, TX 75654 | 2008-01-16 |
| 1336293364 | Vance County Schools | Occupational Therapy Assistant | 1724 Graham Ave, Henderson, NC 27536-2904 | 2007-01-23 |
| Find all providers in HENDERSON | ||||
Please comment or provide details below to improve the information on MALLORY JO SPENCER.
| 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.