MRS. PHYLLIS HOUSTON DISHNER


Address: 628 Lake St Ne, Wise, VA 24293-7919
Phone: 2762751500

MRS. PHYLLIS HOUSTON DISHNER (NPI# 1689185969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689185969
Entity Type Individual
Full Name MRS. PHYLLIS HOUSTON DISHNER
Credential COTA/L
Practice Address 628 Lake St Ne
Wise
VA 24293-7919
Mailing Address 518 Powell Ave E
Big Stone Gap
VA 24219-2346
Practice Telephone 2762751500
Mailing Telephone 2762751500
Mailing Fax Number 2762751500
Enumeration Date 2017-10-13
Last Update Date 2017-10-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224Z00000X Occupational Therapy Assistant 0131000931 VA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA INSURANCE BROKER 8409140 01

Office Location

Street Address 628 LAKE ST NE
City WISE
State VA
Zip Code 24293-7919

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992976740 Deborah Goodman Speech-Language Pathologist 628 Lake St Ne, Wise, VA 24293-7919 2008-03-20
1427524032 Shaina Morgan Hall Psychologist 628 Lake St Ne, Wise, VA 24293-7919 2018-10-22
1992209886 Davina Anne Pate Speech-Language Pathologist 628 Lake St Ne, Wise, VA 24293-7919 2018-03-23
1962919035 Cari S. Braddock Social Worker 628 Lake St Ne, Wise, VA 24293-7919 2018-01-10
1093227407 Kayla Brooke Tiller Speech-Language Pathologist 628 Lake St Ne, Wise, VA 24293-7919 2017-10-26
1275059362 Janice Triplett Speech-Language Pathologist 628 Lake St Ne, Wise, VA 24293-7919 2017-08-21
1205351251 Susan Taylor Mullins Psychologist 628 Lake St Ne, Wise, VA 24293-7919 2017-08-11
1487179438 Maranda Vandyke Fuller Psychologist 628 Lake St Ne, Wise, VA 24293-7919 2017-08-11
1235519968 Joyce Addington Nurse Practitioner 628 Lake St Ne, Wise, VA 24293-7919 2015-06-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104442367 New Hope Addiction Recovery Inc Family Medicine 106 Spring Avenue Ne, Wise, VA 24293 2020-06-23
1225652340 Jessica Wertz Technician 7507 Caddo Rd, Wise, VA 24293 2020-06-04
1831743632 Ttgi2 LLC Pharmacy 426 West Main Street, Wise, VA 24293 2019-07-30
1861919730 Mckenzie Grace Trotter Speech-Language Pathologist 324 School Ave Southeast, Wise, VA 24293 2017-08-23
1043734023 3 Guys Transport LLC Non-emergency Medical Transport (VAN) 5519 Pole Bridge Road, Wise, VA 24293 2017-08-01
1013352699 Tester Chiropractic LLC. Chiropractor 411 East Main Street, Wise, VA 24293 2013-05-08
1861737181 Family Preservation Services, Inc Community/Behavioral Health 5913 Airport Road, Wise, VA 24293 2012-11-28
1255614749 Family Preservation Services, Inc Community/Behavioral Health 342 School Street, Wise, VA 24293 2011-09-21
1891013520 Wise Rescue Squad Inc Ambulance 302 Railroad Ave, Wise, VA 24293 2010-05-05
1477784148 Family Preservation Services, Inc. Community/Behavioral Health 117 Independence Avenue, Wise, VA 24293 2009-07-29
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Taxonomy Information

Taxonomy Code 224Z00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapy Assistant

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780284109 Erika Renea Clark Occupational Therapy Assistant 12005 Teakwood Ct, Bristol, VA 24202-3531 2020-10-26
1548879711 Kasey Lynn Sydnor Occupational Therapy Assistant 120 Green Spring Rd, Winchester, VA 22603-2739 2020-07-23
1619596459 Taylor Duncan Occupational Therapy Assistant 703 Glenhaven Ct, North Chesterfield, VA 23236-2518 2020-04-12
1487295861 Dawn Bullins Occupational Therapy Assistant 114 East Main St, Fries, VA 24330 2019-10-07
1194366773 Haley Hannon Occupational Therapy Assistant 477 Chamberlain Ln, Salem, VA 24153-4056 2019-10-04
1588211817 Jane Adele Seymour Occupational Therapy Assistant 2226 Hurricane Creek Rd, Vansant, VA 24656-7668 2019-08-21
1023662772 Marion Daley Occupational Therapy Assistant 7941 Arbor Ponds Ter, New Kent, VA 23124-2462 2019-07-31
1316507650 Tanyelle Sandifer Occupational Therapy Assistant 4312 Bridle Run Ln, Richmond, VA 23223-2299 2019-06-18
1407415110 Amanda Danielle Perkins Occupational Therapy Assistant 331 Gardner Road, Honaker, VA 24260 2019-06-07
1447713714 Amanda O. Baker Occupational Therapy Assistant 5223 Victoria St Nw, Roanoke, VA 24017-4209 2019-04-12
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City WISE
Zip Code 24293

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Dataset Information

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.

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