MRS. MAGAN RENEE BRISSEL (NPI# 1710169347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710169347 |
| Entity Type | Individual |
| Full Name | MRS. MAGAN RENEE BRISSEL |
| Credential | COTA |
| Practice Address |
1842 Wilma Rudoph Blvd Clarksville TN 37040 |
| Practice Telephone | 9319060440 |
| Practice Fax Number | 9319205070 |
| Mailing Telephone | 9319060440 |
| Mailing Fax Number | 9319205070 |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2007-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 1573 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | LICENSE TN | 1573 | 01 |
| Street Address |
1842 WILMA RUDOPH BLVD |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| 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 |
|---|---|---|---|---|
| 1114532553 | Rachael Masters | Occupational Therapy Assistant | 115 N Fulton St, Clarksville, AR 72830-3020 | 2020-09-12 |
| 1053870477 | Christy Nicole Steele | Occupational Therapy Assistant | 250 Arrowood Dr, Clarksville, TN 37042-5186 | 2019-03-15 |
| 1972067064 | Jayne Andrea Hallock | Occupational Therapy Assistant | 298 Warfield Blvd Apt C, Clarksville, TN 37043-1896 | 2019-01-23 |
| 1588085427 | Elizabeth Johnson | Occupational Therapy Assistant | 298 Warfield Blvd Ste C, Clarksville, TN 37043-1828 | 2013-12-19 |
| 1598196024 | Christy Velez | Occupational Therapy Assistant | 3723 Lavender Ct, Clarksville, TN 37042-8591 | 2013-12-10 |
| 1710296579 | Marriah Teresa Digou | Occupational Therapy Assistant | 1100-a Ted Crozier Sr Blvd, Clarksville, TN 37043 | 2010-09-28 |
| 1699002279 | Jessica Lee Adcock | Occupational Therapy Assistant | 900 Clarksville Professional Park Drive, Clarksville, TN 37043 | 2009-11-03 |
| 1154537611 | Kipp Ashley Smith | Occupational Therapy Assistant | 2391 Wellington Green Dr, Clarksville, IN 47129-8952 | 2007-05-14 |
| 1396885869 | Martha Kay Lowe | Occupational Therapy Assistant | 2134 Old Ashland City Rd, Clarksville, TN 37043-4972 | 2007-02-07 |
| 1164032686 | Hayley Broadway Crozier | Occupational Therapy Assistant | 298 Warfield Blvd, Clarksville, TN 37043-1895 | 2020-08-10 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
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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.