STUART BRAD CLONTZ (NPI# 1770858110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770858110 |
| Entity Type | Individual |
| Full Name | STUART BRAD CLONTZ |
| Practice Address |
5316 Trail Lake Dr Fort Worth TX 76133-1931 |
| Practice Telephone | 8172928787 |
| Practice Fax Number | 8177896849 |
| Mailing Telephone | 8172928787 |
| Mailing Fax Number | 8177896849 |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2012-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 107885 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 207164901 | 05 | |
| TX | 149984001 | 05 |
| Street Address |
5316 TRAIL LAKE DR |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76133-1931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134395049 | Becky Bloomfield | Physical Therapist | 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 | 2008-05-01 |
| 1043576739 | Lindsay Liebreich Parker | Speech-Language Pathologist | 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 | 2012-04-06 |
| 1124384201 | Sharon Lynette Johnson | Speech-Language Pathologist | 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 | 2012-04-03 |
| 1780940866 | Jaime Delynn Revilla | Occupational Therapist | 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 | 2012-04-03 |
| 1386910966 | Cynthia Gutierrez | Physical Therapist | 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 | 2012-03-28 |
| 1336415462 | Maria Isabel Otero | Speech-Language Pathologist | 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 | 2012-03-22 |
| 1508131624 | Michelle Zarate | Physical Therapist | 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 | 2012-03-22 |
| 1578838918 | Margaret J Rogers | Speech-Language Pathologist | 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 | 2012-03-19 |
| 1295000883 | David Russell Brown | Speech-Language Pathologist | 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 | 2012-03-14 |
| 1588939177 | Victoria Elizabeth Breeding | Speech-Language Pathologist | 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 | 2012-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740830645 | Dieseru Healthcare Services LLC. | Technician | 2325 Woodmont Trail, Forth Worth, TX 76133 | 2019-09-13 |
| 1447636212 | Westcreek Animal Clinic P.C. | Veterinarian | 3313 Park Lake Dr., Fort Worth, TX 76133 | 2015-08-04 |
| 1750784286 | Tlc Dentistry of Fort Worth, LLC | Dentist | 7664 Mccart Ave., Fort Worth, TX 76133 | 2014-09-29 |
| 1184047581 | Jene Hunt | Pharmacist | 6225 Westcreek Dr, Fort Worth, TX 76133 | 2014-01-22 |
| 1841538972 | Chelsea Rene Sanders | Speech-Language Pathologist | 6036 Worrell Dr, Fort Worth, TX 76133 | 2013-01-24 |
| 1588926026 | Roger Allan Beck | Internal Medicine | 4509 Fox Fire Way, Fort Worth, TX 76133 | 2012-06-11 |
| 1477812857 | Little Star Rehab | Point of Service | 4525 Altamesa Blvd, Fort Worth, TX 76133 | 2012-05-07 |
| 1477824605 | Lauren Elizabeth Hall | Speech-Language Pathologist | 5316 Trail Lake Drive, Fort Worth, TX 76133 | 2012-01-19 |
| 1770772519 | Sherriann Michelle Erby | Occupational Therapist | 7100 Trail Lake Drive, Fort Worth, TX 76133 | 2007-10-17 |
| 1811193170 | Carol Diane Edley | Speech-Language Pathologist | 4400 Sweetgum Way, Ft Worth, TX 76133 | 2007-06-25 |
| Find all providers in zip 76133 | ||||
| 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 |
|---|---|---|---|---|
| 1518577469 | Lisa Michelle Holloway | Occupational Therapist | 9328 Wood Duck Dr, Fort Worth, TX 76118-7784 | 2020-08-05 |
| 1699384032 | Megan Lindgren | Occupational Therapist | 4426 Sea Tac Dr Apt 7307, Fort Worth, TX 76155-3029 | 2020-07-30 |
| 1578192746 | Jaimee D Perea | Occupational Therapist | 250 Bens Trl, Fort Worth, TX 76120-7000 | 2020-04-08 |
| 1750922258 | Lakin Vaughn | Occupational Therapist | 6940 Harris Pkwy, Fort Worth, TX 76132-4253 | 2019-10-05 |
| 1184286007 | Lisa Widmer | Occupational Therapist | 6530 Hawks Creek Ct, Fort Worth, TX 76114-1163 | 2019-07-01 |
| 1417518648 | Kristina Lahti | Occupational Therapist | 4775 North Fwy, Fort Worth, TX 76106-2315 | 2019-06-27 |
| 1548729981 | Ahmyl-mai Jaber | Occupational Therapist | 5912 Valley Haven Way, Fort Worth, TX 76244-5145 | 2019-03-15 |
| 1992273965 | Debra Cooper Lantz | Occupational Therapist | 4252 Bryant Irvin Road, Fort Worth, TX 76109 | 2018-11-08 |
| 1518447531 | Tracie Ann Marquez | Occupational Therapist | 5632 Old Orchard Dr, Fort Worth, TX 76123-5009 | 2018-08-20 |
| 1215417746 | Emily Baker | Occupational Therapist | 900 Matisse Dr Apt 3046, Fort Worth, TX 76107-2481 | 2018-08-14 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76133 |
Please comment or provide details below to improve the information on STUART BRAD CLONTZ.
| 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.