MRS. KELLIE MCBROOM (NPI# 1801804562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801804562 |
| Entity Type | Individual |
| Full Name | MRS. KELLIE MCBROOM |
| Credential | OTR |
| Practice Address |
2544 Mangum St Commerce TX 75428-3515 |
| Mailing Address |
Po Box 64 Celeste TX 75423-0064 |
| Practice Telephone | 9038867669 |
| Practice Fax Number | 9038867679 |
| Mailing Telephone | 9035688558 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 110810 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS PROVIDER | 8T3108 | 01 |
| Street Address |
2544 MANGUM ST |
| City | COMMERCE |
| State | TX |
| Zip Code | 75428-3515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356349385 | Greg A Hulsey | Physical Therapist | 2544 Mangum St, Commerce, TX 75428-3515 | 2005-07-13 |
| 1992157010 | Hannah Brumfield | Physical Therapist | 2544 Mangum St, Commerce, TX 75428-3515 | 2016-07-13 |
| 1104226620 | Christopher Quattlebaum | Physical Therapist | 2544 Mangum St, Commerce, TX 75428-3515 | 2014-09-03 |
| 1568802924 | Jeffrey A Thomason | Occupational Therapist | 2544 Mangum St, Commerce, TX 75428-3515 | 2013-07-01 |
| 1356559967 | Kathryn L Sanders | Speech-Language Pathologist | 2544 Mangum St, Commerce, TX 75428-3515 | 2007-05-18 |
| 1700894458 | Keith H Stroud | Physical Therapist | 2544 Mangum St, Commerce, TX 75428-3515 | 2006-08-04 |
| 1659379667 | Hulsey Therapy Services, PC | Occupational Therapist | 2544 Mangum St, Commerce, TX 75428-3515 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750923900 | Tina Marie Hill | Pharmacist | 2710 State Hwy 50, Commerce, TX 75428 | 2019-10-09 |
| 1548773260 | Sarah Marie Mitchell | Specialist/Technologist | 2600 South Neal Street, Health & Human Performance, Commerce, TX 75428 | 2017-11-16 |
| 1275053936 | Jeffrey Williams | Specialist/Technologist | 2702 Tangle Wood Dr., Commerce, TX 75428 | 2017-06-23 |
| 1821453473 | Smile Corner Pllc | Dentist | 2210 Live Oak Street, Suite C, Commerce, TX 75428 | 2015-12-28 |
| 1851789044 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2710 Highway 24, Commerce, TX 75428 | 2014-12-23 |
| 1982871356 | Latrina Camille Bacy | Counselor | 442 B Wheeler Drive, Commerce, TX 75428 | 2008-05-14 |
| 1770625824 | Commerce Isd | Local Education Agency (LEA) | 604 Culver St., Commerce, TX 75428 | 2007-02-13 |
| 1588691463 | Suzette K. Doescher | Social Worker | 101 King Plz Ste A, Commerce, TX 75428 | 2006-06-27 |
| 1700871498 | Richard R Selvaggi | Family Medicine | 1705 Live Oak St, Commerce, TX 75428 | 2005-09-19 |
| 1194181339 | Synergistic Health Care | Physician Assistant | 1930 Live Oak St, Commerce, TX 75428-2460 | 2016-01-04 |
| Find all providers in zip 75428 | ||||
| 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 |
|---|---|---|---|---|
| 1700373933 | Kevin Piper | Occupational Therapist | 3517 Clark Circle, Commerce, MI 48382 | 2018-04-13 |
| 1013258433 | Cynthia Diane Hashem | Occupational Therapist | 199 W W Gary Rd, Commerce, GA 30529-1241 | 2013-03-11 |
| 1518525005 | Laurie Truitt | Occupational Therapist | 516 Oconee Ln, Commerce, GA 30529-4182 | 2019-05-30 |
| 1578045001 | Carolyn F Thomason | Occupational Therapist | 2901 Sterling Hart Dr, Commerce, TX 75428-3911 | 2018-08-31 |
| 1881056117 | Christian Ventura | Occupational Therapist | 2040 Camfield Ave, Commerce, CA 90040-1502 | 2016-03-25 |
| 1568802924 | Jeffrey A Thomason | Occupational Therapist | 2544 Mangum St, Commerce, TX 75428-3515 | 2013-07-01 |
| 1447314752 | Robyne Levale Adams | Occupational Therapist | 689 Hospital Rd, Commerce, GA 30529-1146 | 2006-12-21 |
| 1659379667 | Hulsey Therapy Services, PC | Occupational Therapist | 2544 Mangum St, Commerce, TX 75428-3515 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316010 | Kayli Chiasson | Occupational Therapist | 19241 David Memorial Dr Ste 170, Shenandoah, TX 77385-8786 | 2020-11-05 |
| 1720689912 | Sara Anne Haats | Occupational Therapist | 107 S Chantsong Cir, The Woodlands, TX 77382-2606 | 2020-11-04 |
| 1568063717 | Amy Beth Hopkins Mpt PC Dba Your Personal Best Physical Therapy | Occupational Therapist | 9560 Legacy Dr Ste 210, Frisco, TX 75033-4556 | 2020-11-04 |
| 1225639479 | Amy Beth Hopkins Mpt PC Dba Your Personal Best Physical Therapy | Occupational Therapist | 8200 Preston Rd # Ate125, Plano, TX 75024-2370 | 2020-11-04 |
| 1750982922 | Kaitlyn Reithmeier | Occupational Therapist | 13001 Hymeadow Dr Unit 37, Austin, TX 78729-1778 | 2020-11-04 |
| 1043811680 | Peak Physical Therapy, LLC | Occupational Therapist | 5000 Main St Ste 316, The Colony, TX 75056-2238 | 2020-11-02 |
| 1659971208 | Bindu Susan Chacko | Occupational Therapist | 827 Spring Mist Ct, Sugar Land, TX 77479-5749 | 2020-10-31 |
| 1871193631 | Cameron Conway | Occupational Therapist | 4443 N Josey Lane, Carrolltown, TX 75010-4677 | 2020-10-29 |
| 1518567510 | Ashley Paige Montoya | Occupational Therapist | 8603 Broadway St Unit 170, Pearland, TX 77584-8171 | 2020-10-28 |
| 1699373092 | Etinosa Obadagbonyi | Occupational Therapist | 9104 Imogene St Apt E, Houston, TX 77036-7366 | 2020-10-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. KELLIE MCBROOM.
| 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.