BEVERLY S TERRY (NPI# 1851524250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851524250 |
Entity Type | Individual |
Full Name | BEVERLY S TERRY |
Other Name | BEVERLY S ARIOLLA |
Credential | CMF |
Practice Address |
521 Gaslight Blvd Lufkin TX 75904-3127 |
Practice Telephone | 9366343298 |
Mailing Telephone | 9366343298 |
Enumeration Date | 2009-09-01 |
Last Update Date | 2009-09-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
521 GASLIGHT BLVD |
City | LUFKIN |
State | TX |
Zip Code | 75904-3127 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366516411 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 521 Gaslight Blvd, Lufkin, TX 75904 | 2006-11-20 |
1417354176 | Woody Johnson | Orthotist | 521 Gaslight Blvd, Lufkin, TX 75904-3127 | 2014-11-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437759750 | David Kent Emmerling | Pharmacist | Walmart Pharmacy 10-0140, 2500 Daniel Mccall Drive, Lufkin, TX 75904 | 2020-10-27 |
1831732718 | Isaac Kwame Agyare | Pharmacist | 1522 West Frank Ave. Room 127, Lufkin, TX 75904 | 2019-10-23 |
1598314999 | Eva Faye Mcduffie | Technician | 1006 Sherwood Rd., Lufkin, TX 75904 | 2019-09-09 |
1477036119 | Tyra Williams | Occupational Therapy Assistant | 902 Hill Street, Lufkin, TX 75904 | 2018-09-10 |
1720560188 | Veronica Monique Kennedy | Pharmacist | 1522 West Frank, Lufkin, TX 75904 | 2018-09-02 |
1356821532 | Mark Anthony Plowman | Licensed Vocational Nurse | 379 Copperfield Loop, Lufkin, TX 75904 | 2018-08-17 |
1396222311 | Kevin Pulikottil Cherian | Occupational Therapist | 402 S John Redditt Dr., Lufkin, TX 75904 | 2018-07-23 |
1922593029 | Sarah Marie Stuart | Dentist | 103 N Brentwood Dr, Unit 400, Lufkin, TX 75904 | 2018-06-30 |
1083104004 | Pam Specialty Hospital of Lufkin, LLC | Long Term Care Hospital | 1201 W Frank Ave Ste D5, Lufkin, TX 75904 | 2018-05-15 |
1124523840 | Jane C Davidson | Nurse Practitioner | 1 Medical Center Blvd Ste C, Lufkin, TX 75904 | 2018-03-26 |
Find all providers in zip 75904 |
Taxonomy Code | 225000000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Orthotic Fitter |
An individual trained in the management of fitting prefabricated orthoses. |
Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427521871 | Rhonda Marie Mahan | Orthotic Fitter | 3229 Patrick Pl, Midland, TX 79705-2326 | 2019-01-08 |
1992214670 | Jacob Bradford | Orthotic Fitter | 3209 Courtyard Dr Ste L, Midland, TX 79705-3276 | 2017-09-25 |
1942725585 | Mahmood Syed Ghori | Orthotic Fitter | 110 Broadway St Ste 110, San Antonio, TX 78205-1912 | 2017-08-04 |
1821353152 | Shawn Rice | Orthotic Fitter | 5510 Gail Dr, Beaumont, TX 77708-2908 | 2012-07-12 |
1548493596 | Lisa M Luna | Orthotic Fitter | 510 W I 30 Ste 213, Garland, TX 75043-5728 | 2009-08-25 |
1982838496 | Robert Michael Super | Orthotic Fitter | 1255 W 15th St Ste 540, Plano, TX 75075-7248 | 2009-05-12 |
1225207822 | Terry Valentine | Orthotic Fitter | 7110 Wurzbach Rd, Apt 403, San Antonio, TX 78240-4821 | 2008-02-27 |
1841333911 | Karlheinz Reichl | Orthotic Fitter | 517 Peanut Dr, Temple, TX 76502-5300 | 2007-02-15 |
1952454233 | David J. Greenway | Orthotic Fitter | 1100 W Cannon St, Fort Worth, TX 76104-2934 | 2007-01-19 |
1417010414 | Jo Denton Smith | Orthotic Fitter | 311 Dodson Avenue, Midland, TX 79701-6334 | 2006-12-19 |
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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.