THEODORE JOHN MINK (NPI# 1902168818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902168818 |
| Entity Type | Individual |
| Full Name | THEODORE JOHN MINK |
| Credential | OTR |
| Practice Address |
810 W Highway 71 Marble Falls TX 78654-8602 |
| Practice Telephone | (830) 201-7100 |
| Practice Fax Number | 8302017143 |
| Mailing Telephone | (830) 201-7100 |
| Mailing Fax Number | 8302017143 |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 117753 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | 6139 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | OT LISCENSE | 117753 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 40 Eastern Ave, Malden, MA 021485014 | 8668044957 | 8662280112 |
| Street Address |
810 W HIGHWAY 71 |
| City | MARBLE FALLS |
| State | TX |
| Zip Code | 78654-8602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639160088 | Michael J Diclemente | Obstetrics & Gynecology | 810 W Highway 71, Marble Falls, TX 78654-8602 | 2005-11-03 |
| 1518517036 | Jaleesa Casson | Dietitian, Registered | 810 W Highway 71, Marble Falls, TX 78654-8602 | 2019-09-17 |
| 1295397859 | Scott & White Hospital - Marble Falls | Clinic/Center | 810 W Highway 71, Marble Falls, TX 78654-8602 | 2019-07-03 |
| 1164939690 | Lacy Marie Haney | Dietitian, Registered | 810 W Highway 71, Marble Falls, TX 78654-8602 | 2018-01-05 |
| 1417477837 | Lidiore Reignz Acaylar Miranda | Physical Therapist | 810 W Highway 71, Marble Falls, TX 78654 | 2017-06-27 |
| 1568997773 | Deep J. Patel | Internal Medicine | 810 W Highway 71, Marble Falls, TX 78654-8602 | 2017-04-25 |
| 1790229607 | Stacy Horton | Registered Nurse | 810 W Highway 71, Marble Falls, TX 78654-8602 | 2016-12-12 |
| 1396138970 | Scott & White Hospital - Marble Falls | General Acute Care Hospital | 810 W Highway 71, Marble Falls, TX 78654-8602 | 2015-03-06 |
| 1619396587 | Michele Luhm | Emergency Medicine | 810 W Highway 71, Marble Falls, TX 78654-8602 | 2014-04-08 |
| 1104255801 | Sara K Browning | Nurse Anesthetist, Certified Registered | 810 W Highway 71, Marble Falls, TX 78654-8602 | 2013-11-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114581956 | Alicia Rose Hutchison | Audiologist | 810 W Tx 71, Marble Falls, TX 78654 | 2019-04-26 |
| 1386105732 | Sandi Sunny | Physical Therapist | 810 W.state Highway 71, Marble Falls, TX 78654 | 2019-03-28 |
| 1518464536 | Jacob Keup | Audiologist | 304b Highlander Cir, Marble Falls, TX 78654 | 2018-04-06 |
| 1851835458 | Laurence Robert Bower IIi | Physiological Laboratory | 2511 Us Highway 281, Ste 300, Marble Falls, TX 78654 | 2016-12-15 |
| 1366995235 | Tavie Coyle Peters | Nurse Practitioner | 707 3rd Street, Marble Falls, TX 78654 | 2016-07-27 |
| 1184088015 | Mark Dresselhouse | Emergency Medicine | 810 W Tx-71, Marble Falls, TX 78654 | 2016-04-06 |
| 1326413709 | Angela Yvonne Hughes | Occupational Therapist | 810 W. Hwy 71, Marble Falls, TX 78654 | 2015-12-10 |
| 1548671894 | Matthew F Mccarty Md Pllc | Chiropractor | 1710 Highway 1431, Marble Falls, TX 78654 | 2014-05-08 |
| 1538491386 | Jerad M Howell | Chiropractor | 2300 Highway 281 North, Marble Falls, TX 78654 | 2010-02-04 |
| 1801052543 | Logan Hyatt Stanley | Dentist | 800 Esperanza Avenue, Suite A, Marble Falls, TX 78654 | 2008-08-01 |
| Find all providers in zip 78654 | ||||
| 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 |
|---|---|---|---|---|
| 1326413709 | Angela Yvonne Hughes | Occupational Therapist | 810 W. Hwy 71, Marble Falls, TX 78654 | 2015-12-10 |
| 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 | ||||
| City | MARBLE FALLS |
| Zip Code | 78654 |
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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.