MRS. SHIRLEY JO STICE (NPI# 1922420397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922420397 |
| Entity Type | Individual |
| Full Name | MRS. SHIRLEY JO STICE |
| Credential | COTA |
| Practice Address |
333 Meade Ave Pueblo CO 81001-4231 |
| Practice Telephone | 7195839785 |
| Mailing Telephone | 7195839785 |
| Enumeration Date | 2014-01-20 |
| Last Update Date | 2014-01-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
333 MEADE AVE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-4231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222863 | 1111 Bonforte Opco LLC | Respite Care | 855 Hunter Dr., Pueblo, CO 81001 | 2019-06-03 |
| 1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
| 1316456981 | Amy R Leibli | Nurse Practitioner | 1080 Chinook Lane, Pueblo, CO 81001 | 2017-09-26 |
| 1457781262 | Ron Concialdi | Dentist | 2037 Jerry Murphy Rd., Pueblo, CO 81001 | 2013-11-14 |
| 1609146950 | Natasha Liette Mondragon | Registered Nurse | 1302 E. 5th, Pueblo, CO 81001 | 2012-01-04 |
| 1023303575 | Malinda Lee Davis | Registered Nurse | 1302 E 5th, Pueblo, CO 81001 | 2011-06-13 |
| 1679876429 | Michael Edward Leyba | Substance Abuse Rehabilitation Facility | 4 Montebello Rd., Pueblo, CO 81001 | 2010-12-17 |
| 1609008796 | Laura Ann Mcmahon | Nurse Practitioner | 4020 Jerry Murphy Rd/, Pueblo, CO 81001 | 2009-08-21 |
| 1730380882 | Corrine Stella Tafoya | Counselor | 44 Calhoun Rd, Pueblo, CO 81001 | 2007-05-29 |
| 1518171008 | George Henry Beck | Dentist | 1700 N Salem Ave, Suite A, Pueblo, CO 81001 | 2007-05-10 |
| Find all providers in zip 81001 | ||||
| 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 |
|---|---|---|---|---|
| 1164946083 | Mary Tran | Occupational Therapy Assistant | 2330 Acero Ave Apt 17, Pueblo, CO 81004-4181 | 2017-08-02 |
| 1710401146 | Spencer Claussen | Occupational Therapy Assistant | 314 Jackson St, Pueblo, CO 81004-1830 | 2017-07-27 |
| 1306387816 | Joella Sandoval | Occupational Therapy Assistant | 3134 Bobcat Ln, Pueblo, CO 81005-4019 | 2017-03-16 |
| 1669852364 | Beth Muriel Barbiere | Occupational Therapy Assistant | 4601 Eagleridge Pl, #140, Pueblo, CO 81008-4100 | 2015-06-08 |
| 1548649262 | Esther Searcy | Occupational Therapy Assistant | 2122 W 15th St, Pueblo, CO 81003-1126 | 2015-05-27 |
| 1861883092 | Pamela Cabello | Occupational Therapy Assistant | 39 Dick Trefz St, Pueblo, CO 81001-1940 | 2015-02-10 |
| 1194077552 | Riena M Duggan | Occupational Therapy Assistant | 1339 Cypress St, Pueblo, CO 81004-3130 | 2012-10-10 |
| 1972851137 | Richard Anthony Guerrero | Occupational Therapy Assistant | 717 W 16th St, Pueblo, CO 81003-2110 | 2012-08-20 |
| 1033464029 | Mary Elizabeth Flores | Occupational Therapy Assistant | 43 Duke St, Pueblo, CO 81005-1603 | 2012-07-17 |
| 1215299649 | Monique Simpson | Occupational Therapy Assistant | 5000 Red Creek Springs Rd, #68, Pueblo, CO 81005-9748 | 2012-06-12 |
| Find all providers in PUEBLO | ||||
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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.