MIKAYLA BLACK (NPI# 1972121622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972121622 |
| Entity Type | Individual |
| Full Name | MIKAYLA BLACK |
| Credential | OTR/L |
| Practice Address |
11802 Fm 724 Tyler TX 75704-3430 |
| Practice Telephone | 9729480337 |
| Mailing Telephone | 9729480337 |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
11802 FM 724 |
| City | TYLER |
| State | TX |
| Zip Code | 75704-3430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194325415 | Rupal R Patel | Pharmacist | 3820 Tx 64, Tyler, TX 75704 | 2020-10-27 |
| 1932757945 | Gracelyn Hernandez Kuester | Technician | 14320 Country Road 420, Tyler, TX 75704 | 2019-09-03 |
| 1033770227 | Rajamanoj Kondaveeti | Dentist | 3873 Tx-64, Tyler, TX 75704 | 2019-06-27 |
| 1063070209 | Susan Michele Whitaker | Counselor | The Beginning, 114 Jordan Plaza Blvd Suite 302, Tyler, TX 75704 | 2019-06-03 |
| 1649836768 | Tyla Sherrie' Tarrant | Licensed Vocational Nurse | 3050 Cr 427, #502, Tyler, TX 75704 | 2019-05-14 |
| 1437458874 | North Mesa Dental, PC | Dentist | 3864 Hwy 64 West, Tyler, TX 75704 | 2011-03-24 |
| 1093025751 | Zana Elliot Enterprises LLC | Nurse Practitioner | 12751 Westbrook Dr, Tyler, TX 75704 | 2010-10-15 |
| 1710036454 | Tammy Jimenez | Dietitian, Registered | 5555 W. Twin Lakes Dr., Tyler, TX 75704 | 2007-01-10 |
| 1063023935 | Shanika Lanell Grant | Licensed Vocational Nurse | 134 Patton Ln, Tyler, TX 75704-2004 | 2020-08-13 |
| 1194342410 | Shanequia Dianne Flowers | Licensed Vocational Nurse | 404 Lemay Dr, Tyler, TX 75704-2031 | 2020-07-02 |
| Find all providers in zip 75704 | ||||
| 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 |
|---|---|---|---|---|
| 1104306182 | Ann Hollingsworth Jones | Occupational Therapist | 8710 Pleasant Hill Cir, Tyler, TX 75707-6332 | 2018-08-18 |
| 1730693011 | Therainc, Inc | Occupational Therapist | 1918 E Front St, Tyler, TX 75702-8511 | 2017-11-25 |
| 1184077299 | Cyrus Ridenour | Occupational Therapist | 700 S Bois D Arc Ave, Tyler, TX 75701-1503 | 2016-07-13 |
| 1780075275 | Jerod Gordon | Occupational Therapist | 1808 Blossom Ln, Tyler, TX 75701-8237 | 2015-02-05 |
| 1053724377 | Jamie Nutt | Occupational Therapist | 5181 Elaine Dr, Tyler, TX 75703-8331 | 2014-06-04 |
| 1356646822 | Vikas Gupta | Occupational Therapist | 610 Huntwick Ln, Tyler, TX 75703-5099 | 2011-01-14 |
| 1457539066 | Katrina Deanne Hornsby | Occupational Therapist | 100 E Ferguson St Ste 1204, Tyler, TX 75702-5700 | 2008-02-06 |
| 1902011521 | Catherine Ann Barone | Occupational Therapist | 730 S Chilton Ave, Tyler, TX 75701-1576 | 2007-05-14 |
| 1700902137 | Jan A Mobley | Occupational Therapist | 3200 Troup Hwy Ste 333, Tyler, TX 75701-8343 | 2007-03-21 |
| 1982728416 | Elizabeth Olivier | Occupational Therapist | 401 E Front St Ste 123, Tyler, TX 75702-8250 | 2007-03-19 |
| Find all providers in TYLER | ||||
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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.