COVENANT HAND THERAPY PC (NPI# 1972556629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972556629 |
Entity Type | Organization |
Organization Name | COVENANT HAND THERAPY PC |
Practice Address |
1101 Ohio Dr Ste 105 Plano TX 75093 |
Practice Telephone | 9725999594 |
Practice Fax Number | 9725999364 |
Mailing Telephone | 9725999594 |
Mailing Fax Number | 9725999364 |
Enumeration Date | 2006-05-17 |
Last Update Date | 2020-08-22 |
Authorized Official Name | GAIL BLOM (OWNER) |
Authorized Official Telephone | 9725999594 |
Authorized Official Credential | MA OTR CHT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 335E00000X | Prosthetic/Orthotic Supplier | TX | Suppliers | |
X | 225X00000X | Occupational Therapist | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
X | 225100000X | Physical Therapist | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | BLUE CROSS BLUE SHIELD | 0055JC | 01 |
TX | PALMETTO GBA DMERC | 4724960001 | 01 |
Street Address |
1101 OHIO DR STE 105 |
City | PLANO |
State | TX |
Zip Code | 75093 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386642650 | Outpatient Sports and Spine Rehabilitation. LLC | Clinic/Center | 1101 Ohio Dr, Suite 110, Plano, TX 75093-5330 | 2005-07-12 |
1639526528 | Darya Tronina Zhelezkov | Physical Therapist | 1101 Ohio Dr, Suite 110, Plano, TX 75093-5330 | 2016-05-20 |
1447697883 | Matthew David Dunn | Physical Therapist | 1101 Ohio Dr, Suite 110, Plano, TX 75093-5330 | 2013-05-24 |
1306937073 | Rachel Ortigo Jillson | Physical Therapist | 1101 Ohio Dr, Ste 110, Plano, TX 75093-5330 | 2006-09-27 |
1942301064 | Andrea Marie Domino | Physical Therapist | 1101 Ohio Dr, Suite 110, Plano, TX 75093-5330 | 2006-09-25 |
1245344522 | Corey Taylor Smith | Specialist/Technologist | 1101 Ohio Dr, Suite 110, Plano, TX 75093-5330 | 2006-08-17 |
1013020858 | Kendra Lee Pike | Physical Therapist | 1101 Ohio Dr, Suite 110, Plano, TX 75093-5330 | 2006-08-16 |
1922010412 | Robert Ray Luedtke | Specialist/Technologist | 1101 Ohio Dr, Suite 110, Plano, TX 75093-5330 | 2006-08-12 |
1942211768 | Elizabeth W Zeigler | Physical Therapist | 1101 Ohio Dr, Suite 110, Plano, TX 75093-5330 | 2006-08-10 |
1457360125 | Kristine Domino Stevens | Specialist/Technologist | 1101 Ohio Dr, Suite 110, Plano, TX 75093-5330 | 2006-08-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
Find all providers in zip 75093 |
Taxonomy Code | 335E00000X |
Grouping | Suppliers |
Classification | Prosthetic/Orthotic Supplier |
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] 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 |
---|---|---|---|---|
1154662864 | Advanced Prosthetic Research Inc | Prosthetic/Orthotic Supplier | 7700 San Jacinto Pl, Ste 300, Plano, TX 75024-3254 | 2013-03-05 |
1225207848 | Franchisee of Foot Solutions | Prosthetic/Orthotic Supplier | 2100 Dallas Pkwy, Suite 140, Plano, TX 75093-4363 | 2008-02-28 |
1841284593 | Loretta's Intimates Inc | Prosthetic/Orthotic Supplier | 721 N Central Expy, #420, Plano, TX 75075-8843 | 2005-09-08 |
1952395931 | Strobel & Associates Prosthetics and Orthotics, Inc | Prosthetic/Orthotic Supplier | 221 W Parker Rd, Suite 510, Plano, TX 75023-6914 | 2005-09-07 |
1295222180 | Dfw Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 1721 W Plano Pkwy Ste 212, Plano, TX 75075-8600 | 2018-04-17 |
1881973154 | Jennifer Grunwald | Prosthetic/Orthotic Supplier | 3000 Custer Rd Ste 190, Plano, TX 75075-2082 | 2011-08-04 |
1700177888 | Orthorx, Inc. | Prosthetic/Orthotic Supplier | 5204 Tennyson Pkwy, Suite 100, Plano, TX 75024-7141 | 2011-04-25 |
1073747952 | Texas Vascular Associates | Prosthetic/Orthotic Supplier | 4708 Alliance Blvd, Suite# 240, Plano, TX 75093-5340 | 2009-05-07 |
1003061474 | Plano All About You Salon LLC | Prosthetic/Orthotic Supplier | 3115 W Parker Rd, Ste 345, Plano, TX 75023-8137 | 2008-11-26 |
1215923784 | Synergy Orthotics & Prosthetics LLC | Prosthetic/Orthotic Supplier | 6020 W Parker Rd, 200, Plano, TX 75093-8171 | 2005-09-21 |
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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.