MS. CHAMA ETHERIDGE (NPI# 1972613693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972613693 |
| Entity Type | Individual |
| Full Name | MS. CHAMA ETHERIDGE |
| Credential | OTR L |
| Practice Address |
832 W Hwy 60 Socorro NM 87801 |
| Mailing Address |
1002 Walkway Place Socorro NM 87801 |
| Practice Telephone | 5058381100 |
| Practice Fax Number | 5058380394 |
| Mailing Telephone | 5054189014 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 1969 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 93657366 | 05 |
| Street Address |
832 W HWY 60 |
| City | SOCORRO |
| State | NM |
| Zip Code | 87801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841397361 | Aileen M Shepherd | Acupuncturist | 832 W Hwy 60, Socorro, NM 87801 | 2006-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763059 | Kyra J Saavedra | Physical Therapist | 1200 Michigan St. Socorro High School, Socorro, NM 87801 | 2020-09-01 |
| 1982255634 | Cornerstone Christian Counseling | Community/Behavioral Health | 1894 Chaparal Loop, Socorro, NM 87801 | 2019-09-24 |
| 1093282022 | Lindsay Alice Mclaughlin | Nurse Practitioner | 1204 Us-60, Building D, Socorro, NM 87801 | 2018-10-29 |
| 1003274309 | Fresenius Medical Care Sandhill, LLC | Clinic/Center | 1306 Enterprise Rd., Socorro, NM 87801 | 2016-02-02 |
| 1114391273 | Jessica Braswell I | Counselor | 1200 Us-60, Soorro, NM 87801 | 2015-11-30 |
| 1700207537 | Megan Therese Weber | Specialist/Technologist | 1115 N California St., Socorro, NM 87801 | 2013-12-20 |
| 1376892190 | Berta Alicia Portillo | Massage Therapist | 313 Hilltop, Socorro, NM 87801 | 2012-09-07 |
| 1215284146 | Presbyterian Medical Services | Clinic/Center | 1200 Michigan Street, Socorro, NM 87801 | 2012-08-09 |
| 1164541272 | Caring Dental Center PC | Dentist | 824 Highway 60, Socorro, NM 87801 | 2007-03-28 |
| 1578604039 | Jose Delfin Herrera Jr. | Occupational Therapy Assistant | 1115 N California Street, Socorro, NM 87801 | 2007-02-09 |
| Find all providers in zip 87801 | ||||
| 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 |
|---|---|---|---|---|
| 1831635580 | Mark Jaramillo | Occupational Therapist | 1115 N California St Ste B, Socorro, NM 87801-4265 | 2017-01-18 |
| 1669498556 | Socorro Physical Therapy Incorporated | Occupational Therapist | 911b N California St, Socorro, NM 87801-4269 | 2006-07-14 |
| 1992739403 | Karen Baird-knickerbocker | Occupational Therapist | 911 N California Street, Suite B, Socorro, NM 87801 | 2006-07-10 |
| 1376024877 | Matthew Stafford | Occupational Therapist | 10064 Alameda Ave, Socorro, TX 79927-1801 | 2018-08-23 |
| 1003176660 | John L Carnagey | Occupational Therapist | 911b N California St, Socorro, NM 87801-4269 | 2012-05-16 |
| 1174880264 | Roene Fuller | Occupational Therapist | 1202 Highway 60 West, Socorro General Hospital, Socorro, NM 87801-3914 | 2012-04-13 |
| 1093072183 | Sigrid Mccabe | Occupational Therapist | 1202 Highway 60 West, Socorro General Hospital, Socorro, NM 87801-3914 | 2012-04-13 |
| 1467784587 | Joyce Elaine Yoxall | Occupational Therapist | 832 Highway 60, Box 342, Socorro, NM 87801-3919 | 2010-02-01 |
| 1205070224 | Coyle John Domina | Occupational Therapist | 700 Franklin St, Socorro, NM 87801-4666 | 2009-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060432 | On The Map Therapy Servies LLC | Occupational Therapist | 7008 Calle Almeria Ne, Albuquerque, NM 87113-1095 | 2020-10-13 |
| 1679180608 | Lea Ot Services LLC | Occupational Therapist | 1406 W Caprock St, Hobbs, NM 88240-1064 | 2020-09-24 |
| 1750994216 | David Gleghorn | Occupational Therapist | 601 Arno St Se, Albuquerque, NM 87102-3903 | 2020-08-25 |
| 1790300309 | Madalin Mcnaughton | Occupational Therapist | 2148 Ashford Dr, Clovis, NM 88101-4469 | 2020-06-09 |
| 1407470008 | Maria Christine Soller | Occupational Therapist | 312 Broadway Blvd Ne, Albuquerque, NM 87102-3436 | 2020-05-31 |
| 1962031898 | Linda Wildemann | Occupational Therapist | 2709 Pan American Fwy Ne Ste J, Albuquerque, NM 87107-1650 | 2020-04-03 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1063044519 | Legacy Healthcare Services Inc | Occupational Therapist | 5011 Las Soleras Dr, Santa Fe, NM 87507-2100 | 2020-02-12 |
| 1932730686 | Kristin Kara White | Occupational Therapist | 708 California St Se, Albuquerque, NM 87108-3708 | 2020-01-31 |
| 1003452012 | Blue Star Therapy, LLC | Occupational Therapist | 611 W. Mahone Dr., Artesia, NM 88210 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
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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.