EDDIE OTTO CUNNINGHAM (NPI# 1003196627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003196627 |
| Entity Type | Individual |
| Full Name | EDDIE OTTO CUNNINGHAM |
| Practice Address |
5316 Trail Lake Dr Fort Worth TX 76133-1931 |
| Practice Telephone | 8172928787 |
| Practice Fax Number | 8177896489 |
| Mailing Telephone | 8172928787 |
| Mailing Fax Number | 8177896489 |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2011-08-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 207985 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 149984001 | 05 | |
| TX | 207164901 | 05 |
| Street Address |
5316 TRAIL LAKE DR |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76133-1931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134395049 | Becky Bloomfield | Physical Therapist | 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 | 2008-05-01 |
| 1043576739 | Lindsay Liebreich Parker | Speech-Language Pathologist | 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 | 2012-04-06 |
| 1124384201 | Sharon Lynette Johnson | Speech-Language Pathologist | 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 | 2012-04-03 |
| 1780940866 | Jaime Delynn Revilla | Occupational Therapist | 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 | 2012-04-03 |
| 1386910966 | Cynthia Gutierrez | Physical Therapist | 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 | 2012-03-28 |
| 1336415462 | Maria Isabel Otero | Speech-Language Pathologist | 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 | 2012-03-22 |
| 1508131624 | Michelle Zarate | Physical Therapist | 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 | 2012-03-22 |
| 1770858110 | Stuart Brad Clontz | Occupational Therapist | 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 | 2012-03-19 |
| 1578838918 | Margaret J Rogers | Speech-Language Pathologist | 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 | 2012-03-19 |
| 1295000883 | David Russell Brown | Speech-Language Pathologist | 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 | 2012-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740830645 | Dieseru Healthcare Services LLC. | Technician | 2325 Woodmont Trail, Forth Worth, TX 76133 | 2019-09-13 |
| 1447636212 | Westcreek Animal Clinic P.C. | Veterinarian | 3313 Park Lake Dr., Fort Worth, TX 76133 | 2015-08-04 |
| 1750784286 | Tlc Dentistry of Fort Worth, LLC | Dentist | 7664 Mccart Ave., Fort Worth, TX 76133 | 2014-09-29 |
| 1184047581 | Jene Hunt | Pharmacist | 6225 Westcreek Dr, Fort Worth, TX 76133 | 2014-01-22 |
| 1841538972 | Chelsea Rene Sanders | Speech-Language Pathologist | 6036 Worrell Dr, Fort Worth, TX 76133 | 2013-01-24 |
| 1588926026 | Roger Allan Beck | Internal Medicine | 4509 Fox Fire Way, Fort Worth, TX 76133 | 2012-06-11 |
| 1477812857 | Little Star Rehab | Point of Service | 4525 Altamesa Blvd, Fort Worth, TX 76133 | 2012-05-07 |
| 1477824605 | Lauren Elizabeth Hall | Speech-Language Pathologist | 5316 Trail Lake Drive, Fort Worth, TX 76133 | 2012-01-19 |
| 1770772519 | Sherriann Michelle Erby | Occupational Therapist | 7100 Trail Lake Drive, Fort Worth, TX 76133 | 2007-10-17 |
| 1811193170 | Carol Diane Edley | Speech-Language Pathologist | 4400 Sweetgum Way, Ft Worth, TX 76133 | 2007-06-25 |
| Find all providers in zip 76133 | ||||
| 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 |
|---|---|---|---|---|
| 1942847181 | Lindsey Parish | Occupational Therapy Assistant | 7008 Golden Gate Dr E, Fort Worth, TX 76132-3702 | 2019-12-06 |
| 1437796299 | Latalia Lashaye Harrison | Occupational Therapy Assistant | 7810 Downe Dr, Fort Worth, TX 76108-3230 | 2019-11-28 |
| 1083262935 | Kristian Ashley Ray | Occupational Therapy Assistant | 1050 Lake View Rdg, Fort Worth, TX 76108-3023 | 2019-09-03 |
| 1861962839 | Erika Word | Occupational Therapy Assistant | 6251 Overton Ridge Blvd, Fort Worth, TX 76132-3755 | 2018-12-03 |
| 1164919460 | April Reed | Occupational Therapy Assistant | 1300, 2400 Westport Pkwy, Fort Worth, TX 76247 | 2018-04-23 |
| 1992201024 | Kathia Guerrier | Occupational Therapy Assistant | 4141 S Hulen St Apt 1127, Fort Worth, TX 76109-4972 | 2018-04-05 |
| 1023525573 | Jennifer Christine Arriaga | Occupational Therapy Assistant | 125 Smallwood, Fort Worth, TX 76114 | 2018-01-05 |
| 1043744691 | Dyann Harris | Occupational Therapy Assistant | 7732 Grassland Dr, Fort Worth, TX 76133-7922 | 2017-04-19 |
| 1801335831 | Traci Taylor | Occupational Therapy Assistant | 8120 Kathleen Dr, Fort Worth, TX 76137-6112 | 2017-02-23 |
| 1437600673 | Cassandra Wood | Occupational Therapy Assistant | 201 W Lancaster Ave, Unit 210, Fort Worth, TX 76102-6663 | 2016-10-24 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76133 |
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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.