HEATHER JEAN PRUETT (NPI# 1073093449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073093449 |
| Entity Type | Individual |
| Full Name | HEATHER JEAN PRUETT |
| Credential | COTA/L |
| Practice Address |
626 N Tyndall Pkwy Panama City FL 32404-6132 |
| Mailing Address |
317 Blackshear Dr Lot A10 Panama City FL 32404-7424 |
| Practice Telephone | 8508716363 |
| Mailing Telephone | 6189748399 |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 16521 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 317 Blackshear Dr Lot A10, Panama City, FL 324047424 | 6189748399 |
| Street Address |
626 N TYNDALL PKWY |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32404-6132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366909269 | Jennifer Daniels | Occupational Therapy Assistant | 626 N Tyndall Pkwy, Panama City, FL 32404-6132 | 2019-02-27 |
| 1700305604 | Kriserica Dawn Davis | Physical Therapy Assistant | 626 N Tyndall Pkwy, Panama City, FL 32404-6132 | 2017-09-12 |
| 1467901637 | Alexis Kathryn Taylor | Physical Therapy Assistant | 626 N Tyndall Pkwy, Panama City, FL 32404-6132 | 2016-09-28 |
| 1467847137 | Ashley Perez | Occupational Therapy Assistant | 626 N Tyndall Pkwy, Panama City, FL 32404-6132 | 2015-03-31 |
| 1235544461 | Felicia Cain | Physical Therapy Assistant | 626 N Tyndall Pkwy, Panama City, FL 32404-6132 | 2014-06-26 |
| 1053723619 | Danyel Yerington | Occupational Therapy Assistant | 626 N Tyndall Pkwy, Panama City, FL 32404-6132 | 2014-05-29 |
| 1780006932 | Jessica Miller | Occupational Therapist | 626 N Tyndall Pkwy, Panama City, FL 32404-6132 | 2014-01-07 |
| 1568895803 | Joann D Sullivan | Physical Therapist | 626 N Tyndall Pkwy, Panama City, FL 32404-6132 | 2013-08-09 |
| 1568733020 | Lavie Rehab | Skilled Nursing Facility | 626 N Tyndall Pkwy, Panama City, FL 32404-6132 | 2012-01-15 |
| 1154692788 | Donavan Lea Melton | Occupational Therapist | 626 N Tyndall Pkwy, Panama City, FL 32404-6132 | 2012-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508278854 | Wayne Harris | Non-emergency Medical Transport (VAN) | 4826 Mccall Ln, Panama City, FL 32404 | 2014-05-21 |
| 1417384769 | Yolanda M Tingler | Social Worker | 7334 Highway 2311, Panama City, FL 32404 | 2013-10-02 |
| 1326482381 | Lydia Ann Rosenberger | Nurse Practitioner | 3520 East 15th Streett, Panama City, FL 32404 | 2013-04-22 |
| 1114288651 | Carly D Taulbee | Physical Therapy Assistant | 626 S Tyndall Pkwy, Panama City, FL 32404 | 2012-05-31 |
| 1770855934 | Lavie Rehab | Skilled Nursing Facility | 636 Tyndall Pkwy, Panama City, FL 32404 | 2012-02-03 |
| 1760695431 | Corey J Seymour | Military Health Care Provider | 4837 Mccall Ln, Panama City, FL 32404 | 2007-05-08 |
| 1336361625 | Vicky Perkins Whitfield | Pharmacist | 3621 Us Hwy 231 N., Panama City, FL 32404 | 2007-05-03 |
| 1528280807 | John Charles Peacock Sr. | Pharmacist | 3621 Us Hwy 231 North, Panama City, FL 32404 | 2007-05-03 |
| 1184782906 | Shelley Isenberg Hickman | Occupational Therapist | 5441 Nehi Rd, Panama City, FL 32404 | 2006-12-05 |
| 1629151931 | Kenneth Michael Plumley | Physician Assistant | 5620 Cherry St, Callaway, FL 32404 | 2006-10-23 |
| Find all providers in zip 32404 | ||||
| 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 |
|---|---|---|---|---|
| 1366909269 | Jennifer Daniels | Occupational Therapy Assistant | 626 N Tyndall Pkwy, Panama City, FL 32404-6132 | 2019-02-27 |
| 1659743474 | Taylor Shuler | Occupational Therapy Assistant | 1937 Jenks Ave, Panama City, FL 32405-4510 | 2015-10-21 |
| 1467847137 | Ashley Perez | Occupational Therapy Assistant | 626 N Tyndall Pkwy, Panama City, FL 32404-6132 | 2015-03-31 |
| 1053723619 | Danyel Yerington | Occupational Therapy Assistant | 626 N Tyndall Pkwy, Panama City, FL 32404-6132 | 2014-05-29 |
| 1548672207 | Maryanne Kupres | Occupational Therapy Assistant | 1937 Jenks Ave, Panama City, FL 32405-4510 | 2014-05-28 |
| 1598177487 | Alissa Clark | Occupational Therapy Assistant | 1937 Jenks Ave, Panama City, FL 32405-4510 | 2014-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407760 | Thalia Mercedes Romero | Occupational Therapy Assistant | 2040 Sr-a1a, Unit 203, Indian Harbour Beach, FL 32937 | 2020-11-06 |
| 1720689557 | Chelsie Briana Caudill | Occupational Therapy Assistant | 150 Woodland Dr, Santa Rosa Beach, FL 32459-4412 | 2020-11-06 |
| 1720688252 | Elizabeth Lawler | Occupational Therapy Assistant | 11804 Old Course Rd, Cantonment, FL 32533-4881 | 2020-10-26 |
| 1104425677 | Aiza Dela Cruz Clyde | Occupational Therapy Assistant | 121 Sw 96th Ter Apt 205, Plantation, FL 33324-2325 | 2020-10-25 |
| 1720687296 | Reginal Louissaint | Occupational Therapy Assistant | 20720 Nw 7th Ave Apt 304, Miami Gardens, FL 33169-7015 | 2020-10-25 |
| 1164020095 | Lisa M Harrison | Occupational Therapy Assistant | 83 Pepperdine Dr, Palm Coast, FL 32164-7498 | 2020-10-13 |
| 1902404130 | Joseph Spyros | Occupational Therapy Assistant | 9808 Quadrangle Ct, Ruskin, FL 33573-1204 | 2020-10-09 |
| 1811594534 | Eliette Junco | Occupational Therapy Assistant | 335 Nw 58th Ave, Miami, FL 33126-4723 | 2020-10-06 |
| 1205433133 | Valentina Della Volpe | Occupational Therapy Assistant | 6221 Willow Beck Ln Apt 104, Bradenton, FL 34202-5248 | 2020-10-05 |
| 1053918052 | Yuliet Armas | Occupational Therapy Assistant | 941 E 37th St, Hialeah, FL 33013-2824 | 2020-10-03 |
| Find all providers with the same taxonomy | ||||
| City | PANAMA CITY |
| Zip Code | 32404 |
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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.