MARQUITA NATALYA TIDWELL (NPI# 1083278535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083278535 |
| Entity Type | Individual |
| Full Name | MARQUITA NATALYA TIDWELL |
| Credential | COTA/L |
| Practice Address |
36 Bazeberry Rd Cordova TN 38018-7754 |
| Mailing Address |
9400 Goodman Rd Apt 2707 Olive Branch MS 38654-1779 |
| Practice Telephone | 9017580036 |
| Mailing Telephone | 6626883139 |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | TA3570 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224Z00000X | Occupational Therapy Assistant | 3154 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
36 BAZEBERRY RD |
| City | CORDOVA |
| State | TN |
| Zip Code | 38018-7754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265414429 | B'nai B'rith Home & Hospital for The Aged, Inc. | Skilled Nursing Facility | 36 Bazeberry Rd, Cordova, TN 38018-7754 | 2005-11-15 |
| 1114565538 | Lashandra Nicole Saulsberry | Nurse Practitioner | 36 Bazeberry Rd, Cordova, TN 38018-7754 | 2019-12-16 |
| 1548822471 | Maria Burke | Physical Therapy Assistant | 36 Bazeberry Rd, Cordova, TN 38018-7754 | 2019-07-01 |
| 1801452008 | Olivia Dawn Green | Occupational Therapy Assistant | 36 Bazeberry Rd, Cordova, TN 38018-7754 | 2019-05-13 |
| 1407410160 | Debra Forbes | Physical Therapy Assistant | 36 Bazeberry Rd, Cordova, TN 38018-7754 | 2019-04-29 |
| 1194388835 | Yolanda R Jones | Speech-Language Pathologist | 36 Bazeberry Rd, Cordova, TN 38018-7754 | 2019-04-18 |
| 1598328304 | Nicole R Maliga | Occupational Therapist | 36 Bazeberry Rd, Cordova, TN 38018-7754 | 2019-04-17 |
| 1518420736 | Britani A R Guy | Occupational Therapist | 36 Bazeberry Rd, Cordova, TN 38018-7754 | 2019-04-14 |
| 1144783689 | Reginald Vernard Hamilton Sr. | Occupational Therapy Assistant | 36 Bazeberry Rd, Cordova, TN 38018-7754 | 2019-04-11 |
| 1780147264 | John Thompson | Physical Therapy Assistant | 36 Bazeberry Rd, Cordova, TN 38018-7754 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264428 | Shaquia Janai Harris | Behavior Technician | 1079 N Houston Levee Road, Cordova, TN 38018 | 2020-10-29 |
| 1366041493 | Cynthia Brantley | Behavior Technician | 1079 N Houston Levee Rd, Cordova, TN 38018 | 2020-10-20 |
| 1558901736 | At Home Physical Rehabilitation Group, LLC | Physical Therapy Assistant | 856 Willow Tree Circle, Cordova, TN 38018 | 2020-01-15 |
| 1538703038 | Scott Eric Balogh | Psychiatry & Neurology | 65 Germantown Court, Suite 203, Cordova, TN 38018 | 2019-10-29 |
| 1851871305 | Joanna H Fussell | Behavioral Analyst | 8066 Walnut Run Suite 102, Cordova, TN 38018 | 2018-08-15 |
| 1841736097 | A Guardian Care Group | Home Health | 10164 Green Moss, Cordova, TN 38018 | 2017-01-12 |
| 1497127146 | Functional Independence, Inc. | Home Health | 270 German Oak Dr., Memphis, TN 38018 | 2015-10-21 |
| 1679984363 | Tiffany Masters Redfern | Obstetrics & Gynecology | 521 Riveredge Dr W, Cordova, TN 38018 | 2014-05-15 |
| 1295073427 | Mitchell Wyman Alvarez | Optometrist | 2075 N. Germantown Pkwy, Memphis, TN 38018 | 2013-01-23 |
| 1578827531 | Chiung Feng Hsu | Dentist | 831 Timber Creek Dr #1, Cordova, TN 38018 | 2012-06-25 |
| Find all providers in zip 38018 | ||||
| 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 |
|---|---|---|---|---|
| 1376183343 | Jessica Marie Adcock | Occupational Therapy Assistant | 2386 Fallingwater Ln Apt 304, Cordova, TN 38016-7684 | 2020-01-08 |
| 1518368844 | Deborah Kober | Occupational Therapy Assistant | 7131 Show Boat Ln, Cordova, TN 38018-2813 | 2014-09-05 |
| 1962668939 | Kathryn Darlene Watkins | Occupational Therapy Assistant | 955 Germantown Pkwy, Cordova, TN 38018 | 2008-07-30 |
| 1801452008 | Olivia Dawn Green | Occupational Therapy Assistant | 36 Bazeberry Rd, Cordova, TN 38018-7754 | 2019-05-13 |
| 1144783689 | Reginald Vernard Hamilton Sr. | Occupational Therapy Assistant | 36 Bazeberry Rd, Cordova, TN 38018-7754 | 2019-04-11 |
| 1225591183 | Brittney Coleman | Occupational Therapy Assistant | 36 Bazeberry Rd, Cordova, TN 38018-7754 | 2019-04-08 |
| 1124275003 | Peter Gicheru | Occupational Therapy Assistant | 955 N Germantown Pkwy, Cordova, TN 38018-6215 | 2008-08-22 |
| 1356494603 | Pauline Denise Owens-baker | Occupational Therapy Assistant | 1536 Appling Care Ln, Cordova, TN 38016-4927 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727043 | Matthew Bronson King | Occupational Therapy Assistant | 1315 Riverbend Dr Apt 109, Kingsport, TN 37664-6004 | 2020-10-13 |
| 1720685613 | Danielle N Hopkins | Occupational Therapy Assistant | 3107 Best Rd, Maryville, TN 37803-2647 | 2020-10-05 |
| 1538775507 | Kayla Renea Ruppe | Occupational Therapy Assistant | 116 Cumberland Street, Wartburg, TN 37887 | 2020-09-16 |
| 1114547569 | Jessica Michelle Trigueiro | Occupational Therapy Assistant | 2060 Durhamville Rd, Ripley, TN 38063-8434 | 2020-04-24 |
| 1326668195 | Taylor Winstead | Occupational Therapy Assistant | 1251 Wesley Dr Ste 141, Memphis, TN 38116-6443 | 2020-04-22 |
| 1558998583 | Jh Pollard | Occupational Therapy Assistant | 2036 Us Hwy Byp S, Trenton, TN 38382 | 2020-03-27 |
| 1689208480 | The Fun In Function LLC | Occupational Therapy Assistant | 5251 Hwy 153 Ste C, Pmb 264, Hixson, TN 37343 | 2020-03-02 |
| 1568095305 | Brianna Mckayla Bradley | Occupational Therapy Assistant | 544 Tall Trees Ln # 544, Nashville, TN 37209-5147 | 2020-02-20 |
| 1396382610 | Jason Pack | Occupational Therapy Assistant | 9022 Richfield Ln, Knoxville, TN 37924-4579 | 2019-12-05 |
| 1346886421 | Brittney Lester | Occupational Therapy Assistant | 645 Old Hickory Blvd Apt 228, Nashville, TN 37209-5271 | 2019-11-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARQUITA NATALYA TIDWELL.
| 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.