GARY TUCKER (NPI# 1083929400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083929400 |
| Entity Type | Individual |
| Full Name | GARY TUCKER |
| Practice Address |
310 Autumn Ridge Dr Kosciusko MS 39090-3242 |
| Mailing Address |
4109 Highway 98 W Summit MS 39666-9132 |
| Practice Telephone | 6622893499 |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2010-08-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | TA0288 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467899823 | Gary Edwin Tucker | Dentist | 2489 Discovery Bay Blvd Ste 400, Discovery Bay, CA 94505-1008 | 2013-05-25 |
| 1215242615 | Gary Tucker | Pharmacist | 8484 Gypsy Ln, Ooltewah, TN 37363-9127 | 2010-08-10 |
| 1730320433 | Gary Roderick Tucker Jr. | Dentist | 5501 Fortunes Ridge Dr Ste H, Durham, NC 27713-6102 | 2009-03-10 |
| 1154398493 | Gary Jackson Tucker Jr. | Family Medicine | 418 Colegate Dr, Marietta, OH 45750-9549 | 2006-03-07 |
| 1396248209 | Gary S Tucker | Marriage & Family Therapist | 18377 Beach Blvd Ste 210, Huntington Beach, CA 92648-1349 | 2018-03-16 |
| Street Address |
310 AUTUMN RIDGE DR |
| City | KOSCIUSKO |
| State | MS |
| Zip Code | 39090-3242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093920522 | Sophie Champagne Black | Occupational Therapist | 310 Autumn Ridge Dr, Kosciusko, MS 39090-3242 | 2007-05-10 |
| 1295220598 | Ms State Veterans Home Kosciusko | Skilled Nursing Facility | 310 Autumn Ridge Dr, Kosciusko, MS 39090-3242 | 2018-06-28 |
| 1770031353 | Monica Lopez | Occupational Therapy Assistant | 310 Autumn Ridge Dr, Kosciusko, MS 39090-3242 | 2016-09-13 |
| 1447603386 | Alanna Brooke Massey | Physical Therapy Assistant | 310 Autumn Ridge Dr, Kosciusko, MS 39090-3242 | 2016-07-15 |
| 1871951483 | Candice Vance Hayes | Speech-Language Pathologist | 310 Autumn Ridge Dr, Kosciusko, MS 39090-3242 | 2016-02-10 |
| 1912362401 | Tameca Wright | Physical Therapy Assistant | 310 Autumn Ridge Dr, Kosciusko, MS 39090-3242 | 2015-12-28 |
| 1679946867 | Laura Nabors | Speech-Language Pathologist | 310 Autumn Ridge Dr, Kosciusko, MS 39090-3242 | 2015-11-10 |
| 1790112027 | Aubrey Manning | Speech-Language Pathologist | 310 Autumn Ridge Dr, Kosciusko, MS 39090-3242 | 2013-10-01 |
| 1487093993 | Hollie Thomas | Speech-Language Pathologist | 310 Autumn Ridge Dr, Kosciusko, MS 39090-3242 | 2013-06-18 |
| 1871847509 | Jeffrey Scott Pearson | Physical Therapy Assistant | 310 Autumn Ridge Dr, Kosciusko, MS 39090-3242 | 2012-11-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508371675 | Caroline Boydstun Fair | Pharmacist | 109 Northside Center, Kosciusko, MS 39090 | 2017-12-11 |
| 1275069643 | Sharhonda Wingo | Speech-Language Pathologist | 2447 Attala Road 2203, Kosciusko, MS 39090 | 2017-05-04 |
| 1013392034 | Leap of Faith LLC | Respite Care | 115 North Wells Street, Suite A, Kosciusko, MS 39090 | 2015-07-21 |
| 1730566027 | Bmc - Attala, LLC | General Acute Care Hospital | 220 Hwy. 12 West, Kosciusko, MS 39090 | 2015-05-06 |
| 1528402484 | Warner Martin Myers I | Student in an Organized Health Care Education/Training Program | 912 Hwy 12 East, Kosciusko, MS 39090 | 2013-04-23 |
| 1891022547 | Medical Foundation of Central Mississippi | Internal Medicine | 329 Highway 12 West, Koscuisko, MS 39090 | 2009-11-17 |
| 1255512448 | Cheryl L Bayne | Adult Companion | 509 Hillview Dr, Kosciusko, MS 39090 | 2007-11-16 |
| 1760673982 | Gary A Cochran | Technician/Technologist | 118 West North St, Kosciusko, MS 39090 | 2007-08-05 |
| 1639396393 | Stephen C Hammack | Family Medicine | 332 Highway 12 West, Kosciusko, MS 39090 | 2007-04-20 |
| 1740329689 | Brenda Nail | Nurse Practitioner | 999 Martin Luther King Drive, Kosciusko, MS 39090 | 2007-02-06 |
| Find all providers in zip 39090 | ||||
| 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 |
|---|---|---|---|---|
| 1679025928 | Sandy Heath Cockrell | Occupational Therapy Assistant | 220 Highway 12 W, Kosciusko, MS 39090-3208 | 2016-11-02 |
| 1770031353 | Monica Lopez | Occupational Therapy Assistant | 310 Autumn Ridge Dr, Kosciusko, MS 39090-3242 | 2016-09-13 |
| 1275829988 | Jordan L Courts | Occupational Therapy Assistant | 310 Autumn Ridge Dr, Kosciusko, MS 39090-3242 | 2011-06-21 |
| 1023323995 | Latoya Jones | Occupational Therapy Assistant | 310 Autumn Ridge Dr, Kosciusko, MS 39090-3242 | 2010-08-16 |
| 1124296686 | Stefanie Carter | Occupational Therapy Assistant | 220 Highway 12 W, Kosciusko, MS 39090-3208 | 2008-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861005977 | Erin Stradley | Occupational Therapy Assistant | 276 Nissan Pkwy Ste B100, Canton, MS 39046-7006 | 2020-08-28 |
| 1740807833 | Amanda Leigh Jones | Occupational Therapy Assistant | 46 Leroy Slocum Ln, Foxworth, MS 39483 | 2020-07-06 |
| 1134762784 | Kimberly J Adams | Occupational Therapy Assistant | 90 Clark Ave, Tupelo, MS 38804 | 2019-10-25 |
| 1649820291 | Sharon Short | Occupational Therapy Assistant | 13243 Willow Nest Dr, Olive Branch, MS 38654-5030 | 2019-09-16 |
| 1124675681 | Taylor Craven Graham | Occupational Therapy Assistant | 90 Clark Blvd Ste A, Tupelo, MS 38804-2801 | 2019-08-20 |
| 1023661824 | Latoya Lanette Trunell | Occupational Therapy Assistant | 787 East Northside Drive, Jackson, MS 39206 | 2019-07-20 |
| 1992363857 | Kara Clinellc | Occupational Therapy Assistant | 3337 Pecan Estates Ln, Hernando, MS 38632-7361 | 2019-06-04 |
| 1679137616 | Jolandria Newmy | Occupational Therapy Assistant | 8186 S Park Cir Apt D, Southaven, MS 38671-3750 | 2019-04-25 |
| 1790249076 | Curstin Deneen Temes | Occupational Therapy Assistant | 7748 Tucker Dr, Walls, MS 38680-8579 | 2019-01-30 |
| 1487150405 | Jessi Jones Blissett | Occupational Therapy Assistant | 106 Emry Cv, Madison, MS 39110-7784 | 2018-03-30 |
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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.