MARY FITZGERALD (NPI# 1093193179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093193179 |
| Entity Type | Individual |
| Full Name | MARY FITZGERALD |
| Credential | COTA |
| Practice Address |
4650 S Panther Creek Dr The Woodlands TX 77381-2764 |
| Practice Telephone | 2813633535 |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320700000X | Residential Treatment Facility, Physical Disabilities | TX | Residential Treatment Facilities | |
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | 209903 | TX | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326427030 | Mary Fitzgerald | Counselor | 39 S Villa Ave, Villa Park, IL 60181-2650 | 2015-05-27 |
| 1124395306 | Mary Doris Fitzgerald | Counselor | 2130 Lawson Creek Rd, Douglas, AK 99824-5010 | 2011-11-16 |
| 1457537391 | Mary Denise Fitzgerald | Massage Therapist | 245 S Highland St, Suite 6, Mount Dora, FL 32757-5781 | 2008-01-10 |
| 1902000474 | Mary Fitzgerald | Social Worker | 5480 Wisconsin Ave Ste 225, Chevy Chase, MD 20815-3503 | 2007-06-11 |
| 1306963152 | Mary Brito Fitzgerald | Counselor | 316 Metacom Ave, Bristol, RI 02809-5105 | 2007-03-26 |
| 1114001971 | Mary W Fitzgerald | Social Worker | 5540 Tech Center Dr, Springs Counseling Center, #203, Colorado Springs, CO 80919-2331 | 2006-10-25 |
| 1013021757 | Mary Anne Fitzgerald | Nurse Practitioner | 815 N Broadway Ave, Tyler, TX 75702-4507 | 2006-08-19 |
| 1245207083 | Mary P Fitzgerald | Obstetrics & Gynecology | 5500 S 5th Avenue, Bldg 1, Room 320, Hines, IL 60141 | 2006-03-01 |
| 1215908058 | Mary Trabue Fitzgerald | Audiologist | 3704 Sycamore Ln, Nashville, TN 37215-1914 | 2006-01-30 |
| 1386133478 | Mary Fitzgerald | Emergency Medicine | 22101 Moross Rd, Detroit, MI 48236 | 2018-05-04 |
| Street Address |
4650 S PANTHER CREEK DR |
| City | THE WOODLANDS |
| State | TX |
| Zip Code | 77381-2764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023091097 | The Woodlands Healthcare Center, Lp | Nursing Facility/Intermediate Care Facility | 4650 S Panther Creek Dr, The Woodlands, TX 77381-2764 | 2005-11-23 |
| 1841644564 | Ronique Gordon Wilson | Psychologist | 4650 S Panther Creek Dr, The Woodlands, TX 77381-2764 | 2016-04-19 |
| 1417333709 | Rhonarda Wynette Woodson | Occupational Therapy Assistant | 4650 S Panther Creek Dr, The Woodlands, TX 77381-2764 | 2015-08-10 |
| 1861886699 | Darlynn Ware | Occupational Therapist | 4650 S Panther Creek Dr, The Woodlands, TX 77381-2764 | 2015-03-18 |
| 1962891945 | Alyssa Bowyer | Speech-Language Pathologist | 4650 S Panther Creek Dr, The Woodlands, TX 77381-2764 | 2015-01-14 |
| 1568850386 | Delia Santana | Physical Therapy Assistant | 4650 S Panther Creek Dr, The Woodlands, TX 77381-2764 | 2014-12-31 |
| 1780072652 | Kristine Carol Pacheco | Occupational Therapy Assistant | 4650 S Panther Creek Dr, The Woodlands, TX 77381-2764 | 2014-12-31 |
| 1437547395 | Veronica Patricia Arjona | Physical Therapy Assistant | 4650 S Panther Creek Dr, The Woodlands, TX 77381-2764 | 2014-12-30 |
| 1104214030 | Scott Scherer | Occupational Therapy Assistant | 4650 S Panther Creek Dr, The Woodlands, TX 77381-2764 | 2014-12-30 |
| 1659769685 | Sarah Helen Hernandez | Occupational Therapist | 4650 S Panther Creek Dr, The Woodlands, TX 77381-2764 | 2014-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073128856 | Y2k Services, LLC | Non-emergency Medical Transport (VAN) | 74 Natures Harp Ct, Spring, TX 77381 | 2020-09-09 |
| 1073173274 | Woodlands Oral & Maxillofacial Surgery | Dentist | 4850 W. Panther Creek Drive Suite 106, The Woodlands, TX 77381 | 2019-06-19 |
| 1740793595 | Brazo Pharmacy LLC | Pharmacy | 2700 Technology Forest Blvd Ste 200, The Woodlands, TX 77381 | 2017-11-14 |
| 1275045288 | Marney Vitthal | Speech-Language Pathologist | 2 Cranberry Bend, Spring, TX 77381 | 2017-10-31 |
| 1205293453 | Add Health and Wellness of The Woodlands, LLC | Counselor | 2700 Research Forest Dr #130, The Woodlands, TX 77381 | 2016-01-19 |
| 1669851879 | Supplemental Healthcare Inc. | Rehabilitation Unit | 333 Holly Creek Ct Apt 1708, The Woodlands, TX 77381 | 2015-05-20 |
| 1932526894 | Hung Van Doan | Acupuncturist | 9001 Forest Crossing Drive, Suite F, Houston, TX 77381 | 2014-03-27 |
| 1215358726 | Dustin Etemadi | Chiropractor | 4810 W. Panther Creek Dr., Suite 105, The Woodlands, TX 77381 | 2013-12-31 |
| 1194075697 | The Woodlands Eating Disorders Center | Psychologist | 4840 W. Panther Creek Dr., Ste. 212, The Woodlands, TX 77381 | 2012-09-12 |
| 1386992980 | Proteome Diagnostics, LLC | Clinical Medical Laboratory | 79 N. Misty Morning Trace, Spring, TX 77381 | 2012-08-29 |
| Find all providers in zip 77381 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255976973 | Caremeridian, LLC | Residential Treatment Facility, Physical Disabilities | 2301 W Campbell Rd, Garland, TX 75044-2846 | 2019-11-18 |
| 1376192823 | Jackie D Henderson | Residential Treatment Facility, Physical Disabilities | 7041 Hedgebrook Dr, Dallas, TX 75249 | 2019-09-07 |
| 1992272082 | Harmony Care Center | Residential Treatment Facility, Physical Disabilities | 4953 E Ridge Creek Dr, Houston, TX 77053-4638 | 2018-10-27 |
| 1558867747 | Maison De Spiritus, Inc. | Residential Treatment Facility, Physical Disabilities | 4122 Mainer St, Houston, TX 77021-5803 | 2018-04-05 |
| 1609382068 | Living Single LLC | Residential Treatment Facility, Physical Disabilities | 809 E. Denton Street, Ennis, TX 75119 | 2017-12-21 |
| 1356857213 | Cns - Houston, LLC | Residential Treatment Facility, Physical Disabilities | 253 W Medical Center Blvd Ste 300, Webster, TX 77598-4213 | 2017-12-14 |
| 1811433329 | Tasha Toliver | Residential Treatment Facility, Physical Disabilities | 2023 Laura St, Caddo Mills, TX 75135-7502 | 2017-01-09 |
| 1982153383 | Beacon Home Healthcare LLC | Residential Treatment Facility, Physical Disabilities | 2000 Summercrest Cv, Round Rock, TX 78681-1097 | 2016-09-26 |
| 1700239118 | Casa De Bellamie, LLC | Residential Treatment Facility, Physical Disabilities | 7235 N Loop Dr, El Paso, TX 79915-2412 | 2016-07-20 |
| 1023464245 | Emedtech Equipment and Supply Company | Residential Treatment Facility, Physical Disabilities | 5220 E Parkway Dr, Beaumont, TX 77705-6039 | 2016-05-05 |
| Find all providers with the same taxonomy | ||||
| City | THE WOODLANDS |
| Zip Code | 77381 |
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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.