PROF. TIM RJ PASSMORE (NPI# 1093840589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093840589 |
| Entity Type | Individual |
| Full Name | PROF. TIM RJ PASSMORE |
| Credential | ED.D., CTRS |
| Practice Address |
3124 W 24th Ave Stillwater OK 74074-2101 |
| Practice Telephone | 4057441811 |
| Practice Fax Number | 4057446507 |
| Mailing Telephone | 4057441811 |
| Mailing Fax Number | 4057446507 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2010-04-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3124 W 24TH AVE |
| City | STILLWATER |
| State | OK |
| Zip Code | 74074-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417374299 | Jonette Kay Passmore | Recreation Therapist | 3124 W 24th Ave, Stillwater, OK 74074-2101 | 2014-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366090680 | Jason K. White, Ph.d., LLC | Psychologist | 807 S. Pine St., Stillwater, OK 74074 | 2019-08-29 |
| 1366095861 | Kelsey Lyn Bigheart | Peer Specialist | 5421 S Deer Trail, Stillwater, OK 74074 | 2019-07-23 |
| 1881256691 | Shelly Lynn Green | Nurse Practitioner | 1321 W. 7th Street, Stillwater, OK 74074 | 2019-07-01 |
| 1811426273 | Judy Catlett | Case Manager/Care Coordinator | 800 E. 6th Str, Stillwater, OK 74074 | 2017-06-08 |
| 1518322296 | Abi Physical Therapy Services | Physical Therapist | 810 S. Walnut Street, Stillwater, OK 74074 | 2015-12-22 |
| 1366833451 | Connecting The Pieces | Case Management | 812 S Walnut, Stillwater, OK 74074 | 2015-02-10 |
| 1790122414 | Airie Flanagan | Doula | 2601 Gregory Ln, Stillwater, OK 74074 | 2013-06-04 |
| 1760720668 | Stillwater Histology LLC | Internal Medicine | 1301 W. 6th St, Suite 106, Stillwater, OK 74074 | 2013-01-28 |
| 1144570565 | Nikkie Jo Dunnigan | Counselor | 2322 W 7th, Stillwater, OK 74074 | 2012-09-13 |
| 1487889952 | Lynn B. Roberts | General Practice | 1321 W 7th St, Stillwater Community Health, Stillwater, OK 74074 | 2009-05-27 |
| Find all providers in zip 74074 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952425274 | Jo Ann Coco-ripp | Recreation Therapist | 110 W Husband Ct, Stillwater, OK 74075-1754 | 2007-03-19 |
| 1417374299 | Jonette Kay Passmore | Recreation Therapist | 3124 W 24th Ave, Stillwater, OK 74074-2101 | 2014-03-18 |
| 1740402775 | Cathy Louise Jordan | Recreation Therapist | 1323 W 6th Ave, Stillwater, OK 74074-4306 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083253264 | Amanda Sue Wood | Recreation Therapist | 4324 Avalon Ct, Oklahoma City, OK 73120-8175 | 2020-01-05 |
| 1861047052 | Monique Marie Di Lonardo | Recreation Therapist | 9526 S 95th East Ave, Tulsa, OK 74133-6163 | 2019-08-05 |
| 1184046328 | Tanya Fisher | Recreation Therapist | 205 N Admire Ave, El Reno, OK 73036-2603 | 2014-01-07 |
| 1073766499 | Stephanie Jo Bushnell | Recreation Therapist | 927 Swan Lake Ct, Edmond, OK 73003-4807 | 2008-10-29 |
| 1821274739 | Kristy Doyle | Recreation Therapist | 921 Ne 13th St # 117c, Oklahoma City, OK 73104-5007 | 2008-01-10 |
| 1376730077 | Susan Diane Bishop | Recreation Therapist | 2835 Bobwhite Trl, Edmond, OK 73025-2305 | 2007-09-27 |
| 1437358975 | Carolyn Neoma Moore | Recreation Therapist | 12007 S Cedar Ave, Jenks, OK 74037-3344 | 2007-07-14 |
| 1982803482 | Darlene Rumer Mcgrail | Recreation Therapist | 8509 E 33rd St, Tulsa, OK 74145-1510 | 2007-07-13 |
| 1447385950 | Jerry J. Jordan | Recreation Therapist | 325 Donna Ave, Guthrie, OK 73044-9494 | 2007-02-23 |
| 1013516749 | Stacy Dawn Lawton | Recreation Therapist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-10-23 |
| Find all providers with the same taxonomy | ||||
| City | STILLWATER |
| Zip Code | 74074 |
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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.