MS. TABATHA OPAL SHOCK (NPI# 1174759435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174759435 |
| Entity Type | Individual |
| Full Name | MS. TABATHA OPAL SHOCK |
| Credential | OTA |
| Practice Address |
204 E St Beckley WV 25801-6504 |
| Mailing Address |
204 E Street Beckley WV 25801 |
| Practice Telephone | 3046155110 |
| Mailing Telephone | 3046155110 |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2009-06-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | C1689 | WV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
204 E ST |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-6504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| 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 |
|---|---|---|---|---|
| 1437561081 | Jillian Bradley | Occupational Therapy Assistant | 174 Clay Farm Rd, Beckley, WV 25801-4545 | 2014-05-29 |
| 1457761579 | Pashi Sherpa | Occupational Therapy Assistant | 109 1/2 Austin Ave, Apt # 2, Beckley, WV 25801-6101 | 2014-04-28 |
| 1750728598 | Jennifer L Penn | Occupational Therapy Assistant | 113 Stanley St, Beckley, WV 25801-5745 | 2013-06-03 |
| 1467796995 | Amber Holcomb | Occupational Therapy Assistant | 121 Clyburn St, Beckley, WV 25801-3519 | 2012-11-21 |
| 1912250697 | Melissa Rayna Hopkins | Occupational Therapy Assistant | 116 Warden St, Beckley, WV 25801-3059 | 2012-10-18 |
| 1003168766 | Shadonda Evette Briggs | Occupational Therapy Assistant | 101 Sour St, Beckley, WV 25801-3928 | 2012-10-04 |
| 1821316720 | Fatoumata Touray | Occupational Therapy Assistant | 303 1/2 Prince St Apt 11, Beckley, WV 25801-4537 | 2010-05-17 |
| 1689840845 | Leigh Wartella | Occupational Therapy Assistant | 210 Granville Ave, Beckley, WV 25801-6005 | 2008-05-07 |
| 1619190311 | Lesley Ann Simms | Occupational Therapy Assistant | 110 Dunbar Ave, Beckley, WV 25801-2038 | 2007-04-11 |
| 1437548385 | Rebecca Meredith | Occupational Therapy Assistant | 250 Stanaford Rd, Beckley, WV 25801-3140 | 2015-01-15 |
| Find all providers in BECKLEY | ||||
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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.