MRS. DEIDRE LYNN FERGASON


Address: 3505 Old Jacksonville Hwy, Tyler, TX 75703
Phone: 9033680357

MRS. DEIDRE LYNN FERGASON (NPI# 1215419353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215419353
Entity Type Individual
Full Name MRS. DEIDRE LYNN FERGASON
Credential OTR
Practice Address 3505 Old Jacksonville Hwy
Tyler
TX 75703
Practice Telephone 9033680357
Mailing Telephone 9033680357
Enumeration Date 2018-09-05
Last Update Date 2018-09-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224ZE0001X Occupational Therapy Assistant
Specialization: Environmental Modification
103800 TX Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 3505 OLD JACKSONVILLE HWY
City TYLER
State TX
Zip Code 75703

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NPI Name Taxonomy Address Enumeration
1174155477 Choice Supportive Care Team Inc. Family Medicine 4293 Kinsey Drive, Tyler, TX 75703 2020-02-05
1770052532 Refinery Chiropractic LLC Chiropractor 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 2018-11-21
1710473681 Justin Taylor Ross Dentist 8938 S Broadway Ave Ste 380, Tyler, TX 75703 2018-07-03
1457843450 Adam Tyler Barnes, Dds of Texas II, Pllc Dentist 8938 South Broadway, Ste 480, Tyler, TX 75703 2018-06-05
1083106462 Integrity Health Internal Medicine 5605 Old Bullard Rd Ste B, Tyler, TX 75703 2018-06-01
1427572544 Cody Wayne Graham Pharmacist 5415 S. Broadway Ave., Tyler, TX 75703 2017-07-31
1750805941 Roger Bryan Chapman Nurse Practitioner 6115 New Copeland Rd, Tyler, TX 75703 2017-07-28
1427570084 Darah Lynne Dahlem Speech-Language Pathologist 401 E. Front Street Ste 123, Tyler, TX 75703 2017-07-14
1194267468 Herman Lester Hampton Jr. Surgery 5803 Regents Row, Tyler, TX 75703 2016-11-17
1508318460 Tyler Integrative Health and Wellness, LLC Physical Medicine & Rehabilitation 7062 Highlands Ln, Tyler, TX 75703 2016-10-26
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Taxonomy Information

Taxonomy Code 224ZE0001X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapy Assistant
Specialization Environmental Modification

Taxonomy Definition

Occupational therapy assistants provide environmental modifications under the supervision of an occupational therapist. OTAs develop and implement an individualized occupational therapy environmental modification plan that reflects the relevant contexts of the client and relevant others and maximizes current and future occupational performance, safety, and participation of the client. Clients receive environmental modification recommendations and interventions that enable them to meet occupational performance and participation goals and that have adequate flexibility to accommodate for their future needs.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary specialty certification for an Environmental Modification Occupational Therapy Assistant if the applicant meets the following requirements:
  • Professional or technical degree or equivalent in occupational therapy.
  • Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
  • Minimum of 2,000 hours of experience as an occupational therapist or occupational therapy assistant.
  • 600 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 3 calendar years. Service delivery may be paid or voluntary.
  • Verification of employment.
Fact Sheet: Home Modifications and OT, AOTA Website: Specialty Certifications

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215401021 Tiffany Scott Occupational Therapy Assistant 331 Fall Creek Dr, Huffman, TX 77336-2887 2019-01-15
1447816186 Erendida Cindylu Palacios Occupational Therapy Assistant 4605 N Jackson Rd, Mcallen, TX 78504-6100 2019-05-17
1346705357 Whitney Kiara Monaye Smith Occupational Therapy Assistant 3033 W Green Oaks Blvd, Arlington, TX 76016-2261 2019-02-04
1588148308 Edgar Valdez Occupational Therapy Assistant 1341 Blalock Rd, Houston, TX 77055-6427 2018-09-18
1144703356 Timothy Nelson Tasker Occupational Therapy Assistant 970 Hilltop Dr, Weatherford, TX 76086-5488 2018-09-13
1285117580 Donell Elaine Creel Occupational Therapy Assistant 401 Owen Ln, Waco, TX 76710-5558 2018-09-12
1518448646 Karen Ceil Darwin Occupational Therapy Assistant 3200 W Slaughter Ln, Austin, TX 78748-5706 2018-08-27
1225519929 Mo Dasabe Occupational Therapy Assistant 658 Sw 3rd St, Grand Prairie, TX 75051-1805 2018-08-22
1447730924 Carlton Dion Lee Occupational Therapy Assistant 18803 Hardy Oak Blvd, San Antonio, TX 78258-4961 2018-08-15
1619211539 Denise Ann Rangel Occupational Therapy Assistant 9903 Kents Store St, San Antonio, TX 78245-1506 2012-11-15
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Competitor

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City TYLER
Zip Code 75703

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Dataset Information

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.

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