HALEY BURGESS (NPI# 1265996151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265996151 |
| Entity Type | Individual |
| Full Name | HALEY BURGESS |
| Credential | COTA/L |
| Practice Address |
920 E Avenue L Silsbee TX 77656-5014 |
| Mailing Address |
7930 Blue Bonnet Ln Beaumont TX 77713-9205 |
| Practice Telephone | 4093855571 |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-01-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 9805 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 224Z00000X | Occupational Therapy Assistant | 213547 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | IMA | A63821026 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669825501 | Haley Nicole Burgess | Counselor | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2016-07-15 |
| Street Address |
920 E AVENUE L |
| City | SILSBEE |
| State | TX |
| Zip Code | 77656-5014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952306235 | Silsbee Oaks Health Care L L P | Skilled Nursing Facility | 920 E Avenue L, Silsbee, TX 77656-5014 | 2005-06-14 |
| 1043819493 | Jameson Jean Gilles | Physical Therapy Assistant | 920 E Avenue L, Silsbee, TX 77656-5014 | 2020-10-17 |
| 1508499237 | Hali Christine Frederick | Occupational Therapy Assistant | 920 E Avenue L, Silsbee, TX 77656-5014 | 2020-02-21 |
| 1306477872 | Kennedy Ilean Kilpatrick | Speech-Language Pathologist | 920 E Avenue L, Silsbee, TX 77656-5014 | 2020-02-03 |
| 1023667334 | Echo Dunaway | Physical Therapy Assistant | 920 E Avenue L, Silsbee, TX 77656-5014 | 2019-09-09 |
| 1831655240 | Jesse Balderas | Physical Therapy Assistant | 920 E Avenue L, Silsbee, TX 77656-5014 | 2019-02-11 |
| 1023572385 | Sharon Harper | Occupational Therapy Assistant | 920 E Avenue L, Silsbee, TX 77656-5014 | 2019-01-30 |
| 1578027462 | Ashley Tillery Underwood | Speech-Language Pathologist | 920 E Avenue L, Silsbee, TX 77656-5014 | 2019-01-25 |
| 1063976959 | Stephanie Bermudez Richings | Speech-Language Pathologist | 920 E Avenue L, Silsbee, TX 77656-5014 | 2019-01-25 |
| 1912471285 | Easter Joy Rico | Physical Therapist | 920 E Avenue L, Silsbee, TX 77656-5014 | 2019-01-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164822813 | John Simmons | Nurse Practitioner | 280 Farm Rd 418, Silsbee, TX 77656 | 2014-08-31 |
| 1740572460 | Sam'marie Smith | Physical Therapy Assistant | 705 Highway 418 W, Silsbee, TX 77656 | 2011-05-13 |
| 1194054338 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 496 Highway 96 S, Silsbee, TX 77656 | 2009-12-17 |
| 1740456474 | Natalie J Peveto P. C. | Chiropractor | 3674 Highway 96 North, Silsbee, TX 77656 | 2008-05-02 |
| 1003001918 | Karen Kay Goad | Physical Therapist | 1162 Hwy 327 East, Silsbee, TX 77656 | 2007-09-13 |
| 1043331101 | Oakbend Medical Center | Skilled Nursing Facility | 705 Fm 418 West, Silsbee, TX 77656 | 2007-04-03 |
| 1457458952 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 685 Hwy 96 S, Silsbee, TX 77656 | 2006-09-20 |
| 1427060128 | James Richard Landis | Dentist | 1164 Hwy 327 E, Silsbee, TX 77656 | 2006-08-12 |
| 1790799369 | Jerri K Frazier | Physical Therapist | 1162 Hwy 327 E, Silsbee, TX 77656 | 2006-07-28 |
| 1689601841 | Ghaleb S Al Awar | Family Medicine | 1185 N 11th St, Silsbee, TX 77656 | 2006-06-26 |
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| 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 |
|---|---|---|---|---|
| 1508499237 | Hali Christine Frederick | Occupational Therapy Assistant | 920 E Avenue L, Silsbee, TX 77656-5014 | 2020-02-21 |
| 1558915629 | Fatmata Aroon Boakye | Occupational Therapy Assistant | 705 Highway 418 W, Silsbee, TX 77656-3635 | 2019-07-28 |
| 1023572385 | Sharon Harper | Occupational Therapy Assistant | 920 E Avenue L, Silsbee, TX 77656-5014 | 2019-01-30 |
| 1073958039 | Teletha Lashone Daniels | Occupational Therapy Assistant | 705 Highway 418 W, Silsbee, TX 77656 | 2013-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215727 | Madison Brooke Foskey | Occupational Therapy Assistant | 3700 Legacy Dr Apt 22105, Frisco, TX 75034-6650 | 2020-11-07 |
| 1528668464 | Jerjean Casalem-dahl | Occupational Therapy Assistant | 8522 Cookglass Dr, Houston, TX 77072-4808 | 2020-10-29 |
| 1144829706 | Dickson Innemeset Etukudoh | Occupational Therapy Assistant | 21630 Merchants Way Ste 200, Katy, TX 77449-2514 | 2020-10-23 |
| 1861091019 | Erin Quinn | Occupational Therapy Assistant | 7130 Durango Creek Dr, Magnolia, TX 77354-2781 | 2020-10-20 |
| 1154920502 | Allison Hill | Occupational Therapy Assistant | 600 Nottingham Oaks Trl Apt 197, Houston, TX 77079-6233 | 2020-10-17 |
| 1518565951 | Susana Sifford | Occupational Therapy Assistant | 14515 Old Tybee Rd, Houston, TX 77084-7158 | 2020-10-16 |
| 1528666088 | Davie Michelle Kennington | Occupational Therapy Assistant | 1100 Sarah Swamy Ln, Sherman, TX 75090 | 2020-10-15 |
| 1386241735 | Tracy Lynn Price | Occupational Therapy Assistant | 15002 Zenith Glen Ln, Cypress, TX 77429-7644 | 2020-10-07 |
| 1003413782 | Gabriela Coronado Lopez | Occupational Therapy Assistant | 3206 Hummingbird Ln, Humble, TX 77396-4136 | 2020-10-05 |
| 1962009746 | Kayci Dawn Lane | Occupational Therapy Assistant | 290 Country Ridge Rd Unit 37, Lewisville, TX 75067-4503 | 2020-10-05 |
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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.