MOLLY BLAYLOCK (NPI# 1366672990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366672990 |
| Entity Type | Individual |
| Full Name | MOLLY BLAYLOCK |
| Practice Address |
804 Polk St Winnsboro LA 71295-2350 |
| Mailing Address |
4109 Highway 98 W Summit MS 39666-9132 |
| Practice Telephone | 3184351550 |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2009-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA200086 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932332541 | Molly Jean Blaylock | Massage Therapist | 12615 E Mission Ave, Suite 400, Spokane Valley, WA 99216-3060 | 2009-08-29 |
| Street Address |
804 POLK ST |
| City | WINNSBORO |
| State | LA |
| Zip Code | 71295-2350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932196581 | Charlyn Enterprises, LLC | Skilled Nursing Facility | 804 Polk St, Winnsboro, LA 71295-2350 | 2005-09-29 |
| 1275180655 | Winnsboro Opco LLC | Skilled Nursing Facility | 804 Polk St, Winnsboro, LA 71295-2350 | 2019-08-21 |
| 1063851533 | Grace Villanueva | Physical Therapist | 804 Polk St, Winnsboro, LA 71295-2350 | 2013-06-18 |
| 1205196805 | Kyle Hendricks | Physical Therapy Assistant | 804 Polk St, Winnsboro, LA 71295-2350 | 2012-05-17 |
| 1639307416 | Allison Williamson | Occupational Therapist | 804 Polk St, Winnsboro, LA 71295-2350 | 2009-06-30 |
| 1386894558 | Debra Strong | Speech-Language Pathologist | 804 Polk St, Winnsboro, LA 71295-2350 | 2008-09-24 |
| 1962619734 | Gina Smith | Physical Therapist | 804 Polk St, Winnsboro, LA 71295-2350 | 2007-05-17 |
| 1710909569 | Charlyn Enterprises, LLC | Durable Medical Equipment & Medical Supplies | 804 Polk St, Winnsboro, LA 71295-2350 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295365963 | Allyson Maxwell | Speech-Language Pathologist | 2330 Hwy La 15, Winnsboro, LA 71295 | 2020-01-22 |
| 1326564311 | Geaux Fit of La LLC | Physical Therapist | 3630 Front St, Winnsboro, LA 71295 | 2017-08-21 |
| 1407372220 | Pauline T Powell | Case Manager/Care Coordinator | 920 Maple St, Winnsboro, LA 71295 | 2017-08-15 |
| 1831613801 | Desi D Hoard | Counselor | 2513 Martin Dr., Winnsboro, LA 71295 | 2017-08-01 |
| 1174975213 | Tanya Grant | Case Manager/Care Coordinator | 2411 Gary St, Winnsboro, LA 71295 | 2016-07-12 |
| 1285085050 | Casey Ryan | Physical Therapist | 6340 Hwy 4, Winnsboro, LA 71295 | 2016-06-23 |
| 1003264649 | Ta'erica Manuel | Counselor | 1113 Lavender Dr, Winnsboro, LA 71295 | 2016-05-24 |
| 1073969168 | Ladill Majors | Counselor | 1459 Highway 618, Winnsboro, LA 71295 | 2016-05-09 |
| 1386090587 | Lakeisha Crockett | Case Manager/Care Coordinator | 2406c West St, Winnsboro, LA 71295 | 2016-05-06 |
| 1982064069 | Refford Oliver Sr. | Counselor | 2406 West St, Winnsboro, LA 71295 | 2016-03-02 |
| Find all providers in zip 71295 | ||||
| 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 |
|---|---|---|---|---|
| 1366825028 | Carmen Denay Hughes | Occupational Therapy Assistant | 791 New Zion Rd, Winnsboro, LA 71295-5731 | 2015-06-30 |
| 1639441371 | Monkeys and Moons Pediatric Therapy, LLC | Occupational Therapy Assistant | 4238 Front St, Winnsboro, LA 71295-4139 | 2012-01-26 |
| 1295029759 | Margaret 'ashley' Arnette | Occupational Therapy Assistant | 503 N Vanderhorst St, Winnsboro, SC 29180-1249 | 2011-06-01 |
| 1336740760 | William Jay Dennis | Occupational Therapy Assistant | 406 S Main St, Winnsboro, TX 75494-3226 | 2020-11-03 |
| 1134770548 | Charlene Krieger | Occupational Therapy Assistant | 406 S Main St, Winnsboro, TX 75494-3226 | 2019-09-26 |
| 1336795368 | Erica D Booth | Occupational Therapy Assistant | 406 S Main St, Winnsboro, TX 75494-3226 | 2019-08-15 |
| 1487207114 | Lisa Michelle Seale | Occupational Therapy Assistant | 406 S Main St, Winnsboro, TX 75494-3226 | 2019-07-22 |
| 1316411572 | Lisa M Borden | Occupational Therapy Assistant | 406 S Main St, Winnsboro, TX 75494-3226 | 2019-01-21 |
| 1558843532 | Suzanne Pope | Occupational Therapy Assistant | 406 S Main St, Winnsboro, TX 75494-3226 | 2018-09-05 |
| 1396227849 | Sarah Ann Stuart | Occupational Therapy Assistant | 406 S Main St, Winnsboro, TX 75494-3226 | 2018-08-31 |
| Find all providers in WINNSBORO | ||||
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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.