MISS TYWANNA LASHEA JACKSON


Address: 2237 Engle Rd, Fort Wayne, IN 46809-1404
Phone: 2607472353

MISS TYWANNA LASHEA JACKSON (NPI# 1376662015) 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) 1376662015
Entity Type Individual
Full Name MISS TYWANNA LASHEA JACKSON
Credential COTA
Practice Address 2237 Engle Rd
Fort Wayne
IN 46809-1404
Mailing Address Po Box 11532
Fort Wayne
IN 46859-1532
Practice Telephone 2607472353
Mailing Telephone 2603480124
Enumeration Date 2007-03-27
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224Z00000X Occupational Therapy Assistant 32001156A IN Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 2237 ENGLE RD
City FORT WAYNE
State IN
Zip Code 46809-1404

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427165059 Riverview Hospital Skilled Nursing Facility 2237 Engle Rd, Fort Wayne, IN 46809-1404 2006-08-23
1760802516 Kullen Quinlan Occupational Therapist 2237 Engle Rd, Fort Wayne, IN 46809-1404 2014-04-20
1831323005 Ashley Renea Kirkwood Physical Therapy Assistant 2237 Engle Rd, Fort Wayne, IN 46809-1404 2009-05-04
1609012582 Hazel Nalyn Basa Occupational Therapy Assistant 2237 Engle Rd, Fort Wayne, IN 46809-1404 2008-12-26
1003026113 Dawn Rochner Lang Physical Therapist 2237 Engle Rd, Fort Wayne, IN 46809-1404 2007-05-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497038574 Zachary L Roberts Pharmacist 12279 Bluffton Road, Fort Wayne, IN 46809 2011-09-24
1679660278 Kool Smiles In Ft. Wayne, PC Dentist 1852 Bluffton Road, Ft. Wayne, IN 46809 2006-10-06
1477512564 Brian Thomas Raypole Specialist/Technologist 5050 N. Clinton Street, Fort Wayne, IN 46809 2006-03-20
1669016895 Trinity Health Pharmacy Services, LLC Pharmacy 12279 Bluffton Road, Fort Wayne, IN 46809 2019-10-31
1871049981 Mark Sexton Physical Therapist 3534 Brooklyn Ave, Fort Wayne, IN 46809 2016-08-29
1841573318 Vicki Eileen Caccamo Pharmacist 6730 Bluffton Rd, Fort Wayne, IN 46809 2011-09-21
1104988112 Karena Diane Schroeder Physical Therapist 3534 Brooklyn Ave, Fort Wayne, IN 46809 2006-12-15
1013084946 David L Kuhn Physical Therapist 3534 Brooklyn Ave, Fort Wayne, IN 46809 2006-11-29
1265588404 May R. Dahman Specialist 1733 Kinsmoor Ave, Fort Wayne, IN 46809-1025 2007-01-27
1134746209 Laurel Schroeder Occupational Therapist 1726 Bluffton Rd, Fort Wayne, IN 46809-1305 2020-07-06
Find all providers in zip 46809

Taxonomy Information

Taxonomy Code 224Z00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapy Assistant

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609491414 Kerry Herndon Occupational Therapy Assistant 3715 Union Chapel Rd, Fort Wayne, IN 46845-7400 2020-06-08
1588121552 Danelle Hair Occupational Therapy Assistant 12909 Arcola Rd, Fort Wayne, IN 46818-9726 2019-02-26
1326557877 Kimberly K Kolb Occupational Therapy Assistant 1431 Runnion Ave, Fort Wayne, IN 46808 2017-09-28
1548626740 Sheila Faye Lefevra Occupational Therapy Assistant 2515 Hubertus Ave, Fort Wayne, IN 46805-3722 2016-01-05
1134594179 Lynnette Latrice Pickett Occupational Therapy Assistant 4419 Marquette Dr, Fort Wayne, IN 46806-4623 2015-12-02
1528430576 Brittany Morel Occupational Therapy Assistant 1345 Ashley Ave, Fort Wayne, IN 46825-3205 2015-10-28
1992174098 Justin Eutsler Occupational Therapy Assistant 4814 W Wallen Rd, Fort Wayne, IN 46818-9407 2015-09-18
1063801348 Jami Long Occupational Therapy Assistant 4180 Sage Bluff Crossin, Fort Wayne, IN 46804 2015-01-09
1083012785 Joshua Entenman Occupational Therapy Assistant 5531 Hopkinton Dr, Fort Wayne, IN 46814-7542 2014-12-11
1578983359 Sarah Buzzard Occupational Therapy Assistant 9426 Lima Road, A, Fort Wayne, IN 46818 2014-04-21
Find all providers in FORT WAYNE

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City FORT WAYNE
Zip Code 46809

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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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