COURTNEY RAE SHANKLE (NPI# 1376926998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376926998 |
| Entity Type | Individual |
| Full Name | COURTNEY RAE SHANKLE |
| Credential | OTR/L |
| Practice Address |
1895 Thousand Oaks Dr Hernando MS 38632-8914 |
| Practice Telephone | 9015682240 |
| Mailing Telephone | 9015682240 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT2977 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1895 THOUSAND OAKS DR |
| City | HERNANDO |
| State | MS |
| Zip Code | 38632-8914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275042335 | Dominic Lashay Freeman | Case Management | 2744 Hwy 51 South, Hernando, MS 38632 | 2017-09-21 |
| 1851814875 | Staci Lea Hudson | Nurse Practitioner | 2705 Hwy 51 South, Hernando, MS 38632 | 2017-07-21 |
| 1629425517 | Jamieka Harris | Counselor | 2705 Hwy 51 S, Hernando, MS 38632 | 2016-05-20 |
| 1215302476 | Elizabeth Claire Corban | Counselor | 2725 Highway 51 S., Hernando, MS 38632 | 2015-12-14 |
| 1669850004 | Jcc, LLC | Dentist | 1150 Monteith Avenue, Suite 102, Hernando, MS 38632 | 2015-05-18 |
| 1053701995 | Leigh Houston | Registered Nurse | 3104 Stonehenge Dr, Hernando, MS 38632 | 2015-01-30 |
| 1871831552 | Hernando Dental Group Incorporated | Dentist | 2264 Mcingvale Rd., Hernando, MS 38632 | 2013-01-30 |
| 1255677001 | Midsouth Medical Specialties, LLC | Pharmacy | 2260 Highway 515 South, Hernando, MS 38632 | 2012-12-26 |
| 1447506514 | Surgical First Assist, LLC | Specialist/Technologist, Other | 8921 Black Panther Cove, Herenando, MS 38632 | 2012-07-26 |
| 1629348396 | Stacy Riddle-mattox | Counselor | 2725 Highway 51 South, Hernando, MS 38632 | 2012-01-11 |
| Find all providers in zip 38632 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639440431 | Hometown Rehab Pllc | Occupational Therapist | 3451 E Louise Ln, Suite 110, Hernando, FL 34442-4396 | 2012-01-25 |
| 1265666986 | Cheryl A Yarchuk | Occupational Therapist | 2780 N Florida Ave, Unit 1 Hernando Plaza, Hernando, FL 34442-4390 | 2009-05-09 |
| 1306020599 | Nicole Fay Wall | Occupational Therapist | 778 West Cockatiel Loop, Hernando, FL 34442 | 2007-12-24 |
| 1033268115 | Wanda Marie Lee | Occupational Therapist | 1047 N Hunt Club Dr, Hernando, FL 34442-6372 | 2007-01-09 |
| 1235675307 | Miracle Mile Therapy LLC | Occupational Therapist | 2780 N Florida Ave, Unit 1 Hernando Plaza, Hernando, FL 34442-4390 | 2017-01-13 |
| 1003223595 | Katie Hunt | Occupational Therapist | 190 W South St, Hernando, MS 38632-2245 | 2014-07-16 |
| 1427497627 | Kristen Nicole Walls | Occupational Therapist | 190 W South St, Hernando, MS 38632-2245 | 2013-06-20 |
| 1689952137 | Julie Honness | Occupational Therapist | 2679 N Forest Ridge Blvd, Hernando, FL 34442-5123 | 2011-08-02 |
| 1710184650 | Mary Lou Davis Ix | Occupational Therapist | 2679 N Forest Ridge Blvd, Hernando, FL 34442-5123 | 2007-07-02 |
| 1548237118 | Tlc Rehab, Inc. | Occupational Therapist | 2679 N Forest Ridge Blvd, Hernando, FL 34442-5123 | 2006-03-02 |
| Find all providers in HERNANDO | ||||
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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.