MR. ENRICO MASANGKAY ROQUE JR. (NPI# 1386270155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386270155 |
| Entity Type | Individual |
| Full Name | MR. ENRICO MASANGKAY ROQUE JR. |
| Credential | OTR |
| Practice Address |
103 Pantheon Ln Shreveport LA 71115-4506 |
| Practice Telephone | 3183931057 |
| Mailing Telephone | 3183931057 |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OTT.200779 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
103 PANTHEON LN |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71115-4506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740829217 | Bno Surgical Consultants, LLC | Physician Assistant | 303 Captain Hm Shreve Blvd, Shreveport, LA 71115 | 2020-01-02 |
| 1902310899 | Islam LLC | General Acute Care Hospital | 9815 Paragon Ln, Shreveport, LA 71115 | 2017-11-30 |
| 1508304569 | Marcel White | Case Manager/Care Coordinator | 9050 Youree Dr, Apt 105, Shreveport, LA 71115 | 2017-02-09 |
| 1114392784 | Marilyn Sparks | Counselor | 9999 Smitherman Dr Apt 502, Shreveport, LA 71115 | 2015-12-08 |
| 1699031237 | Cody Tingle | Internal Medicine | 8001 Youree Dr Ste 400, Shreveport, LA 71115 | 2012-04-09 |
| 1629366885 | Pankaj Sharma | Psychiatry & Neurology | Department of Neurology, Lsuhsc Shreveport, 1501 Kings Highway, Shreveport, LA 71115 | 2011-07-21 |
| 1396914750 | Lisa L Jawahar | Radiologic Technologist | 429 Creek Holw, Shreveport, LOUISIANA 71115 | 2008-02-29 |
| 1720291412 | Larry Kenneth Robinson Jr. | Dentist | 8856 Youree Dr, Suite C, Shreveport, LA 71115 | 2007-05-08 |
| 1952471609 | Shining Star Professional Services Inc | Social Worker | 9050 Youree Drive, #1004, Shreveport, LA 71115 | 2006-11-09 |
| 1922178854 | Akee Lj Jackson | Social Worker | 9050 Youree Dr. #1004, Shreveport, LA 71115 | 2006-11-08 |
| Find all providers in zip 71115 | ||||
| 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 |
|---|---|---|---|---|
| 1083214837 | Angela Impson | Occupational Therapist | 8039 Line Ave Ste 1b, Shreveport, LA 71106-5145 | 2020-10-30 |
| 1821540154 | Stephanie Jennings | Occupational Therapist | 1003 Osprey Dr, Shreveport, LA 71106-8352 | 2016-11-03 |
| 1043693872 | Jessica Russell | Occupational Therapist | 302 Sadie Douglas Cir, Shreveport, LA 71106-7689 | 2015-06-29 |
| 1033591771 | Amanda Benson | Occupational Therapist | 4509 Clingman Dr, Shreveport, LA 71105-3211 | 2015-06-18 |
| 1083018766 | Wendy Chandler | Occupational Therapist | 1030 Rochel Dr, Shreveport, LA 71115-3889 | 2014-10-09 |
| 1477996338 | Leslie G Mulford | Occupational Therapist | 612 Picketts Mill Dr, Shreveport, LA 71115-3862 | 2013-04-10 |
| 1942544424 | Anna Giannobile | Occupational Therapist | 9099 Cottage Ridge Drive, Shreveport, LA 71106 | 2012-11-21 |
| 1093086167 | Jacalyn Nierman | Occupational Therapist | 246 Winterwood Dr, Shreveport, LA 71106-7647 | 2012-01-22 |
| 1689988693 | Lisa Davison | Occupational Therapist | 1513 Westbury Dr, Shreveport, LA 71105-5031 | 2010-08-02 |
| 1649402397 | Tricia Ann Atkisson | Occupational Therapist | 228 Preston Ave, Shreveport, LA 71105-3308 | 2009-08-13 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71115 |
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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.