MINA WILSON (NPI# 1437632031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437632031 |
| Entity Type | Individual |
| Full Name | MINA WILSON |
| Credential | OTR |
| Practice Address |
1643 Lancaster Dr Ste 100 Grapevine TX 76051-3593 |
| Mailing Address |
3241 Sadie Trl Fort Worth TX 76137-6683 |
| Practice Telephone | 8173292524 |
| Mailing Telephone | 2146835361 |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2019-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 118599 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3600 Angle Ave, Fort Worth, TX 761063559 | 8176246164 |
| Street Address |
1643 LANCASTER DR STE 100 |
| City | GRAPEVINE |
| State | TX |
| Zip Code | 76051-3593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043695638 | Phillip Gonzalez | Occupational Therapist | 1643 Lancaster Dr Ste 100, Grapevine, TX 76051-3593 | 2015-07-23 |
| 1003473711 | Emily Anne Flannery | Physical Therapist | 1643 Lancaster Dr Ste 100, Grapevine, TX 76051-3593 | 2019-05-29 |
| 1336705094 | Kaycee Deann Howerton | Physical Therapist | 1643 Lancaster Dr Ste 100, Grapevine, TX 76051-3593 | 2019-05-17 |
| 1811454234 | Zoe Adom | Physical Therapist | 1643 Lancaster Dr Ste 100, Grapevine, TX 76051-3593 | 2019-02-21 |
| 1184105157 | Danielle Aleece Martin | Speech-Language Pathologist | 1643 Lancaster Dr Ste 100, Grapevine, TX 76051-3593 | 2018-08-27 |
| 1912452806 | Sarah Blumhardt | Speech-Language Pathologist | 1643 Lancaster Dr Ste 100, Grapevine, TX 76051-3593 | 2016-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227346 | Jeffrey Joseph Cervenka | Physical Therapist | 2421 Ira E Woods Ave #101, Grapevine, TX 76051 | 2020-02-12 |
| 1871137562 | Karen Lorince | Counselor | 2409 N. Support Road, Grapevine, TX 76051 | 2019-11-05 |
| 1548733785 | Jessica Thorman Johnson | Dietitian, Registered | 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 | 2019-01-10 |
| 1164928958 | Kristen Diou | Counselor | 913 S Church St Ste 103, Grapevine, TX 76051 | 2018-04-02 |
| 1356860597 | Anissa Singratanakul D.m.d, Pllc | Dentist | 1231 William D Tate Suite 400, Grapevine, TX 76051 | 2017-09-19 |
| 1033637665 | James Abraham Thomas | Pharmacy | 1601 W. State Hwy 114, Grapevine, TX 76051 | 2017-09-04 |
| 1437606563 | D'anna Sims | Counselor | 2451 Stone Myers Parkway, #100, Grapevine, TX 76051 | 2016-09-07 |
| 1477006369 | Melinda Jeanne Mashburn | Nurse Practitioner | 1600 West College St., Suite 60, Grapevine, TX 76051 | 2016-07-27 |
| 1437506623 | Allcare Physicians Group | Registered Nurse | 1111 S Main St Ste 119, Grapevine, TX 76051 | 2016-05-18 |
| 1790141745 | Colwick Counseling | Clinic/Center | 1400 W. Northwest Highway Suite 260, Grapevine, TX 76051 | 2016-01-06 |
| Find all providers in zip 76051 | ||||
| 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 |
|---|---|---|---|---|
| 1942755566 | Mary Suzanne Edmonson | Occupational Therapist | 2260 Pool Rd, Grapevine, TX 76051-4278 | 2016-08-24 |
| 1043695638 | Phillip Gonzalez | Occupational Therapist | 1643 Lancaster Dr Ste 100, Grapevine, TX 76051-3593 | 2015-07-23 |
| 1811282262 | Wattron Consulting, PC | Occupational Therapist | 3533 Hightimber Dr, Grapevine, TX 76051-6825 | 2011-06-14 |
| 1417265471 | Heather Muller | Occupational Therapist | 3900 Grapevine Mills Pkwy Unit 725, Grapevine, TX 76051-1996 | 2010-09-23 |
| 1972626232 | Jennifer Lynne Spencer | Occupational Therapist | 2401 Ira E Woods Ave Ste 300, Grapevine, TX 76051-3999 | 2007-04-09 |
| 1568929081 | Christina Sutton | Occupational Therapist | 1643 Lancaster Dr, Grapevine, TX 76051-3593 | 2019-02-21 |
| 1992252498 | Yanjing Xiao | Occupational Therapist | 1643 Lancaster Dr, Suite 100, Grapevine, TX 76051-3593 | 2016-09-01 |
| 1215360789 | Daphane Case | Occupational Therapist | 2300 Pool Rd, #332, Grapevine, TX 76051-4254 | 2013-08-19 |
| 1144652637 | Christina Marie Jones | Occupational Therapist | 2300 Pool Rd, Grapevine, TX 76051-4254 | 2013-08-06 |
| 1053696401 | Felisha Smith | Occupational Therapist | 2300 Pool Rd, Grapevine, TX 76051-4254 | 2011-10-18 |
| Find all providers in GRAPEVINE | ||||
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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.