MRS. TRACI PETERS ROYAL (NPI# 1447339007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447339007 |
| Entity Type | Individual |
| Full Name | MRS. TRACI PETERS ROYAL |
| Credential | OTR |
| Practice Address |
85 Ne Loop 410 Suite 209 San Antonio TX 78216-5829 |
| Mailing Address |
8719 Sagebrush Ln San Antonio TX 78217-5836 |
| Practice Telephone | 2103402627 |
| Practice Fax Number | 2103406437 |
| Mailing Telephone | 2108269929 |
| Mailing Fax Number | 2103406437 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 109144 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHEILD | 8T1334 | 01 |
| Street Address |
85 NE LOOP 410 SUITE 209 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78216-5829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053768804 | Cleo G Gonzalez | Specialist | 85 Ne Loop 410, Ste 214, San Antonio, TX 78216-5829 | 2016-05-23 |
| 1164834669 | Hormone Wellness Center of Texas | General Practice | 85 Ne Loop 410, Suite 402, San Antonio, TX 78216-5829 | 2014-06-02 |
| 1184059701 | Regent Healthcare Services LLC | Home Health | 85 Ne Loop 410, Suite 203, San Antonio, TX 78216-5829 | 2013-09-13 |
| 1619216280 | National Nursing & Rehab Adult, LLC | Nursing Care | 85 Ne Loop 410, Suite 500, San Antonio, TX 78216-5829 | 2013-02-01 |
| 1467747360 | Alisa Marie Nerod | Registered Nurse | 85 Ne Loop 410, Suite 612, San Antonio, TX 78216-5829 | 2011-06-20 |
| 1629362819 | Clinton Scott Simonson Jr. | Physical Therapy Assistant | 85 Ne Loop 410, Suite 610, San Antonio, TX 78216-5829 | 2011-06-05 |
| 1780986547 | Bobbie Hook | Speech-Language Pathologist | 85 Ne Loop 410, San Antonio, TX 78216-5829 | 2010-11-30 |
| 1811207848 | National Nursing and Rehab Sa Pediatrics, Inc. | Case Management | 85 Ne Loop 410, Suite 500, San Antonio, TX 78216-5866 | 2010-10-08 |
| 1205164571 | Sabrina Zoldey | Speech-Language Pathologist | 85 Ne Loop 410, San Antonio, TX 78216-5829 | 2009-11-25 |
| 1659606804 | Monica Montanez | Physical Therapist | 85 Ne Loop 410, Suite 612, San Antonio, TX 78216-5829 | 2009-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376179820 | Damiana Lea Mcmahan | Speech-Language Pathologist | 12 Inter Park Blvd, #105, San Antonio, TX 78216 | 2020-03-17 |
| 1811530967 | Hacienda Hospice, Ltd | Hospice Care, Community Based | 101 W Silver Sands Dr, San Antonio, TX 78216 | 2019-10-22 |
| 1437792876 | Eddy Sidra | Optometrist | 7400 San Pedro Avenue, Suite 486, San Antonio, TX 78216 | 2019-10-17 |
| 1083256796 | Tiffany Michelle Goericke | Physical Therapist | 502 East Ramsey, San Antonio, TX 78216 | 2019-10-14 |
| 1780246942 | Esperanza Eating Disorders Center, Pllc | Clinic/Center | 403 E. Ramsey, Suite 204, San Antonio, TX 78216 | 2019-07-08 |
| 1568938314 | Lyric Lea Lewis | Licensed Vocational Nurse | 85 Ne Interstate 410 Loop #500, San Antonio, TX 78216 | 2018-10-19 |
| 1912488206 | Rebecca Anna Poppe | Licensed Vocational Nurse | 1514 Vista Del Norte, San Antonio, TX 78216 | 2018-08-24 |
| 1205338779 | Bailee Hannah Mokry | Behavioral Analyst | 11306 Sir Winston, San Antonio, TX 78216 | 2018-03-01 |
| 1487155677 | Ojer Corbie | Behavior Technician | 11310 Sir Winston At Bld D, San Antonio, TX 78216 | 2018-02-23 |
| 1366943631 | Briana Nicole Rodriguez | Behavior Technician | 14235 Blanco Road, San Antonio, TX 78216 | 2018-02-22 |
| Find all providers in zip 78216 | ||||
| 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 |
|---|---|---|---|---|
| 1134741531 | Carlos Herrera | Occupational Therapist | 3201 Cherry Ridge St Ste 323c, San Antonio, TX 78230-4831 | 2020-05-08 |
| 1306499173 | Dawn Theresa Vigue | Occupational Therapist | 21626 Stonewall Pkwy Apt 4402, San Antonio, TX 78256-1724 | 2019-07-22 |
| 1851944136 | Allie Peugh | Occupational Therapist | 431 Wolfe Rd Ste 201, San Antonio, TX 78216-4628 | 2019-07-16 |
| 1992361612 | Jonanthony Jimenez | Occupational Therapist | 501 Ogden Ln, San Antonio, TX 78209-5142 | 2019-05-17 |
| 1033685029 | Jlyb, LLC | Occupational Therapist | 120 N Mesquite St Ste 5, San Antonio, TX 78202-2727 | 2018-10-17 |
| 1366924730 | David Edward Dupuy | Occupational Therapist | 307 West Cypress, San Antonio, TX 78212 | 2018-09-03 |
| 1184106544 | Marissa Kaye Bruton | Occupational Therapist | 505 Madison Oak, San Antonio, TX 78258 | 2018-09-02 |
| 1215418249 | Xavier Esteban Hernandez | Occupational Therapist | 8602 Cinnamon Creek Dr Apt 1705, San Antonio, TX 78240-1475 | 2018-08-28 |
| 1063992907 | Kaela Ann Donbavand | Occupational Therapist | 11212 State Highway 151 Ste 305, San Antonio, TX 78251-4498 | 2018-08-20 |
| 1427538016 | Stephanie Renee Jackson | Occupational Therapist | 626 Colosseo Way, San Antonio, TX 78253-5687 | 2018-08-14 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78216 |
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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.