DAWN DENISE EZELLE (NPI# 1457570053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457570053 |
| Entity Type | Individual |
| Full Name | DAWN DENISE EZELLE |
| Credential | COTA |
| Practice Address |
3400 Marine Drive Fort Worth TX 76135 |
| Mailing Address |
1200 Dallas Dr 1314 Denton TX 76205-5151 |
| Practice Telephone | 8172377231 |
| Mailing Telephone | 9402066222 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 209409 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3400 MARINE DRIVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992283501 | Sung Ryel Choi | Dentist | 6014 Azle Ave # 100, Lake Worth, TX 76135 | 2018-08-06 |
| 1750882056 | Kandess Klein | Licensed Vocational Nurse | 8825 Claiborn St, Lakeside, TX 76135 | 2018-02-22 |
| 1841791258 | Robyn Rich | Technician | 5104 Prestwick Drive, Fort Worth, TX 76135 | 2018-02-22 |
| 1598207821 | Young Men's Christian Association of Metropolitan Fort Worth | Health Educator | 5315 Boat Club Rd, Fort Worth, TX 76135 | 2016-11-17 |
| 1558818534 | Clearfork Academy Lp | Substance Abuse Rehabilitation Facility | 7820 Hanger Cut Off, Fort Worth, TX 76135 | 2016-09-07 |
| 1316300999 | National Vision, Inc. | Technician/Technologist | 6014 Azle Ave, Ste 200, Lake Worth, TX 76135 | 2016-04-01 |
| 1457647570 | Cynthia Rosaline Witt | Optometrist | 6014 Azle Avenue, Suite 300, Lake Worth, TX 76135 | 2011-06-27 |
| 1316134125 | Home Town Dental,pa | Dentist | 6332 Lake Worth, Lake Worth, TN 76135 | 2007-09-26 |
| 1790984789 | Jonathan Nicholas Valamides | Optometrist | 6060 Azle Ave. Suite 500, Lake Worth, TX 76135 | 2007-07-11 |
| 1609846617 | Robert Truitt Maberry, Jr. | Dentist | 3980 Boat Club Rd., Ste. 114, Ft. Worth, TX 76135 | 2006-01-23 |
| Find all providers in zip 76135 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942847181 | Lindsey Parish | Occupational Therapy Assistant | 7008 Golden Gate Dr E, Fort Worth, TX 76132-3702 | 2019-12-06 |
| 1437796299 | Latalia Lashaye Harrison | Occupational Therapy Assistant | 7810 Downe Dr, Fort Worth, TX 76108-3230 | 2019-11-28 |
| 1083262935 | Kristian Ashley Ray | Occupational Therapy Assistant | 1050 Lake View Rdg, Fort Worth, TX 76108-3023 | 2019-09-03 |
| 1861962839 | Erika Word | Occupational Therapy Assistant | 6251 Overton Ridge Blvd, Fort Worth, TX 76132-3755 | 2018-12-03 |
| 1164919460 | April Reed | Occupational Therapy Assistant | 1300, 2400 Westport Pkwy, Fort Worth, TX 76247 | 2018-04-23 |
| 1992201024 | Kathia Guerrier | Occupational Therapy Assistant | 4141 S Hulen St Apt 1127, Fort Worth, TX 76109-4972 | 2018-04-05 |
| 1023525573 | Jennifer Christine Arriaga | Occupational Therapy Assistant | 125 Smallwood, Fort Worth, TX 76114 | 2018-01-05 |
| 1043744691 | Dyann Harris | Occupational Therapy Assistant | 7732 Grassland Dr, Fort Worth, TX 76133-7922 | 2017-04-19 |
| 1801335831 | Traci Taylor | Occupational Therapy Assistant | 8120 Kathleen Dr, Fort Worth, TX 76137-6112 | 2017-02-23 |
| 1437600673 | Cassandra Wood | Occupational Therapy Assistant | 201 W Lancaster Ave, Unit 210, Fort Worth, TX 76102-6663 | 2016-10-24 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76135 |
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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.