INNOVATIVE OCCUPATIONAL THERAPY (NPI# 1477154011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477154011 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE OCCUPATIONAL THERAPY |
| Practice Address |
1100 Lake Carolyn Pkwy Irving TX 75039-4701 |
| Mailing Address |
1323 S Cleveland St Little Rock AR 72204-2585 |
| Practice Telephone | 2137874301 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-03 |
| Authorized Official Name | KEYJONN VELAZQUEZ (OTR/L) |
| Authorized Official Telephone | 2137874301 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Innovative Occupational Therapy Concepts, LLC | 13308 W 87th Terrace, Arvada, CO 80005 |
| Street Address |
1100 LAKE CAROLYN PKWY |
| City | IRVING |
| State | TX |
| Zip Code | 75039-4701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457976714 | Blue Light Therapies LLC | Clinic/Center | 421 E Royal Ln Suite 100, Irving, TN 75039 | 2020-06-12 |
| 1912537127 | Family Pharmacy @ Las Colinas LLC | Pharmacy | 6555 North State Hwy 161, Suite B, Irving, TX 75039 | 2020-01-16 |
| 1669011581 | Thrive House Therapy Pllc | Counselor | 5000 Riverside Drive, Bldg 6, Ste 100, Irving, TX 75039 | 2019-12-23 |
| 1265075048 | Juliana Dubey | Technician, Other | 400 E. Royal Ln, Building 3, Suite 290, Irving, TX 75039 | 2019-10-23 |
| 1932753894 | Jane Spagnoletti Niemtschk | Pharmacist | 750 West John Carpenter Freeway, Mc500, Irving, TX 75039 | 2019-07-30 |
| 1235796640 | Daniel Puig | Massage Therapist | 5000 Riverside Dr. Bldg 6 Ste. 100e, Irving, TX 75039 | 2019-05-21 |
| 1104301738 | Charity Maashe | Technician, Other | 400 E. Royal Lane, Bld 3, Ste 290, Irving, TX 75039 | 2018-09-28 |
| 1225545460 | Kuriachan Eye Institute, Pllc | Ophthalmology | 6750 N Macarthur Blvd Ste 331, Irving, TX 75039 | 2018-01-09 |
| 1619489978 | Eric Reaves | Assistant Behavior Analyst | 400 E. Royal Lane Bldg. 3, Suite 290, Irving, TX 75039 | 2017-10-26 |
| 1194247023 | Michael Do | Optometrist | 6445 Love Dr Apt 3035, Irving, TX 75039 | 2017-07-12 |
| Find all providers in zip 75039 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942661277 | Mississippi Neurodiagnostics, LLC | Clinic/Center | 4600 Fuller Dr Ste 275, Irving, TX 75038-6551 | 2016-03-15 |
| 1912318445 | Alliance Neurodiagnostics, LLC | Clinic/Center | 4545 Fuller Dr Ste 200, Irving, TX 75038 | 2014-05-19 |
| 1649612110 | Charles D. Demarque, Md, Pa | Clinic/Center | 4020 N Macarthur Blvd, Suite 122-286, Irving, TX 75038-6419 | 2013-07-24 |
| 1801104377 | Medical Housecalls of Dallas, LLC | Clinic/Center | 687 E Royal Ln, 2109, Irving, TX 75039-3630 | 2010-09-18 |
| 1619205978 | O. A. Thompson, D.d.s. Inc | Clinic/Center | 308 N. O'connor Rd, Irving, TX 75061-7524 | 2009-11-25 |
| 1003144387 | Sunil Mathews, Md Pa | Clinic/Center | 7701 Las Colinas Rdg Ste 260, Irving, TX 75063-7554 | 2009-11-25 |
| 1477792117 | Sheryl Tollenaar, Dc, Pa | Clinic/Center | 2121 W Airport Fwy Ste 480, Irving, TX 75062-6029 | 2009-02-19 |
| 1104074657 | Clinica De Las Varices Y Laser Inc. | Clinic/Center | 613 N O Connor Rd, Suite 27, Irving, TX 75061-7529 | 2008-09-08 |
| 1255511481 | Chartone, Inc | Clinic/Center | 545 E John Carpenter Fwy, Suite 700, Irving, TX 75062-3931 | 2007-11-05 |
| 1346369865 | Rodriguez Ogle, LLC | Clinic/Center | 508 S Macarthur Blvd, Irving, TX 75060-2729 | 2007-03-28 |
| Find all providers in IRVING | ||||
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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.