MRS. STEPHANIE JENAE DORTCH (NPI# 1487047080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487047080 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE JENAE DORTCH |
| Other Name | MISS STEPHANIE JENAE ROBINSON |
| Credential | COTA/L |
| Practice Address |
809 Windlass Cv Brandon MS 39047-7035 |
| Mailing Address |
408 Ridge Park Cv Raymond MS 39154-9654 |
| Practice Telephone | 6017207206 |
| Mailing Telephone | 6015948242 |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | TA2010 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316432230 | Stephanie Dortch | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7464 Little Pond Ct, Orlando, FL 32810-6051 | 2018-06-23 |
| Street Address |
809 WINDLASS CV |
| City | BRANDON |
| State | MS |
| Zip Code | 39047-7035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508290974 | Quality Care Rehab, LLC | Occupational Therapy Assistant | 809 Windlass Cv, Brandon, MS 39047-7035 | 2013-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396368783 | Siyuan Chen Kennedy | Counselor | 108 Sandstone Drive, Brandon, MS 39047 | 2020-05-20 |
| 1568019784 | Juarez Brown Emerson | Registered Nurse | 426 Pinebrook Circle, Brandon, MS 39047 | 2019-08-22 |
| 1649764127 | Specialty Diagnostics LLC | Family Medicine | 1149 Old Fannin Rd Ste 22, Brandon, MS 39047 | 2018-06-19 |
| 1528423035 | Kathlene Strangeman | Social Worker | 111 Lakeshore Dr Apt G403, Brandon, MS 39047 | 2015-12-28 |
| 1174935076 | Anthony Davis | Counselor | 198 Bellegrove Cir, Brandon, MS 39047 | 2014-05-27 |
| 1144659178 | Medical Foundation of Central Ms, Inc | Family Medicine | 1887 Spillway Rd., Brandon, MS 39047 | 2013-11-12 |
| 1437429941 | Picton Timothy Evans | Pharmacist | 150 B Cumberland Ed, Brandon, MS 39047 | 2012-01-01 |
| 1275828030 | Kathryn Audell Piburn | Nurse Practitioner | 1887 Spillway Rd Ste 140, Brandon, MS 39047 | 2011-06-09 |
| 1801930532 | Susanne Reynolds Moore | Dentist | 1149 Old Fannin Rd, Suite 26, Brandon, MS 39047 | 2007-02-16 |
| 1194898429 | Brookshire Grocery Company | Durable Medical Equipment & Medical Supplies | 143 Plaza Drive Ext, Attention Pharmacy Dept, Brandon, MS 39047 | 2006-11-16 |
| Find all providers in zip 39047 | ||||
| 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 |
|---|---|---|---|---|
| 1205368842 | Dawn Edmonds | Occupational Therapy Assistant | 629 Lakemont Dr, Brandon, FL 33510-2571 | 2017-04-02 |
| 1922400282 | Emily Reid | Occupational Therapy Assistant | 613 Castlewoods Blvd, Brandon, MS 39047-7357 | 2014-09-18 |
| 1508290974 | Quality Care Rehab, LLC | Occupational Therapy Assistant | 809 Windlass Cv, Brandon, MS 39047-7035 | 2013-08-21 |
| 1356680748 | Joseph Soto | Occupational Therapy Assistant | 813 Bills Cir, Brandon, FL 33511-6104 | 2013-02-05 |
| 1467701565 | Betti Li | Occupational Therapy Assistant | 602 Voderburg Drive, 201, Brandon, FL 34511 | 2012-09-05 |
| 1366737454 | Alison Leber | Occupational Therapy Assistant | 1214 Lake Highview Ln, Brandon, FL 33510-2170 | 2011-06-16 |
| 1558664250 | Eden Rehab LLC | Occupational Therapy Assistant | 6100 Old Brandon Rd, Brandon, MS 39042-2543 | 2010-12-19 |
| 1982720843 | Paul Figueroa | Occupational Therapy Assistant | 1004 Milano Cir Apt 101, Brandon, FL 33511-7170 | 2007-03-22 |
| 1982720371 | Rehab Rx Corp | Occupational Therapy Assistant | 322 E Bloomingdale Ave, Brandon, FL 33511-8155 | 2007-03-21 |
| 1306309521 | Isabel Nelson | Occupational Therapy Assistant | 3008 E Aspen Blvd, Brandon, SD 57005-2202 | 2019-04-14 |
| Find all providers in BRANDON | ||||
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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.