DILLON EVERETT THOMAS (NPI# 1487267555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487267555 |
| Entity Type | Individual |
| Full Name | DILLON EVERETT THOMAS |
| Practice Address |
1224 Alexander Cir Pueblo CO 81001-2021 |
| Practice Telephone | 7193345348 |
| Mailing Telephone | 7193345348 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1224 ALEXANDER CIR |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-2021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222863 | 1111 Bonforte Opco LLC | Respite Care | 855 Hunter Dr., Pueblo, CO 81001 | 2019-06-03 |
| 1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
| 1316456981 | Amy R Leibli | Nurse Practitioner | 1080 Chinook Lane, Pueblo, CO 81001 | 2017-09-26 |
| 1457781262 | Ron Concialdi | Dentist | 2037 Jerry Murphy Rd., Pueblo, CO 81001 | 2013-11-14 |
| 1609146950 | Natasha Liette Mondragon | Registered Nurse | 1302 E. 5th, Pueblo, CO 81001 | 2012-01-04 |
| 1023303575 | Malinda Lee Davis | Registered Nurse | 1302 E 5th, Pueblo, CO 81001 | 2011-06-13 |
| 1679876429 | Michael Edward Leyba | Substance Abuse Rehabilitation Facility | 4 Montebello Rd., Pueblo, CO 81001 | 2010-12-17 |
| 1609008796 | Laura Ann Mcmahon | Nurse Practitioner | 4020 Jerry Murphy Rd/, Pueblo, CO 81001 | 2009-08-21 |
| 1730380882 | Corrine Stella Tafoya | Counselor | 44 Calhoun Rd, Pueblo, CO 81001 | 2007-05-29 |
| 1518171008 | George Henry Beck | Dentist | 1700 N Salem Ave, Suite A, Pueblo, CO 81001 | 2007-05-10 |
| Find all providers in zip 81001 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356555858 | Kerri L. Johnson | Recreation Therapist | 1600 W 24th St, Pueblo, CO 81003-1411 | 2007-05-10 |
| 1255355962 | Scott D. Davis | Recreation Therapist | 1600 W 24th St, Pueblo, CO 81003-1411 | 2006-07-26 |
| 1841214558 | Amy L. Ward | Recreation Therapist | 1600 W 24th St, Pueblo, CO 81003-1411 | 2006-07-26 |
| 1376565481 | Kurt K. Baca | Recreation Therapist | 1600 W 24th St, Pueblo, CO 81003-1411 | 2006-07-25 |
| 1952326175 | Leah M. Perry | Recreation Therapist | 1600 W 24th St, Pueblo, CO 81003-1411 | 2006-07-12 |
| 1821023482 | Rochelle J. Beier-kemmet | Recreation Therapist | 1600 W 24th St, Pueblo, CO 81003-1411 | 2006-07-12 |
| 1568496289 | Shannon D. Williams | Recreation Therapist | 1600 W 24th St, Pueblo, CO 81003-1411 | 2006-07-10 |
| 1427081397 | Michael D. Dufauchard | Recreation Therapist | 1600 W 24th St, Pueblo, CO 81003-1411 | 2006-07-07 |
| 1194755405 | Traci A. Peterson | Recreation Therapist | 1600 W 24th St, Pueblo, CO 81003-1411 | 2006-07-03 |
| 1407884398 | Lynn D. Brown | Recreation Therapist | 1600 W 24th St, Pueblo, CO 81003-1411 | 2006-06-29 |
| Find all providers in PUEBLO | ||||
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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.