STEPHANIE MARIE BANUELOS (NPI# 1528548534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528548534 |
| Entity Type | Individual |
| Full Name | STEPHANIE MARIE BANUELOS |
| Credential | COTA |
| Practice Address |
10064 Alameda Ave Socorro TX 79927 |
| Mailing Address |
7825 Ledbetter Rd Vinton TX 79821-8607 |
| Practice Telephone | 9157730730 |
| Enumeration Date | 2018-08-19 |
| Last Update Date | 2018-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 213408 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 N Pearl St Ste 1050, Dallas, TX 752017495 | 8882109871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174072581 | Stephanie Banuelos | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Torrance, CA 90502 | 2016-09-27 |
| Street Address |
10064 ALAMEDA AVE |
| City | SOCORRO |
| State | TX |
| Zip Code | 79927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184000283 | Scc Socorro LLC | Skilled Nursing Facility | 10064 Alameda Ave, Socorro, TX 79927-1804 | 2015-07-31 |
| 1417412859 | Rosaura Orozco Blakely | Physical Therapist | 10064 Alameda Ave, Socorro, TX 79927-1801 | 2019-02-08 |
| 1932664372 | City of Ennis | Skilled Nursing Facility | 10064 Alameda Ave, Socorro, TX 79927-1801 | 2019-02-08 |
| 1083179337 | Rigoberto Herrera | Physical Therapy Assistant | 10064 Alameda Ave, Socorro, TX 79927-1801 | 2019-01-31 |
| 1619459252 | Ivan Chavarria | Occupational Therapy Assistant | 10064 Alameda Ave, Socorro, TX 79927-1801 | 2018-08-30 |
| 1376024877 | Matthew Stafford | Occupational Therapist | 10064 Alameda Ave, Socorro, TX 79927-1801 | 2018-08-23 |
| 1902387681 | Griselda De Leon | Occupational Therapy Assistant | 10064 Alameda Ave, Socorro, TX 79927-1801 | 2018-08-22 |
| 1831670512 | Heslie Shassel Valle | Physical Therapy Assistant | 10064 Alameda Ave, Socorro, TX 79927-1801 | 2018-08-22 |
| 1477034155 | Silvia Ibone Castruita | Physical Therapy Assistant | 10064 Alameda Ave, Socorro, TX 79927-1801 | 2018-08-22 |
| 1518448208 | Joaquin Renteria | Occupational Therapy Assistant | 10064 Alameda Ave, Socorro, TX 79927-1801 | 2018-08-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541372 | Fv Denta Pllc | Dentist | 10670 N. Loop Dr., Socorro, TX 79927 | 2020-06-03 |
| 1861949315 | Grissel Davila | Dental Assistant | 11761 Flor Del Rio, El Paso, TX 79927 | 2016-09-01 |
| 1285944843 | Adolfo Square Inc. | PACE Provider Organization | 10750 North Loop, Suite A-2/a-3, Socorro, TX 79927 | 2010-10-18 |
| 1528167350 | Damian Alan Maureira | Social Worker | 657 Winn Rd, El Paso, TX 79927 | 2006-09-21 |
| 1164888319 | Capelli Group LLC | Specialist | 9739 Socorro Rd, Socorro, TX 79927 | 2016-01-04 |
| 1942673074 | Eddie Hernandez | Technician | 10780 Ganado Dr, Socorro, TX 79927-1207 | 2015-11-11 |
| 1417409699 | Atentos En Su Hogar LLC | Home Health | 10780 Ganado Dr, Socorro, TX 79927-1207 | 2016-11-03 |
| 1912479445 | Project Vida Health Center | Clinic/Center | 301 Bovee Rd., Socorro, TX 79927-1220 | 2018-12-21 |
| 1881250215 | Relief Service LLC | Physical Therapist | 230 Pvt Juan Garcia Rd, Socorro, TX 79927-1323 | 2019-05-10 |
| 1215538483 | Alejandra Melendez | Custodial Care Facility | 160 Santa Paula Dr, El Paso, TX 79927-1466 | 2020-11-04 |
| Find all providers in zip 79927 | ||||
| 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 |
|---|---|---|---|---|
| 1578604039 | Jose Delfin Herrera Jr. | Occupational Therapy Assistant | 1115 N California Street, Socorro, NM 87801 | 2007-02-09 |
| 1619459252 | Ivan Chavarria | Occupational Therapy Assistant | 10064 Alameda Ave, Socorro, TX 79927-1801 | 2018-08-30 |
| 1902387681 | Griselda De Leon | Occupational Therapy Assistant | 10064 Alameda Ave, Socorro, TX 79927-1801 | 2018-08-22 |
| 1518448208 | Joaquin Renteria | Occupational Therapy Assistant | 10064 Alameda Ave, Socorro, TX 79927-1801 | 2018-08-22 |
| 1437516713 | Ericka Paige Hartford | Occupational Therapy Assistant | 10064 Alameda Ave, Socorro, TX 79927 | 2016-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215727 | Madison Brooke Foskey | Occupational Therapy Assistant | 3700 Legacy Dr Apt 22105, Frisco, TX 75034-6650 | 2020-11-07 |
| 1528668464 | Jerjean Casalem-dahl | Occupational Therapy Assistant | 8522 Cookglass Dr, Houston, TX 77072-4808 | 2020-10-29 |
| 1144829706 | Dickson Innemeset Etukudoh | Occupational Therapy Assistant | 21630 Merchants Way Ste 200, Katy, TX 77449-2514 | 2020-10-23 |
| 1861091019 | Erin Quinn | Occupational Therapy Assistant | 7130 Durango Creek Dr, Magnolia, TX 77354-2781 | 2020-10-20 |
| 1154920502 | Allison Hill | Occupational Therapy Assistant | 600 Nottingham Oaks Trl Apt 197, Houston, TX 77079-6233 | 2020-10-17 |
| 1518565951 | Susana Sifford | Occupational Therapy Assistant | 14515 Old Tybee Rd, Houston, TX 77084-7158 | 2020-10-16 |
| 1528666088 | Davie Michelle Kennington | Occupational Therapy Assistant | 1100 Sarah Swamy Ln, Sherman, TX 75090 | 2020-10-15 |
| 1386241735 | Tracy Lynn Price | Occupational Therapy Assistant | 15002 Zenith Glen Ln, Cypress, TX 77429-7644 | 2020-10-07 |
| 1003413782 | Gabriela Coronado Lopez | Occupational Therapy Assistant | 3206 Hummingbird Ln, Humble, TX 77396-4136 | 2020-10-05 |
| 1962009746 | Kayci Dawn Lane | Occupational Therapy Assistant | 290 Country Ridge Rd Unit 37, Lewisville, TX 75067-4503 | 2020-10-05 |
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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.