CALEB JOEL MAENZA (NPI# 1548810435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548810435 |
| Entity Type | Individual |
| Full Name | CALEB JOEL MAENZA |
| Credential | OT-ASSISTANT |
| Practice Address |
4300 Sigma Rd Ste 130 Dallas TX 75244-4445 |
| Practice Telephone | 9727560500 |
| Practice Fax Number | 9727560448 |
| Mailing Telephone | 9727560500 |
| Mailing Fax Number | 9727560448 |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 215781 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4300 SIGMA RD STE 130 |
| City | DALLAS |
| State | TX |
| Zip Code | 75244-4445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871799924 | Stephanie Ann Anderson | Speech-Language Pathologist | 4300 Sigma Rd Ste 130, Dallas, TX 75244-4445 | 2007-06-25 |
| 1922648880 | Fnu Shiny Jacob | Physical Therapy Assistant | 4300 Sigma Rd Ste 130, Dallas, TX 75244-4445 | 2020-01-08 |
| 1922653666 | Kendall Renee Gipson | Occupational Therapy Assistant | 4300 Sigma Rd Ste 130, Dallas, TX 75244-4445 | 2019-08-08 |
| 1568027019 | Alicia Perryman | Specialist/Technologist | 4300 Sigma Rd Ste 130, Dallas, TX 75244-4445 | 2019-05-09 |
| 1730743113 | Marion Dielle Bradford | Occupational Therapy Assistant | 4300 Sigma Rd Ste 130, Dallas, TX 75244-4445 | 2019-05-01 |
| 1386103752 | Lisby Ibarra | Specialist/Technologist | 4300 Sigma Rd Ste 130, Dallas, TX 75244-4445 | 2019-03-15 |
| 1548727175 | Karina Watson | Specialist/Technologist | 4300 Sigma Rd Ste 130, Dallas, TX 75244-4445 | 2019-03-01 |
| 1891265823 | Jessica Wasmund | Occupational Therapist | 4300 Sigma Rd Ste 130, Dallas, TX 75244-4445 | 2018-12-03 |
| 1285114850 | Karissa Gunderson | Speech-Language Pathologist | 4300 Sigma Rd Ste 130, Dallas, TX 75244-4445 | 2018-08-14 |
| 1821574567 | Clarisa Denise Ting | Specialist/Technologist | 4300 Sigma Rd Ste 130, Dallas, TX 75244-4445 | 2018-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316561194 | Kevin Goodnight | Behavioral Analyst | 4230 Sigma Road, Dallas, TX 75244 | 2020-06-08 |
| 1851941413 | Medi-wheels, LLC | Durable Medical Equipment & Medical Supplies | 5005 Lbj Freeway, Ste. 840, Dallas, TX 75244 | 2019-09-16 |
| 1972157436 | Samantha Lograsso | Nurse Practitioner | 4055 Valley View Ln Suite 400, Dallas, TX 75244 | 2019-08-01 |
| 1205313780 | Cherae Ashland Burton | Licensed Vocational Nurse | 4099 Mcewen Rd., Farmers Branch, TX 75244 | 2018-07-26 |
| 1700383197 | Melissa Fitts | Behavioral Analyst | 13604 Midway Rd. #180, Farmers Branch, TX 75244 | 2018-04-11 |
| 1932607983 | Vcphcs, Lp | Clinic/Center | 5001 Spring Valley Road, Suite 600 East, Dallas, TX 75244 | 2018-01-24 |
| 1518406636 | Gentech Laboratories LLC | Clinical Medical Laboratory | 4403 N. Beltwood Parkway, Suite 300, Dallas, TX 75244 | 2017-02-22 |
| 1881045680 | Innovative Lifeskills Training Center LLC | Preferred Provider Organization | 5001 Spring Valley, Towers East Ste 400, Dallas, TX 75244 | 2016-06-23 |
| 1376992792 | Lynnlie Tuschoff | Registered Nurse | 4099 Mcewen, Suite 250, Farmers Brach, TX 75244 | 2016-06-07 |
| 1609223072 | Debra Jules | Licensed Vocational Nurse | 4099 Mcewen Road, Dallas, TX 75244 | 2016-05-16 |
| Find all providers in zip 75244 | ||||
| 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 |
|---|---|---|---|---|
| 1164039970 | Blair Ellyse Madkins | Occupational Therapy Assistant | 14248 Chaps Dr, Dallas, TX 75253-5305 | 2020-09-25 |
| 1427664663 | Morgan Gilbert | Occupational Therapy Assistant | 8240 Meadow Rd Apt 2204, Dallas, TX 75231-3721 | 2020-09-22 |
| 1215542485 | Danny Allford | Occupational Therapy Assistant | 5704 Spring Valley Rd Apt 2011, Dallas, TX 75254-3205 | 2020-09-14 |
| 1083227557 | William Christopher Scott Mckinley | Occupational Therapy Assistant | 2727 Kings Rd Apt 2156, Dallas, TX 75219-7421 | 2020-08-25 |
| 1811528862 | Jennifer Ann Lee | Occupational Therapy Assistant | 12770 Coit Rd Ste 870, Dallas, TX 75251-1455 | 2020-01-29 |
| 1033756226 | Shontel M Lopez | Occupational Therapy Assistant | 5800 Preston Oaks Rd Apt 1027, Dallas, TX 75254-8707 | 2019-12-06 |
| 1134764897 | Erica Caughlan | Occupational Therapy Assistant | 8820 Southwestern Blvd Apt 204, Dallas, TX 75206-2866 | 2019-11-16 |
| 1700367224 | Tia Cornelius | Occupational Therapy Assistant | 8130 Meadow Rd., Dallas, TX 75231 | 2018-08-23 |
| 1477057453 | Joanne Florexil | Occupational Therapy Assistant | 3805 S Buckner Blvd, Dallas, TX 75227-4312 | 2018-03-22 |
| 1144776899 | Vickie Pemberton | Occupational Therapy Assistant | 17540 Brown Rd, Dallas, OR 97338-9375 | 2016-08-31 |
| Find all providers in DALLAS | ||||
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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.