SHAWN WOLFE (NPI# 1609079623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609079623 |
| Entity Type | Individual |
| Full Name | SHAWN WOLFE |
| Practice Address |
300 Ranger Blvd Roland OK 74954-4040 |
| Mailing Address |
1635 Kings Way Alma AR 72921-5144 |
| Practice Telephone | 4794300497 |
| Mailing Telephone | 4794300497 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2014-11-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 736 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | OTR511 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275084162 | Shawn Renee Wolfe | Counselor | 570 Village Way, Argyle, TX 76226-2369 | 2016-10-17 |
| Street Address |
300 RANGER BLVD |
| City | ROLAND |
| State | OK |
| Zip Code | 74954-4040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750807350 | Tasha Acevedo | Technician | 300 Ranger Blvd, Roland, OK 74954-4040 | 2017-08-16 |
| 1487170916 | Cynthia Moore | Technician | 300 Ranger Blvd, Roland, OK 74954-4040 | 2017-08-16 |
| 1891228110 | Tabitha Patterson | Technician | 300 Ranger Blvd, Roland, OK 74954 | 2017-04-04 |
| 1740713064 | Jennifer Duggin | Technician | 300 Ranger Blvd, Roland, OK 74954 | 2017-04-04 |
| 1942657929 | Linda Barnes | Technician | 300 Ranger Blvd, Roland, OK 74954-4040 | 2016-05-19 |
| 1043666316 | Crystal Moore | Technician | 300 Ranger Blvd, Roland, OK 74954-4040 | 2016-05-05 |
| 1659727980 | Amy Akins | Technician | 300 Ranger Blvd, Roland, OK 74954-4040 | 2016-05-05 |
| 1841646189 | Vicki Jeremiah | Technician | 300 Ranger Blvd, Roland, OK 74954-4040 | 2016-05-05 |
| 1548616816 | Raquel Rogers | Technician | 300 Ranger Blvd, Roland, OK 74954-4040 | 2016-05-05 |
| 1336595610 | Gail Sorrell | Technician | 300 Ranger Blvd, Roland, OK 74954-4040 | 2016-05-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164969887 | Trinka Blankenship | Case Manager/Care Coordinator | 509 Dewey St, Poteau, OK 74954 | 2017-01-20 |
| 1972959625 | Karen Lynn Williams | Nurse Practitioner | 508 W. Ray Fine Blvd, Roland, OK 74954 | 2016-05-12 |
| 1285068791 | St. Madron Medical Clinic | Specialist | 205 E. Ray Fine Blvd St. 6, Roland, OK 74954 | 2013-09-03 |
| 1316178155 | Kimberley Ann Brunk | Optometrist | 1022 East Ray Fine Boulevard Suite 5, Roland, OK 74954 | 2009-07-28 |
| 1891939765 | Gary L Axley | Acupuncturist | 303 E. Ray Fine Blvd, Ste 3, Roland, OK 74954 | 2009-04-23 |
| 1598944944 | Seubold Family Chiropractic Inc | Chiropractor | 311 4 E Ray Fine Blvd, Suite4, Roland, OK 74954 | 2007-11-01 |
| 1689799793 | Cynthia Carol Almond | Preventive Medicine | 309 East Ray Fine Blvd, Roland, OK 74954 | 2007-03-20 |
| 1457498644 | Robert Kale | Anesthesiology | 100 East Ray Fine Blvd., Suite Q, Roland, OK 74954 | 2007-01-30 |
| 1255491494 | Lequita J. Joyce Inc | Counselor | 100 East Ray Fine Blvd, Roland, OK 74954 | 2006-12-11 |
| 1174604268 | Morgan A Seubold | Chiropractor | 1022 E Ray Fine Blvd, Ste 4, Roland, OK 74954 | 2006-10-17 |
| Find all providers in zip 74954 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336698067 | Jade Nicole Verge | Occupational Therapist | 105 E Ray Fine Blvd Ste L, Roland, OK 74954-5331 | 2016-09-22 |
| 1376140368 | Reflections Therapy Inc | Occupational Therapist | 105 E Ray Fine Blvd Ste L, Roland, OK 74954-5331 | 2020-10-03 |
| 1740610344 | Connie Halter | Occupational Therapist | 20900 Roland Heights Rd, Roland, AR 72135-9685 | 2013-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968701 | Brittany Leath | Occupational Therapist | 6109 Nw 153rd St, Edmond, OK 73013-9519 | 2020-10-01 |
| 1457960734 | Hannah Smith | Occupational Therapist | 200 Nw 66th St Ste 925, Oklahoma City, OK 73116-8227 | 2020-07-23 |
| 1093332306 | Kaylee Peterson | Occupational Therapist | 25300 S 4210 Rd, Inola, OK 74036-5032 | 2020-07-02 |
| 1316579717 | Rebecca Terrell | Occupational Therapist | 14901 N Penn Ave, Oklahoma City, OK 73134-6069 | 2020-02-04 |
| 1497385546 | Holly Louise Trumble | Occupational Therapist | 117 W 5th St # 1, Bartlesville, OK 74003-6651 | 2020-01-16 |
| 1497397319 | Parisa Ehsan | Occupational Therapist | 12701 Park Hill Rd, Oklahoma City, OK 73142-3131 | 2019-10-11 |
| 1124669783 | Heather Williams | Occupational Therapist | 1404 Nw122nd St, Oklahoma City, OK 73114 | 2019-10-04 |
| 1538700125 | Kayla Marie Monholland | Occupational Therapist | 2244 E Shawnee Rd, Muskogee, OK 74403-1443 | 2019-10-04 |
| 1831730621 | Mallory Dinsmore | Occupational Therapist | 22539 Chambers Rd, Earlsboro, OK 74840-8661 | 2019-10-02 |
| 1689228272 | Light of Mine Pediatric and Adolescent Therapy Services, Pllc | Occupational Therapist | 4517 S. Yellow Pine Ave., Broken Arrow, OK 74011-5616 | 2019-07-31 |
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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.