TERRY WALLACE (NPI# 1639112071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639112071 |
| Entity Type | Individual |
| Full Name | TERRY WALLACE |
| Credential | LOT |
| Practice Address |
605 Rockmead Dr Suite 200 Humble TX 77339-2254 |
| Mailing Address |
2154 River Village Dr Humble TX 77339-1770 |
| Practice Telephone | 2813489588 |
| Practice Fax Number | 2813482150 |
| Mailing Telephone | 2813613829 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2009-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 104330 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XH1200X |
Occupational Therapist Specialization: Hand |
1041100564 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | OCCUPATIONAL THERAPY LICENSE | 104330 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831304922 | Terry Eugene Wallace | Counselor | 104 Ne Avenue A, Idabel, OK 74745 | 2007-05-11 |
| 1306066345 | Terry Anthony Wallace | Dentist | 2165 Main St, Jamesville, NC 27846-9117 | 2007-05-01 |
| 1639217912 | Terry Stewart Wallace | Case Manager/Care Coordinator | 3169 2nd Ave East, Big Stone Gap, VA 24219 | 2007-02-01 |
| 1356335285 | Terry W Wallace | Radiology | 700 E Morehead St Ste 300, Charlotte, NC 28202-2742 | 2005-09-07 |
| Street Address |
605 ROCKMEAD DR SUITE 200 |
| City | HUMBLE |
| State | TX |
| Zip Code | 77339-2254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851913669 | Robert Rowlands | Student in an Organized Health Care Education/Training Program | 22999 Us Hwy 59 N, Kingwood, Tx, 77339, Kingwood, TX 77339 | 2020-05-14 |
| 1295356467 | Christopher Dilger | Student in an Organized Health Care Education/Training Program | 22999 Us Hwy 59 N, Gme Suite 105, Kingwood, TX 77339 | 2020-04-29 |
| 1427600337 | Lynda Nguyen | Nurse Practitioner | 24006 Highway 59 N, Kingwood, TX 77339 | 2019-07-11 |
| 1215599139 | H-e-b, Lp | Clinical Medical Laboratory | 19529 Northpark Drive, Kingwood, TX 77339 | 2019-07-01 |
| 1639631492 | Trung Nguyen | Student in an Organized Health Care Education/Training Program | 22999 Us 59 N, Kingwood, TX 77339 | 2019-04-02 |
| 1467913673 | Bhavin G Shah | Student in an Organized Health Care Education/Training Program | 22999 Us-59 N, Kingwood, Tx 77339, Kingwood, TX 77339 | 2019-03-29 |
| 1164999462 | Erica Peters | Behavior Technician | 2825 W. Town Center Circle, Kingwood, TX 77339 | 2018-10-25 |
| 1780162040 | Kaldan Inc | Dentist | 23812 Hwy 59 North, Kingwood, TX 77339 | 2018-07-30 |
| 1457845745 | John Micheal Leondike | Nurse Practitioner | 2665 Royal Forrest Dr., Ste B-150, Kingwood, TX 77339 | 2018-06-19 |
| 1780173161 | Pta Home Health Care | Home Health | 5606 Rocky Trail Dr, Kingwood, TX 77339 | 2018-05-01 |
| Find all providers in zip 77339 | ||||
| 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 |
|---|---|---|---|---|
| 1841651478 | Kelly Lisa Midkiff | Occupational Therapist | 520 Atascocita Rd Lot E14, Humble, TX 77396-3658 | 2016-03-09 |
| 1598103830 | Clarissa Rene Charles | Occupational Therapist | 4106 Duneberry Trl, Humble, TX 77346-1887 | 2013-06-09 |
| 1417211186 | Tierra Boyd | Occupational Therapist | 8440 N Sam Houston Pkwy E, Humble, TX 77396-2993 | 2012-06-27 |
| 1891056917 | Ashley Nicole Carter | Occupational Therapist | 1000 1st St E Ste E, Humble, TX 77338-4924 | 2012-06-05 |
| 1376838896 | Edwina Murphy | Occupational Therapist | 2111 Fm 1960 Rd E, Humble, TX 77338-5229 | 2011-06-13 |
| 1669765558 | Kellie G Espinoza | Occupational Therapist | 20506 Marblehead Ct, Humble, TX 77338-2224 | 2011-05-25 |
| 1265732499 | Lorna Adame | Occupational Therapist | 7222 Fuchsia Ln, Humble, TX 77346-3196 | 2010-10-21 |
| 1669603817 | Cynthia Moreida-ramsey | Occupational Therapist | 8627 Cross Country Dr, Humble, TX 77346-6083 | 2009-08-06 |
| 1851410641 | Craig Davis | Occupational Therapist | 19226 Pinewood Mist Ln, Humble, TX 77346-3025 | 2007-03-29 |
| 1437798055 | Swapna Ann George | Occupational Therapist | 9250 Humble Westfield Rd, Humble, TX 77338-4247 | 2019-12-30 |
| Find all providers in HUMBLE | ||||
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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.