BRENDA BLOXOM (NPI# 1649748302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649748302 |
| Entity Type | Individual |
| Full Name | BRENDA BLOXOM |
| Practice Address |
420 Moody St Fairfield TX 75840-3036 |
| Mailing Address |
723 Kelly St Fairfield TX 75840-2016 |
| Practice Telephone | 9033908382 |
| Enumeration Date | 2018-11-10 |
| Last Update Date | 2018-11-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 212939 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
420 MOODY ST |
| City | FAIRFIELD |
| State | TX |
| Zip Code | 75840-3036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124061304 | Fairfield I Enterprises, LLC | Skilled Nursing Facility | 420 Moody St, Fairfield, TX 75840-3036 | 2006-06-14 |
| 1447809868 | Meghan Leigh Bostic | Occupational Therapy Assistant | 420 Moody St, Fairfield, TX 75840-3036 | 2019-09-09 |
| 1083175814 | Moriah Munoz | Occupational Therapy Assistant | 420 Moody St, Fairfield, TX 75840-3036 | 2019-03-26 |
| 1205318359 | Carl Andrew Johnson | Physical Therapy Assistant | 420 Moody St, Fairfield, TX 75840-3036 | 2018-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811508724 | Caitlin Nicole Sieck | Physical Therapist | 375 A West Hwy 84, Fairfield, TX 75840 | 2020-08-13 |
| 1841816014 | Katie Randall | Licensed Practical Nurse | 115 Pr 1295, Fairfield, TX 75840 | 2020-06-23 |
| 1063574671 | Rural Rehab Providers, LLC | Physical Therapist | 375-a West Hwy 84, Fairfield, TX 75840 | 2006-12-14 |
| 1598854572 | Erin Maggard | Specialist | 375a W Hwy 84, Fairfield, TX 75840 | 2006-10-11 |
| 1003916453 | Brookshire Brothers Inc | Pharmacy | 300 West Hwy 84, Fairfield, TX 75840 | 2006-09-25 |
| 1003899501 | Air Evac Ems Inc | Ambulance | 160 Interstate 45 S, Fairfield, TX 75840 | 2005-11-29 |
| 1316423452 | Tonya N Basque | Nurse Practitioner | 734 W Commerce St, Fairfield, TX 75840 | 2018-07-12 |
| 1952681256 | Suzanne Castles | Physical Therapist | 375-a West Hwy 84, Fairfield, TX 75840 | 2011-08-18 |
| 1245476282 | Jack D Runyan | Physician Assistant | 734 W Commerce St, Fairfield, TX 75840 | 2008-12-22 |
| 1407945488 | Lisa Lott | Nurse Practitioner | 375a W Hwy 84, Fairfield, TX 75840 | 2006-10-11 |
| Find all providers in zip 75840 | ||||
| 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 |
|---|---|---|---|---|
| 1346627775 | Nancy Schulz | Occupational Therapy Assistant | 120 Mayweed Rd, Fairfield, CT 06824 | 2015-05-06 |
| 1609154079 | Brenda Scott | Occupational Therapy Assistant | 185 Fm 833 E, Fairfield, TX 75840-5103 | 2011-08-02 |
| 1932266921 | Carolyn Ann Hintze | Occupational Therapy Assistant | 1895 Woolner Avenue, Fairfield, CA 94533 | 2007-01-02 |
| 1205941317 | Kathy Hatton | Occupational Therapy Assistant | Rr 3 Box 897, Fairfield, IL 62837-9027 | 2006-08-20 |
| 1609489947 | Layne Mccrary | Occupational Therapy Assistant | 2560 N Texas St Ste J, Fairfield, CA 94533-1649 | 2020-08-26 |
| 1447809868 | Meghan Leigh Bostic | Occupational Therapy Assistant | 420 Moody St, Fairfield, TX 75840-3036 | 2019-09-09 |
| 1083175814 | Moriah Munoz | Occupational Therapy Assistant | 420 Moody St, Fairfield, TX 75840-3036 | 2019-03-26 |
| 1164990537 | Rachel N Shaw | Occupational Therapy Assistant | 2000 S Main St, Fairfield, IA 52556-9572 | 2018-11-05 |
| 1790267284 | William S Chambers | Occupational Therapy Assistant | 601 E Reunion St, Fairfield, TX 75840-1634 | 2018-08-31 |
| 1447731393 | Beverly Levels | Occupational Therapy Assistant | 601 E Reunion St, Fairfield, TX 75840-1634 | 2018-08-28 |
| Find all providers in FAIRFIELD | ||||
Please comment or provide details below to improve the information on BRENDA BLOXOM.
| 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.