MS. MARY M EADLER (NPI# 1659393643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659393643 |
| Entity Type | Individual |
| Full Name | MS. MARY M EADLER |
| Credential | COTA |
| Practice Address |
4800 Memorial Dr Waco TX 76711-1329 |
| Mailing Address |
7 Birch Ct Belton TX 76513-9252 |
| Practice Telephone | 2542973907 |
| Mailing Telephone | 2542973907 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 208585 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4800 MEMORIAL DR |
| City | WACO |
| State | TX |
| Zip Code | 76711-1329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255331013 | Raymond C Lisauckis | Counselor | 4800 Memorial Dr, Va Medical Center (124-vist-w), Waco, TX 76711-1329 | 2005-07-22 |
| 1558978817 | Macey Lynn Everett | Nutritionist | 4800 Memorial Dr, Waco, TX 76711-1329 | 2020-09-29 |
| 1659980696 | Najeeah Smith | Social Worker | 4800 Memorial Dr, Waco, TX 76711-1329 | 2020-07-27 |
| 1679100309 | Sara Mariem Ramadan | Nurse Practitioner | 4800 Memorial Dr, Waco, TX 76711-1329 | 2020-03-24 |
| 1225660798 | Tiffany A Wilson | Licensed Practical Nurse | 4800 Memorial Dr, Waco, TX 76711-1329 | 2020-02-12 |
| 1972142164 | Sheri Lynn Shaw | Nurse Practitioner | 4800 Memorial Dr, Waco, TX 76711-1329 | 2020-01-05 |
| 1366085953 | Ashley P Evans | Registered Nurse | 4800 Memorial Dr, Waco, TX 76711 | 2019-10-25 |
| 1669021184 | Marian Nichole Guerrero | Nurse Practitioner | 4800 Memorial Dr, Waco, TX 76711-1329 | 2019-09-06 |
| 1003463191 | Paul Cook | Physical Therapist | 4800 Memorial Dr, Waco, TX 76711-1329 | 2019-08-22 |
| 1346892601 | Austen Anderson | Psychologist | 4800 Memorial Dr, Waco, TX 76711-1329 | 2019-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467090548 | Nps Care LLC | Pharmacy | 1401 S Valley Mills Drive, Beverly Hills, TX 76711 | 2019-12-19 |
| 1033684352 | Open Arms Healthcare of Texas Inc. | Clinic/Center | 1437 S. Valley Mills Drive, Waco, TX 76711 | 2018-10-13 |
| 1093178733 | Access Dental of Valley Mills Pa | Dentist | 311401 S Valley Mills Drive, Waco, TX 76711 | 2016-03-31 |
| 1134501869 | Market Place Health Care, LLC | Skilled Nursing Facility | 2430 Market Place Drive, Waco, TX 76711 | 2015-06-18 |
| 1184038507 | Visn 17 Center of Excellence for Research On Returning War Veterans | Psychiatric Hospital | 4800 Veterans Memorial Drive, 151-c, Waco, TX 76711 | 2014-06-13 |
| 1053606228 | Clenny Edward Terrell | Pharmacist | 1520 S. Valley Mills Dr., Bevely Hills, TX 76711 | 2011-06-15 |
| 1225342926 | Geoffrey May | Psychiatry & Neurology | 4800 Memorial Drive (151c), Waco, TX 76711 | 2010-08-05 |
| 1184846685 | David Charles Chandler | Specialist/Technologist | Baylor Athletic Department, 150 Bear Run, Waco, TX 76711 | 2007-05-03 |
| 1326177601 | Minh D Nguyen | Family Medicine | 4800 Memorial Dr Bldg 4, Waco, TX 76711 | 2007-03-05 |
| 1376652719 | H-e-b, Lp | Clinical Medical Laboratory | 1821 S Valley Mills Dr, Waco, TX 76711 | 2006-08-30 |
| Find all providers in zip 76711 | ||||
| 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 |
|---|---|---|---|---|
| 1245797711 | Wendy Lynn Goff | Occupational Therapy Assistant | 10513 Calaveras, Waco, TX 76708-5785 | 2019-02-20 |
| 1063985133 | Anna Christine Bonner | Occupational Therapy Assistant | 289 Rockford Rd, Waco, TX 76712-3843 | 2019-01-10 |
| 1396226403 | Gala Kaye Czajkoski | Occupational Therapy Assistant | 300 West Hightway 6, Waco, TX 76712 | 2018-08-27 |
| 1497065577 | Jennifer Russell | Occupational Therapy Assistant | 6804 Sanger Ave, #227, Waco, TX 76710-4257 | 2010-10-07 |
| 1629251947 | Steven Wayne Carter | Occupational Therapy Assistant | 3496 Mazanec Rd, Waco, TX 76705-6119 | 2007-12-10 |
| 1104426634 | Cheyenne E Bowers | Occupational Therapy Assistant | 900 Washington Ave Ste 602, Waco, TX 76701-1283 | 2020-10-26 |
| 1548896517 | Keri Elizabeth Green | Occupational Therapy Assistant | 2320 Lake Shore Dr, Waco, TX 76708-1276 | 2020-03-20 |
| 1346870557 | Candace Michelle Doggett | Occupational Therapy Assistant | 900 Washington Ave Ste 602, Waco, TX 76701-1283 | 2020-01-16 |
| 1699312850 | Lorraine Kirkpatrick | Occupational Therapy Assistant | 5400 Laurel Lake Dr, Waco, TX 76710-2835 | 2019-12-06 |
| 1366086456 | Ashley Abram | Occupational Therapy Assistant | 2320 Lake Shore Dr, Waco, TX 76708-1276 | 2019-10-31 |
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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.