JOHN CARLO SHUN BASE (NPI# 1720236896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720236896 |
| Entity Type | Individual |
| Full Name | JOHN CARLO SHUN BASE |
| Credential | OTR |
| Practice Address |
359 Village Commons Blvd Georgetown TX 78633-4448 |
| Mailing Address |
150 Klattenhoff Ln Apt 2104 Hutto TX 78634-4601 |
| Practice Telephone | 5122776405 |
| Practice Fax Number | 5122776406 |
| Mailing Telephone | 5129878718 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2017-02-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 117013 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
359 VILLAGE COMMONS BLVD |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78633-4448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629196266 | Sridevi Thambi | Physical Therapist | 359 Village Commons Blvd, Georgetown, TX 78633-4448 | 2007-03-26 |
| 1831600972 | Jacqueline Hutchison | Speech-Language Pathologist | 359 Village Commons Blvd, Georgetown, TX 78633-3007 | 2017-10-16 |
| 1629592514 | Jessica June Walker | Occupational Therapist | 359 Village Commons Blvd, Georgetown, TX 78633-3007 | 2017-08-01 |
| 1427571363 | Audrey Wahl | Physical Therapist | 359 Village Commons Blvd, Georgetown, TX 78633-3007 | 2017-07-23 |
| 1922559749 | Ana Cristina Haugen | Occupational Therapist | 359 Village Commons Blvd, Georgetown, TX 78633-4448 | 2016-10-17 |
| 1821336256 | Dinorah Jannett Cano | Physical Therapist | 359 Village Commons Blvd, Georgetown, TX 78633-3007 | 2013-01-18 |
| 1952531154 | Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | 359 Village Commons Blvd, Georgetown, TX 78633-4448 | 2009-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568098937 | Medsur One Telemedicine LLC | Nurse Practitioner | 110 Eisenhower Court (administrative Office Location), 1309 Coffeen Ave Ste 1200 Sheridan Wy 82801, Georgetown, TX 78633 | 2020-03-18 |
| 1467946384 | Majestic Healthcare, Pllc | Nurse Practitioner | 110 Eisenhower Ct, Georgetown, TX 78633 | 2018-06-15 |
| 1912419649 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 5721 Williams Dr, Georgetown, TX 78633 | 2017-11-03 |
| 1255783510 | Peter James Mcgrath | Physical Therapist | 4749 Williams Drive, Suite 335, Georgetown, TX 78633 | 2016-07-11 |
| 1316357346 | Cody Ryon Gomez | Internal Medicine | 3201 South Austin Ave, Suite 205, Georgetown, TX 78633 | 2014-04-29 |
| 1902130701 | Don Wayne Berry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 624 Rio Grand Loop, Georgetown, TX 78633 | 2009-09-25 |
| 1851567499 | Georgetown Pediatric Dentistry, LLC | Dentist | 4507 Williams Drive, Georgetown, TX 78633 | 2008-05-04 |
| 1215035845 | Saramma George | Family Medicine | 105 Wildwood Drive, Suite 105, Georgetown, TX 78633 | 2006-09-20 |
| 1104834258 | Mobile Cr Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4749 Williams Dr, Georgetown, TX 78633 | 2006-08-04 |
| 1619997350 | Kathryn E Holland | Counselor | 603 Chambers Creek Ct, Georgetown, TX 78633 | 2006-07-19 |
| Find all providers in zip 78633 | ||||
| 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 |
|---|---|---|---|---|
| 1669094942 | Benchmark Physical Therapy of Delaware LLC | Occupational Therapist | 10 Georgetown Plz, Georgetown, DE 19947-2300 | 2020-05-10 |
| 1235795949 | Benchmark Physical Therapy of Ky LLC | Occupational Therapist | 106 Osbourne Way, Georgetown, KY 40324-9636 | 2019-05-17 |
| 1669932430 | Kathlyn Reeves Cummings | Occupational Therapist | 112 Dover Drive Dover Manor, Georgetown, KY 40324 | 2019-03-20 |
| 1851873384 | Leah Marie Benedetti | Occupational Therapist | 2323 Wolf Ranch Pkwy Apt 538, Georgetown, TX 78628-2070 | 2018-08-31 |
| 1710432505 | Megan Gaydosh | Occupational Therapist | 407 Church St Unit E, Georgetown, SC 29440-3792 | 2016-08-22 |
| 1194183483 | Mary Caitlin Brown | Occupational Therapist | 126 Sunningdale Dr, Georgetown, KY 40324-8889 | 2016-02-02 |
| 1689047631 | Meenu Dhiman | Occupational Therapist | 6162 Park St, Georgetown, IN 47122-9284 | 2015-11-12 |
| 1164833257 | Jason Hall | Occupational Therapist | 129 Fairfield Ct, Georgetown, TX 78633-4655 | 2014-05-12 |
| 1255675716 | Ashley Olszewski | Occupational Therapist | 12 Parish Rd, Georgetown, MA 01833-1226 | 2012-11-21 |
| 1497010029 | Martha A. House | Occupational Therapist | 805 Independence Creek Ln, Georgetown, TX 78633-5401 | 2012-07-10 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 78633 |
Please comment or provide details below to improve the information on JOHN CARLO SHUN BASE.
| 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.