JOHN CARLO SHUN BASE


Address: 359 Village Commons Blvd, Georgetown, TX 78633-4448
Phone: 5122776405

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 117013 TX Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 359 VILLAGE COMMONS BLVD
City GEORGETOWN
State TX
Zip Code 78633-4448

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City GEORGETOWN
Zip Code 78633

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Dataset Information

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.

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