DONNAL BLAKE GOODWIN (NPI# 1730650615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730650615 |
| Entity Type | Individual |
| Full Name | DONNAL BLAKE GOODWIN |
| Credential | COTA |
| Practice Address |
301 W Park Livingston TX 77351-8151 |
| Mailing Address |
300 Geneva Corrigan TX 75939 |
| Practice Telephone | 9363285021 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 221830 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TBOTE CERTIFICATION | 209855 | 01 |
| TX | NBCOT LICENSE | 221830 | 01 |
| TX | DRIVES LICENSE | 19091795 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 167 Beech Creek Rd, Livingston, TX 773519257 | 9362393308 | |
| 300 Geneva, Corrigan, TX 75939 | 9362393308 |
| Street Address |
301 W PARK |
| City | LIVINGSTON |
| State | TX |
| Zip Code | 77351-8151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639535131 | Tyler County Hospital District | Skilled Nursing Facility | 301 W Park, Livingston, TX 77351-8151 | 2016-01-13 |
| 1467014381 | Andrea Sanchez | Occupational Therapy Assistant | 301 W Park, Livingston, TX 77351-8151 | 2019-07-01 |
| 1861971277 | Anna Grimmett | Speech-Language Pathologist | 301 W Park, Livingston, TX 77351-8151 | 2018-08-08 |
| 1265970214 | Oakbend Medical Center | Skilled Nursing Facility | 301 W Park, Livingston, TX 77351-8151 | 2017-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881252765 | B&g Family Dentistry Pllc | Clinic/Center | 402 S Washington Ave, Livingston, TX 77351 | 2019-06-05 |
| 1518431907 | Clinton Jarell Collins | Occupational Therapist | 1620 Us-59 N, Livingston, TX 77351 | 2019-01-18 |
| 1205318417 | Christopher Hern | Nurse Practitioner | 1717 Us-59 Loop N, Livingston, TX 77351 | 2018-09-04 |
| 1831566520 | Susan Michelle Brownfield | Occupational Therapist | 1620 Old Us Hwy 59, Livingston, TX 77351 | 2015-08-28 |
| 1346643624 | Jigneshkumar Parmar | Dentist | 1774 Us 190 West, Livingston, TX 77351 | 2014-10-01 |
| 1063827954 | Faith Whatley-torres | Behavioral Analyst | 144 Branding Iron, Livingston, TX 77351 | 2014-06-30 |
| 1427481126 | Mary Elizabeth Kuruvilla | Dentist | 184 Ashton Bend, Livingston, TX 77351 | 2013-08-16 |
| 1255772778 | Waleed Khaled Ahmad | Dentist | 117 Southpoint Lane, Suite 400, Livingston, TX 77351 | 2013-07-12 |
| 1053750679 | Jacquelyn Y Flores | Dentist | 1114 N. Washingtion Ave., Livinston, TX 77351 | 2013-06-17 |
| 1750725131 | Womans Clinic At Livingston Pllc | Radiology | 111 Emergency Dr., Ste C, Livingston, TX 77351 | 2013-04-29 |
| Find all providers in zip 77351 | ||||
| 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 |
|---|---|---|---|---|
| 1073043832 | Christopher Walsh | Occupational Therapy Assistant | 151 Rainbow Dr # 5124, Livingston, TX 77399-1051 | 2017-06-14 |
| 1952750168 | Gurvinder Kaur Thiara | Occupational Therapy Assistant | 1629 Bay Meadow Ln, 1629 Bay Meadow Ln, Livingston, CA 95334-9333 | 2016-06-08 |
| 1073155669 | Amanda Rachelle Crow | Occupational Therapy Assistant | 1620 Highway 59 Loop N, Livingston, TX 77351-9988 | 2019-10-15 |
| 1467014381 | Andrea Sanchez | Occupational Therapy Assistant | 301 W Park, Livingston, TX 77351-8151 | 2019-07-01 |
| 1235364621 | Pixie Marie Lewis-burda | Occupational Therapy Assistant | 601 Robin Ln, Livingston, MT 59047-3810 | 2009-05-28 |
| 1609042191 | Jill Diane Kordonowy | Occupational Therapy Assistant | 510 S 14th St, Livingston, MT 59047-3731 | 2008-05-05 |
| 1285800771 | Kathryn Kay Jacobsen | Occupational Therapy Assistant | 510 S 14th St, Livingston, MT 59047-3731 | 2008-05-05 |
| 1972714061 | Diana Lynne Bonzulak Anweiler | Occupational Therapy Assistant | 600 S Livingston Ave Ste 210, Livingston, NJ 07039-5415 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215727 | Madison Brooke Foskey | Occupational Therapy Assistant | 3700 Legacy Dr Apt 22105, Frisco, TX 75034-6650 | 2020-11-07 |
| 1528668464 | Jerjean Casalem-dahl | Occupational Therapy Assistant | 8522 Cookglass Dr, Houston, TX 77072-4808 | 2020-10-29 |
| 1144829706 | Dickson Innemeset Etukudoh | Occupational Therapy Assistant | 21630 Merchants Way Ste 200, Katy, TX 77449-2514 | 2020-10-23 |
| 1861091019 | Erin Quinn | Occupational Therapy Assistant | 7130 Durango Creek Dr, Magnolia, TX 77354-2781 | 2020-10-20 |
| 1154920502 | Allison Hill | Occupational Therapy Assistant | 600 Nottingham Oaks Trl Apt 197, Houston, TX 77079-6233 | 2020-10-17 |
| 1518565951 | Susana Sifford | Occupational Therapy Assistant | 14515 Old Tybee Rd, Houston, TX 77084-7158 | 2020-10-16 |
| 1528666088 | Davie Michelle Kennington | Occupational Therapy Assistant | 1100 Sarah Swamy Ln, Sherman, TX 75090 | 2020-10-15 |
| 1386241735 | Tracy Lynn Price | Occupational Therapy Assistant | 15002 Zenith Glen Ln, Cypress, TX 77429-7644 | 2020-10-07 |
| 1003413782 | Gabriela Coronado Lopez | Occupational Therapy Assistant | 3206 Hummingbird Ln, Humble, TX 77396-4136 | 2020-10-05 |
| 1962009746 | Kayci Dawn Lane | Occupational Therapy Assistant | 290 Country Ridge Rd Unit 37, Lewisville, TX 75067-4503 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
| City | LIVINGSTON |
| Zip Code | 77351 |
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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.