CHARLENE TIDWELL (NPI# 1740772219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740772219 |
| Entity Type | Individual |
| Full Name | CHARLENE TIDWELL |
| Credential | COTA/L |
| Practice Address |
3201 Cherry Ridge St Ste D400 San Antonio TX 78230-4820 |
| Mailing Address |
3711 Medical Dr Apt 2537 San Antonio TX 78229-2349 |
| Practice Telephone | 2106920222 |
| Mailing Telephone | 5759155243 |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 213729 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3201 CHERRY RIDGE ST STE D400 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78230-4820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912251356 | Sunjin Wallerstedt | Physical Therapy Assistant | 3201 Cherry Ridge St Ste D400, San Antonio, TX 78230 | 2012-11-07 |
| 1790328870 | Xenia Yezabel Velasquez Polendo | Specialist/Technologist | 3201 Cherry Ridge St Ste D400, San Antonio, TX 78230-4820 | 2019-10-22 |
| 1114560216 | Vanessa Rodriguez | Specialist/Technologist | 3201 Cherry Ridge St Ste D400, San Antonio, TX 78230-4820 | 2019-10-21 |
| 1518500974 | Priscilla Denise Cano | Specialist/Technologist | 3201 Cherry Ridge St Ste D400, San Antonio, TX 78230-4820 | 2019-10-17 |
| 1427690619 | Lisa Medrano | Specialist/Technologist | 3201 Cherry Ridge St Ste D400, San Antonio, TX 78230-4820 | 2019-10-09 |
| 1942841184 | Alexandra Ortegon | Specialist/Technologist | 3201 Cherry Ridge St Ste D400, San Antonio, TX 78230-4820 | 2019-09-29 |
| 1538634647 | Jose Alvin Escueta Flores | Occupational Therapist | 3201 Cherry Ridge St Ste D400, San Antonio, TX 78230-4820 | 2018-10-05 |
| 1629550686 | Susanna Melendez | Specialist/Technologist | 3201 Cherry Ridge St Ste D400, San Antonio, TX 78230-4820 | 2018-09-05 |
| 1043790181 | Lauren Nicole Beaudoin | Occupational Therapist | 3201 Cherry Ridge St Ste D400, San Antonio, TX 78230-4820 | 2018-08-17 |
| 1043704778 | Tanya Lilly Baumgartner | Specialist/Technologist | 3201 Cherry Ridge St Ste D400, San Antonio, TX 78230-4820 | 2018-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224834 | Natasha Bakunda | Nurse Practitioner | Fountainhead One Tower, 8200 Ih-10 West, Ste 317, San Antonio, TX 78230 | 2020-10-30 |
| 1154930568 | James Cory Vasquez | Pharmacist | 9900 Wurzbach Road, San Antonio, TX 78230 | 2020-07-31 |
| 1861033144 | Aspasia Amtsberg | Licensed Practical Nurse | 7710 W I-10, San Antonio, TX 78230 | 2019-10-08 |
| 1841840212 | Allison Danielle Davidson | Licensed Vocational Nurse | 7710 West, I-10, San Antonio, TX 78230 | 2019-09-17 |
| 1063062800 | Dalisa Kelly Bacon | Nurse's Aide | 7710 West I 10, San Antonio, TX 78230 | 2019-09-13 |
| 1952878134 | Yvette Turner | Licensed Practical Nurse | 4951 Woodstone Dr, Apt 615 Face 2, San Antonio, TX 78230 | 2018-10-25 |
| 1396226270 | Tammy Lynn Saldana | Registered Nurse | 7710 W I10, San Antonio, TX 78230 | 2018-08-28 |
| 1891275699 | Nina Lum Fru Baumgarten | Counselor | 7710 W1h 10, San Antonio, TX 78230 | 2018-08-21 |
| 1952880833 | Rebecca N Khorram | Speech-Language Pathologist | I-10 W 10609 Frontage Rd, 105, San Antonio, TX 78230 | 2018-08-10 |
| 1770071540 | Michael Allen Kent | Counselor | Northwest Atrium, 11550 West I-10, Suite 235, San Antonio, TX 78230 | 2018-04-27 |
| Find all providers in zip 78230 | ||||
| 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 |
|---|---|---|---|---|
| 1164036711 | Yvonne O Rodriguez | Occupational Therapy Assistant | 8519 Carlton Woods Dr, San Antonio, TX 78254-5662 | 2020-09-01 |
| 1003449992 | Kristi Carrillo | Occupational Therapy Assistant | 13119 Waterlily Way, San Antonio, TX 78254-6296 | 2020-02-19 |
| 1063051720 | Jeanette Rodriguez Rodriguez | Occupational Therapy Assistant | 7517 Barryhill St, San Antonio, TX 78238-2122 | 2019-12-29 |
| 1861037285 | Marianita Navarro | Occupational Therapy Assistant | 4207 Gardendale St Ste 104, San Antonio, TX 78229-3182 | 2019-11-08 |
| 1730732819 | Loretta Ann Espinoza | Occupational Therapy Assistant | 5002 Timber Lookout, San Antonio, TX 78250-4462 | 2019-07-18 |
| 1881259000 | Monica Palomino Deleze | Occupational Therapy Assistant | 12002 Stoney Crown, San Antonio, TX 78247-3969 | 2019-05-02 |
| 1134685829 | Phoebe Ann Pritchard | Occupational Therapy Assistant | 7446 Stonefruit St, San Antonio, TX 78240-3705 | 2019-02-18 |
| 1679056238 | Leslie Trejo | Occupational Therapy Assistant | 11522 Wayward Daisy, San Antonio, TX 78245-2468 | 2018-09-10 |
| 1427531029 | Lindsey Jeannine Perez | Occupational Therapy Assistant | 11106 Butterfly Bush, San Antonio, TX 78245-3719 | 2018-09-10 |
| 1003398082 | Rhenita Clay | Occupational Therapy Assistant | 6802 Still Lake, San Antonio, TX 78244 | 2018-09-05 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78230 |
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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.