PHYLLIS JORDAN


Address: 112 Ruthlynn Dr, Longview, TX 75605
Phone: 3523821141

PHYLLIS JORDAN (NPI# 1750861498) 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) 1750861498
Entity Type Individual
Full Name PHYLLIS JORDAN
Practice Address 112 Ruthlynn Dr
Longview
TX 75605
Mailing Address 8477 S Suncoast Blvd
Homosassa
FL 34446-5028
Practice Telephone 3523821141
Mailing Telephone 3523821141
Enumeration Date 2018-08-21
Last Update Date 2018-08-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224Z00000X Occupational Therapy Assistant 215297 TX Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers PHYLLIS JORDAN

NPI Name Taxonomy Address Enumeration
1457972945 Phyllis Lizetta Jordan Case Manager/Care Coordinator 721 Fawcett Ave Ste 101721s, Tacoma, WA 98402-5502 2020-05-06

Office Location

Street Address 112 RUTHLYNN DR
City LONGVIEW
State TX
Zip Code 75605

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346241320 Ihs Acquisition No 138 Inc Skilled Nursing Facility 112 Ruthlynn Dr, Longview, TX 75605-5634 2005-08-02
1508346255 Natasha Taylor Physical Therapy Assistant 112 Ruthlynn Dr, Longview, TX 75605-5634 2018-08-21
1659851301 Jessica Mancha Speech-Language Pathologist 112 Ruthlynn Dr, Longview, TX 75605-5634 2018-08-21
1164902813 Heather Swingler Physical Therapy Assistant 112 Ruthlynn Dr, Longview, TX 75605-5634 2018-08-21
1457858755 Lori Reeves Np-c Pllc Nurse Practitioner 112 Ruthlynn Dr, Longview, TX 75605-5634 2018-04-12
1871981019 Nacogdoches County Hospital District Skilled Nursing Facility 112 Ruthlynn Dr, Longview, TX 75605-5634 2014-12-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194353730 Dusty Rae Hane Nurse Practitioner Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 2020-03-30
1831720374 Kaycee Whatley Nurse Practitioner 323 W Hawkins Parkway, Longview, TX 75605 2020-02-03
1245733492 Somers Pediatrics Pediatrics 103 W. Loop 281, Suite 474, Longview, TX 75605 2018-03-14
1467838391 Piney Woods Er II LLC Clinic/Center 120 East Loop 281, Longview, TX 75605 2015-08-03
1386023968 Elizabeth Ann Heeb Tidwell Obstetrics & Gynecology 802 Medical Dr Ste 100, Longview, TX 75605 2015-05-28
1215353651 Tracy Hicks Nurse Practitioner 102 Commander Dr Ste 9, Longview, TX 75605 2014-03-10
1073881280 Deirdre Scotter Specialist/Technologist 201 E Tomlinson Pkwy, Longview, TX 75605 2011-12-02
1316230139 Traditions Hospice of Longview, LLC Hospice Care, Community Based 4362 N Us Hwy 259, Suite B, Longview, TX 75605 2011-05-26
1184916769 Telema Dikibujiri Nga Pediatrics Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 2011-05-13
1902101108 The Veta Lewis Behavioral Health Group Counselor 1800 S. Judson St., Suite 100, Longview, TX 75605 2011-01-19
Find all providers in zip 75605

Taxonomy Information

Taxonomy Code 224Z00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapy Assistant

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831661719 Donna Taylor Occupational Therapy Assistant 1300 Santa Cruz, Longview, TX 75601-8631 2018-12-17
1467953752 Karen Jacobo Occupational Therapy Assistant 2500 Lafamo Rd Lot 13, Longview, TX 75604-9762 2018-02-22
1003204918 Richard Neely Occupational Therapy Assistant 2111 Live Oak Dr, Longview, TX 75601-3652 2014-12-30
1285980227 Lauren Warren Occupational Therapy Assistant 4362 Us Highway 259 N Ste D, Longview, TX 75605-7674 2012-07-27
1003114364 Margaret Ann Munroe Occupational Therapy Assistant 1007 Sovereign Dr, Longview, TX 75604-2148 2011-03-09
1811156607 Alison Kathleen Ave Lallemant Occupational Therapy Assistant 128 Beacon Hill Dr, Longview, WA 98632-5859 2008-06-05
1710535075 Ashley Harkrider Occupational Therapy Assistant 2201 Horseshoe Ln, Longview, TX 75605-5650 2019-08-29
1245887587 Leah Montandon Occupational Therapy Assistant 2711 Pine Tree Rd, Longview, TX 75604-1646 2019-08-21
1821650458 Holly Loving Occupational Therapy Assistant 1100 N 4th St, Longview, TX 75601-4739 2019-07-03
1235604794 Lindsey Penner Occupational Therapy Assistant 1154 E Hawkins Pkwy, Longview, TX 75605-7975 2018-10-10
Find all providers in LONGVIEW

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City LONGVIEW
Zip Code 75605

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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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