MALLORY LONG (NPI# 1790336188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790336188 |
Entity Type | Individual |
Full Name | MALLORY LONG |
Practice Address |
87 Interstate 10 N Ste 225 Beaumont TX 77707-2549 |
Practice Telephone | 4098350228 |
Practice Fax Number | 4098350151 |
Mailing Telephone | 4098350228 |
Mailing Fax Number | 4098350151 |
Enumeration Date | 2019-09-26 |
Last Update Date | 2019-09-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 215970 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
87 INTERSTATE 10 N STE 225 |
City | BEAUMONT |
State | TX |
Zip Code | 77707-2549 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689088213 | Elizabeth Aguilar-desiderio | Speech-Language Pathologist | 87 Interstate 10 N Ste 225, Beaumont, TX 77707-2549 | 2014-06-11 |
1184223208 | Jaime Lynn Cole | Speech-Language Pathologist | 87 Interstate 10 N Ste 225, Beaumont, TX 77707-2549 | 2020-10-20 |
1346867462 | Marilee Katherine Brinson | Speech-Language Pathologist | 87 Interstate 10 N Ste 225, Beaumont, TX 77707-2549 | 2020-07-06 |
1811555899 | Brooke Nicole Cleveland | Speech-Language Pathologist | 87 Interstate 10 N Ste 225, Beaumont, TX 77707-2549 | 2019-06-04 |
1376009134 | Rodney D Shaw | Physical Therapy Assistant | 87 Interstate 10 N Ste 225, Beaumont, TX 77707-2549 | 2019-02-18 |
1417413410 | Katie Jo Whitt | Physical Therapy Assistant | 87 Interstate 10 N Ste 225, Beaumont, TX 77707-2549 | 2019-02-14 |
1003396169 | Wanda G Taylor | Occupational Therapist | 87 Interstate 10 N Ste 225, Beaumont, TX 77707-2549 | 2018-08-17 |
1396225934 | Amy Michelle Lee | Registered Nurse | 87 Interstate 10 N Ste 225, Beaumont, TX 77707-2549 | 2018-08-14 |
1013497619 | Amber L Gossett | Registered Nurse | 87 Interstate 10 N Ste 225, Beaumont, TX 77707-2549 | 2018-08-14 |
1831678663 | Elizabeth L Keith | Registered Nurse | 87 Interstate 10 N Ste 225, Beaumont, TX 77707-2549 | 2018-08-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437718004 | Kelsey Marie Burt | Speech-Language Pathologist | 87 I-10, Beaumont, TX 77707 | 2019-06-07 |
1245898808 | Primary Care Anywhere, Pllc | Nurse Practitioner | 4347 Phelan, Suite 101, Beaumont, TX 77707 | 2019-05-30 |
1598321663 | Kacy Keitha Priddy | Occupational Therapist | 1846 I-10 S, Suite 102, Beaumont, TX 77707 | 2019-05-14 |
1144791963 | Jeffery Ray Manzer | Counselor | 3350 Dowlen Rd Suite J, Beaumont, TX 77707 | 2018-12-06 |
1497247217 | Haley Hebert | Speech-Language Pathologist | 87 I 10 N, Suite 225, Beaumont, TX 77707 | 2018-06-06 |
1548712383 | Taylor Miguez | Speech-Language Pathologist | 87 I-10 Frontage Rd #225, Beaumont, TX 77707 | 2016-10-27 |
1720534043 | Jacie Woodson | Speech-Language Pathologist | 87 I-10 Frontage Rd. 225, Beaumont, TX 77707 | 2016-08-28 |
1285187047 | Paula Boudreaux | Speech-Language Pathologist | 87 I-10 Frontage Rd, Suite 225, Beaumont, TX 77707 | 2016-07-28 |
1790138568 | Meagan Alyse Hartwick | Speech-Language Pathologist | 87 I-10 Frontage Rd., 225, Beaumont, TX 77707 | 2016-07-18 |
1376992578 | Laurie Lynette Jansky | Family Medicine | 3650 Laurel Ave, Beaumont, TX 77707 | 2016-06-08 |
Find all providers in zip 77707 |
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 |
---|---|---|---|---|
1760035794 | Yaheiya Sharondele Mcclendon | Occupational Therapy Assistant | 3235 N Willowood Ln, Beaumont, TX 77703-2645 | 2019-07-18 |
1942780549 | Craig Michael Connors | Occupational Therapy Assistant | 8109 Heartfield Ln, Beaumont, TX 77706-3111 | 2018-08-14 |
1548718992 | Mariah Dolbow | Occupational Therapy Assistant | 87 Ih 10 N Ste 225, Beaumont, TX 77707-2549 | 2016-09-14 |
1164801379 | Jocelyn Blanks | Occupational Therapy Assistant | 5555 R Daniel Dr, Apt 141, Beaumont, TX 77705-0624 | 2015-05-20 |
1265841357 | Anquinetta Monique Mason-baylor | Occupational Therapy Assistant | 87 I-10 North, Suite 225, Beaumont, TX 77707 | 2014-08-04 |
1316359953 | Holly Smith | Occupational Therapy Assistant | 1120 Meadowvale Dr, Beaumont, TX 77706-3881 | 2014-06-02 |
1275775827 | William Hale Foster Jr. | Occupational Therapy Assistant | 3820 Grand St, Beaumont, TX 77703-3134 | 2009-03-28 |
1124260971 | Richard Callesto Jr. | Occupational Therapy Assistant | 237 Briggs St, Beaumont, TX 77707-2330 | 2009-03-25 |
1346424595 | Berthide Joachin | Occupational Therapy Assistant | 4375 N Major Dr Apt 1811, Beaumont, TX 77713-9556 | 2007-12-24 |
1427689454 | Erica Esquivel | Occupational Therapy Assistant | 87 I 10 N, Suite 225, Beaumont, TX 77707 | 2020-01-29 |
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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.