SHAN SIDDIQUI (NPI# 1861963308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861963308 |
| Entity Type | Individual |
| Full Name | SHAN SIDDIQUI |
| Credential | OT |
| Practice Address |
4607 Manchaca Rd Austin TX 78745-1607 |
| Practice Telephone | 5129161511 |
| Practice Fax Number | 5129161532 |
| Mailing Telephone | 5129161511 |
| Mailing Fax Number | 5129161532 |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2018-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 119141 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4607 MANCHACA RD |
| City | AUSTIN |
| State | TX |
| Zip Code | 78745-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033233473 | Patricia Coogan | Speech-Language Pathologist | 4607 Manchaca Rd, Austin, TX 78745-1607 | 2007-03-19 |
| 1821632589 | Mary Shirley | Occupational Therapist | 4607 Manchaca Rd, Austin, TX 78745-1607 | 2019-11-05 |
| 1801438338 | Denise Klein | Occupational Therapist | 4607 Manchaca Rd, Austin, TX 78745-1607 | 2019-10-16 |
| 1881240695 | Mariel Phillips | Speech-Language Pathologist | 4607 Manchaca Rd, Austin, TX 78745-1607 | 2019-08-16 |
| 1467008268 | Anna Hayden-moy | Speech-Language Pathologist | 4607 Manchaca Rd, Austin, TX 78745-1607 | 2019-08-16 |
| 1861059990 | Janette Rodriguez | Speech-Language Pathologist | 4607 Manchaca Rd, Austin, TX 78745-1607 | 2019-05-23 |
| 1861958415 | Lauren Mcmullan | Occupational Therapist | 4607 Manchaca Rd, Austin, TX 78745-1607 | 2019-02-19 |
| 1841763117 | Ryan Heneisen | Speech-Language Pathologist | 4607 Manchaca Rd, Austin, TX 78745-1607 | 2019-01-09 |
| 1932671195 | Ronni Jupson | Occupational Therapist | 4607 Manchaca Rd, Austin, TX 78745-1607 | 2018-12-27 |
| 1396216834 | Rachel Arata-maiers | Occupational Therapist | 4607 Manchaca Rd, Austin, TX 78745-1607 | 2018-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617511 | Samantha Lynne Weston | Speech-Language Pathologist | 8515 Brodie Lane, Apt 2011, Austin, TX 78745 | 2020-10-26 |
| 1275172686 | Nithphaphone Tracy Bounsing | Registered Nurse | 4316 James Casey St, Building F, Suite 201, Austin, TX 78745 | 2020-01-02 |
| 1225685712 | Integrative Medical Group of Texas | General Practice | 6905 West Gate Blvd. Ste A, Austin, TX 78745 | 2019-08-20 |
| 1962971499 | Kimberly Angela Mancini | Social Worker | 5015 South Ih 35 Frontage Road, Austin, TX 78745 | 2018-11-14 |
| 1093223885 | Emma Rose Marek | Speech-Language Pathologist | 2700 Norfolk Drive, Austin, TX 78745 | 2018-01-16 |
| 1528586690 | Ashley Ellison | Social Worker | 4201 South Congress, Austin, TX 78745 | 2017-09-08 |
| 1134666761 | Carey Sebera | Counselor | 2812 Goldbridge Dr, Austin, TX 78745 | 2017-01-20 |
| 1932644507 | Maya Conlon | Social Worker | 2501 W. William Cannon Dr., Bldg 6 Ste. A, Austin, TX 78745 | 2017-01-05 |
| 1285189134 | 512 Physical Therapy and Golf Performance Center | Physical Therapist | 6800 Westgate Blvd, Suite 117, Austin, TX 78745 | 2016-08-22 |
| 1326401803 | Chris Winkley | Physical Therapist | 5510 S Ih 35 Frontage Rd #240, Austin, TX 78745 | 2016-04-01 |
| Find all providers in zip 78745 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982922 | Kaitlyn Reithmeier | Occupational Therapist | 13001 Hymeadow Dr Unit 37, Austin, TX 78729-1778 | 2020-11-04 |
| 1164036588 | Sarah Jean Higgins | Occupational Therapist | 3906 Run of The Oaks St Apt C, Austin, TX 78704-6875 | 2020-09-02 |
| 1538783170 | Rachel Hilliard | Occupational Therapist | 13915 Mopac Service Rd. #200, Austin, TX 78728 | 2020-05-29 |
| 1265054563 | Susan Elaine Lemke | Occupational Therapist | 10303 Newport Ave, Austin, TX 78753-4024 | 2020-05-11 |
| 1649891672 | Rhonda Rebecca Reavis | Occupational Therapist | 7007 Treasure Cv # A, Austin, TX 78745-5472 | 2020-04-30 |
| 1427685304 | Rebecca Bruzek | Occupational Therapist | 4414 Bellvue Ave, Austin, TX 78756-3419 | 2020-03-23 |
| 1306478680 | Francine Lederman | Occupational Therapist | 4607 Menchaca Rd, Austin, TX 78745-1607 | 2020-02-05 |
| 1225669484 | Nichole Thomas | Occupational Therapist | 12118 Walnut Park Xing Apt 637, Austin, TX 78753-6718 | 2020-01-27 |
| 1750911756 | Jana Cartlidge | Occupational Therapist | 1908 Rockland Dr, Austin, TX 78748-3065 | 2020-01-19 |
| 1275178584 | Kimberly Sernett | Occupational Therapist | 2500 W William Cannon Dr Ste 704, Austin, TX 78745-5257 | 2019-11-11 |
| Find all providers in AUSTIN | ||||
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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.