BRIDGET SHAYANN GOODWIN (NPI# 1861972929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861972929 |
| Entity Type | Individual |
| Full Name | BRIDGET SHAYANN GOODWIN |
| Practice Address |
4101 Long Prairie Rd Flower Mound TX 75028-1567 |
| Mailing Address |
2001 Holley Pkwy Apt 413 Roanoke TX 76262-4451 |
| Practice Telephone | 2142853200 |
| Mailing Telephone | 8062400975 |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2018-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 212767 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 170 Stonebridge Ln, Southlake, TX 760920306 | 8174315778 |
| Street Address |
4101 LONG PRAIRIE RD |
| City | FLOWER MOUND |
| State | TX |
| Zip Code | 75028-1567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770713711 | John David Arcure | Physical Medicine & Rehabilitation | 4101 Long Prairie Rd, Flower Mound, TX 75028-1567 | 2009-07-24 |
| 1760036669 | Dallas County Hospital District | Skilled Nursing Facility | 4101 Long Prairie Rd, Flower Mound, TX 75028-1567 | 2019-07-29 |
| 1023598315 | Michele Yavette Anderson | Occupational Therapist | 4101 Long Prairie Rd, Flower Mound, TX 75028-1567 | 2018-08-16 |
| 1528548864 | Kristen M Coffman | Physical Therapist | 4101 Long Prairie Rd, Flower Mound, TX 75028-1567 | 2018-08-16 |
| 1962823401 | Hollymead Continuing Care Center Ltd. Co. | Skilled Nursing Facility | 4101 Long Prairie Rd, Flower Mound, TX 75028-1567 | 2013-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578185047 | Too Health LLC | Home Health | 1404 Mimosa Ct, Flower Mound, TX 75028 | 2020-05-07 |
| 1417448127 | Kyle Miller | Physical Therapist | 4401 Long Prairie Rd Ste 300, Flower Mound, TX 75028 | 2018-05-29 |
| 1659898450 | Daniel De Armas | Optometrist | 5801 Long Prairie Rd Ste 360, Flower Mound, TX 75028 | 2017-08-23 |
| 1740727114 | Darya Ilushin | Chiropractor | 4305 Windsor Centre Trl Ste 100, Flower Mound, TX 75028 | 2017-01-24 |
| 1033661194 | Rsquared Healthcare Solutions & Consulting | Dentist | 2121 Lavender Lane, Flower Mound, TX 75028 | 2016-10-25 |
| 1912450578 | Jeannie Jin Wang | Dentist | 4421 Long Prairie Rd., #400, Flower Mound, TX 75028 | 2016-08-01 |
| 1700232121 | Carla Upperman-xu | Pediatrics | 2560 Central Park Ave, Suite 195, Flower Mound, TX 75028 | 2016-05-05 |
| 1487015731 | Bincy Philip | Nurse Practitioner | 500 Flower Mound Rd, Suite 102, Flower Mound, TX 75028 | 2016-03-15 |
| 1710369491 | Medical Massage Rx | Chiropractor | 2616 Long Prairie Rd., Suite 101, Flower Mound, TX 75028 | 2015-06-18 |
| 1821485673 | Audrey Morris | Nurse Practitioner | 4441 Long Prairie Road, Suite 400, Flower Mound, TX 75028 | 2015-04-20 |
| Find all providers in zip 75028 | ||||
| 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 |
|---|---|---|---|---|
| 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 | FLOWER MOUND |
| Zip Code | 75028 |
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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.