MRS. CAROL ANN CRUTCHER-DUBOSE (NPI# 1932332749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932332749 |
| Entity Type | Individual |
| Full Name | MRS. CAROL ANN CRUTCHER-DUBOSE |
| Credential | COTA/L |
| Practice Address |
922 Mcdonough Rd Jackson GA 30233-1522 |
| Practice Telephone | 2145514855 |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2014-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA001506 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
922 MCDONOUGH RD |
| City | JACKSON |
| State | GA |
| Zip Code | 30233-1522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346336435 | Westbury Medical Care Home, Inc. | Skilled Nursing Facility | 922 Mcdonough Rd, Jackson, GA 30233-1522 | 2006-10-05 |
| 1972963429 | Lissette Valentin | Occupational Therapy Assistant | 922 Mcdonough Rd, Jackson, GA 30233-1522 | 2016-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366800914 | Georgia Ophthalmologists LLC | Durable Medical Equipment & Medical Supplies | 860 W 3rd St, Jackson, GA 30233 | 2016-02-10 |
| 1306225057 | Young Dreaden | Nurse Practitioner | 2978 Hwy 36w, Jackson, GA 30233 | 2015-05-28 |
| 1609255520 | Neta J Roby | Nurse Practitioner | Hwy 36, Georgia Diagnostic Classification Prison, Jackson, GA 30233 | 2015-05-26 |
| 1033546098 | Henrietta Lindsay | Social Worker | 463-b Ernest Biles Dr, Jackson, GA 30233 | 2013-10-04 |
| 1255776993 | Gareth Gene Walker | Technician | 514 Covinton Street, Jackson, GA 30233 | 2013-05-08 |
| 1730489592 | Mary L. Melton | Licensed Practical Nurse | 463 Ernest Biles Dr., Jackson, GA 30233 | 2010-10-27 |
| 1083864250 | Chastity Moore Brown | Dentist | 1520 Lucky Street, Griffin, GA 30233 | 2008-09-24 |
| 1568661320 | Joseph Fowlkes | Internal Medicine | 2978 Highway 36 W, Jackson, GA 30233 | 2007-07-12 |
| 1942386289 | Butts County Board of Commissioners | Ambulance | 154 Sylvan Drive, Jackson, GA 30233 | 2006-10-30 |
| 1841238300 | Jackson Pharmacy Services | Pharmacy | 22 Mulberry St., Jackson, GA 30233 | 2006-06-04 |
| Find all providers in zip 30233 | ||||
| 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 |
|---|---|---|---|---|
| 1023661824 | Latoya Lanette Trunell | Occupational Therapy Assistant | 787 East Northside Drive, Jackson, MS 39206 | 2019-07-20 |
| 1114457132 | Ambric N Williams | Occupational Therapy Assistant | 6017 Whitestone Rd, Jackson, MS 39206 | 2017-06-13 |
| 1629426473 | Michelle M Schlechtweg | Occupational Therapy Assistant | 7 Berwyn Ln, Jackson, NJ 08527-5331 | 2016-06-01 |
| 1972977437 | Jasmin Patel | Occupational Therapy Assistant | 128 Cottonwood Trl, Jackson, GA 30233-3912 | 2015-11-20 |
| 1740672948 | Angela O'leary | Occupational Therapy Assistant | 23 Harvey Jones Dr, Jackson, NJ 08527-3167 | 2015-02-24 |
| 1538411897 | Michael David Patrick | Occupational Therapy Assistant | 703 Robinson Rd, Jackson, MI 49203-2538 | 2012-10-11 |
| 1083975320 | Kaneisha Ingram | Occupational Therapy Assistant | 1873 Longwood Dr, Jackson, MS 39212-2509 | 2012-06-04 |
| 1629360177 | Bertha Elsa Cohen | Occupational Therapy Assistant | 6 Sahalee Ct, Jackson, NJ 08527-4041 | 2011-05-03 |
| 1700037363 | Angela Nelson | Occupational Therapy Assistant | 4607 Lindbergh Dr, Jackson, MS 39209-3855 | 2008-10-01 |
| 1457509846 | Amy E May | Occupational Therapy Assistant | 722 Cotton Grove Rd, Jackson, TN 38305-9208 | 2008-08-28 |
| Find all providers in JACKSON | ||||
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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.