MOLLY C WIERICK (NPI# 1932380961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932380961 |
| Entity Type | Individual |
| Full Name | MOLLY C WIERICK |
| Credential | LOTR |
| Practice Address |
1800 Buckner St C-200 Shreveport LA 71101-4440 |
| Practice Telephone | 3182279002 |
| Practice Fax Number | 3182279025 |
| Mailing Telephone | 3182279002 |
| Mailing Fax Number | 3182279025 |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2007-11-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OTT.200071 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1800 BUCKNER ST C-200 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710972559 | Arnold E Barz | Internal Medicine | 1800 Buckner St, Suite C120, Shreveport, LA 71101-4440 | 2005-09-19 |
| 1538488028 | Mary Mladenka-dowden | Nurse Practitioner | 1800 Buckner St, Suite C-120, Shreveport, LA 71101-4440 | 2010-05-23 |
| 1164654646 | Audrey Rachal Smith | Nurse Practitioner | 1800 Buckner St, Suite C-120, Shreveport, LA 71101-4440 | 2009-08-17 |
| 1972741197 | Brittany M Jellum | Physical Therapy Assistant | 1800 Buckner St, Suite C 200, Shreveport, LA 71101-4440 | 2009-01-26 |
| 1154508364 | Delta Medical Services | PACE Provider Organization | 1800 Buckner St, Suite B210, Shreveport, LA 71101-4440 | 2008-01-30 |
| 1740465798 | Zulqarnain Abro | Internal Medicine | 1800 Buckner St, Suite C120, Shreveport, LA 71101-4440 | 2008-01-08 |
| 1356524078 | Shawna Woods Chumley | Occupational Therapist | 1800 Buckner St, C-200, Shreveport, LA 71101-4440 | 2007-12-17 |
| 1316120512 | Kathy Kelley Hughes | Speech-Language Pathologist | 1800 Buckner St, Suite C-200, Shreveport, LA 71101-4440 | 2007-12-11 |
| 1952582991 | The Center for Therapy Pediatric Therapy Services | Occupational Therapist | 1800 Buckner St, C-200, Shreveport, LA 71101-4440 | 2007-11-19 |
| 1992985584 | Leslie Dawn Armstrong | Physical Therapist | 1800 Buckner St, Suite C-200, Shreveport, LA 71101-4440 | 2007-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| 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 |
|---|---|---|---|---|
| 1083214837 | Angela Impson | Occupational Therapist | 8039 Line Ave Ste 1b, Shreveport, LA 71106-5145 | 2020-10-30 |
| 1386270155 | Enrico Masangkay Roque Jr. | Occupational Therapist | 103 Pantheon Ln, Shreveport, LA 71115-4506 | 2020-03-12 |
| 1821540154 | Stephanie Jennings | Occupational Therapist | 1003 Osprey Dr, Shreveport, LA 71106-8352 | 2016-11-03 |
| 1043693872 | Jessica Russell | Occupational Therapist | 302 Sadie Douglas Cir, Shreveport, LA 71106-7689 | 2015-06-29 |
| 1033591771 | Amanda Benson | Occupational Therapist | 4509 Clingman Dr, Shreveport, LA 71105-3211 | 2015-06-18 |
| 1083018766 | Wendy Chandler | Occupational Therapist | 1030 Rochel Dr, Shreveport, LA 71115-3889 | 2014-10-09 |
| 1477996338 | Leslie G Mulford | Occupational Therapist | 612 Picketts Mill Dr, Shreveport, LA 71115-3862 | 2013-04-10 |
| 1942544424 | Anna Giannobile | Occupational Therapist | 9099 Cottage Ridge Drive, Shreveport, LA 71106 | 2012-11-21 |
| 1093086167 | Jacalyn Nierman | Occupational Therapist | 246 Winterwood Dr, Shreveport, LA 71106-7647 | 2012-01-22 |
| 1689988693 | Lisa Davison | Occupational Therapist | 1513 Westbury Dr, Shreveport, LA 71105-5031 | 2010-08-02 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on MOLLY C WIERICK.
| 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.