CHRISTY M JACOB (NPI# 1952909392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952909392 |
| Entity Type | Individual |
| Full Name | CHRISTY M JACOB |
| Credential | OTR/L |
| Practice Address |
4500 S Lancaster Rd Dallas TX 75216-7167 |
| Mailing Address |
4508 Woodbluff Dr Mesquite TX 75150-8284 |
| Practice Telephone | 4694711895 |
| Mailing Telephone | 4694711895 |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 117173 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | VETERANS AFFAIRS | 567896 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366624538 | Christy Flannagin Jacob | Counselor | 113 2nd Ave Se, Suite 4, Decatur, AL 35601-2315 | 2007-11-29 |
| 1104893502 | Christy Jacob | Physician Assistant | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2006-03-03 |
| Street Address |
4500 S LANCASTER RD |
| City | DALLAS |
| State | TX |
| Zip Code | 75216-7167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083608178 | Lynn Brooks | Obstetrics & Gynecology | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2005-09-06 |
| 1861090680 | Jennifer Michelle Dejong | Social Worker | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-10-14 |
| 1639776511 | Hanh Kimberly Nguyen | Pharmacist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-10-05 |
| 1871190868 | Nida Khan | Pharmacist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-10-03 |
| 1720685969 | Elizabeth Anderson | Psychologist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-10-01 |
| 1780291104 | Regina Reynolds | Social Worker | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-09-29 |
| 1962018309 | Carl Lonell Lee | Registered Nurse | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-09-21 |
| 1407462393 | Bing Liu | Nurse Practitioner | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-09-16 |
| 1508472457 | Dana Martin | Nurse Practitioner | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-09-16 |
| 1346855210 | Hyeji Na | Psychologist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384115 | Dg Edwards Pllc | Clinic/Center | 4498 Marsalis Avenue, Dallas, TX 75216 | 2020-07-30 |
| 1407407984 | Margaret Ruth Mitchell | Technician | 4950 Wadsworth Apt 1019, Dallas, TX 75216 | 2019-09-25 |
| 1033605373 | James Sherman Mckoy | Radiology | 45oo S Lancaster Rd, Dallas, TX 75216 | 2018-07-10 |
| 1982192274 | Toni Danielle Smith | Pharmacist | 3232 Great Trinity Forest Way Ste 102a, Dallas, TX 75216 | 2018-04-23 |
| 1124546353 | Tiffany Price | Social Worker | 45oo S. Lancaster Rd., Dallas, TX 75216 | 2017-09-08 |
| 1215397476 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 150 East Illinois Ave, Dallas, TX 75216 | 2016-03-02 |
| 1629466834 | Elena Mayra Rodriguez | Physician Assistant | 3200 S Lancaster Rd Ste 180, Dallas, TX 75216 | 2014-12-23 |
| 1043651367 | Lakisha Henderson | Registered Nurse | 2619 S. Lancaster Rd, Dallas, TX 75216 | 2013-07-15 |
| 1669812871 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5050 S Lancaster Rd, Dallas, TX 75216 | 2013-07-02 |
| 1922341361 | Angela S Ayers | Home Health Aide | 302 Zang Ave, Dallas, TX 75216 | 2013-04-04 |
| Find all providers in zip 75216 | ||||
| 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 |
|---|---|---|---|---|
| 1134728165 | Martina Marie Sledziewski | Occupational Therapist | 64 Ridgway Dr, Dallas, PA 18612-9263 | 2020-10-21 |
| 1871119479 | Danielle Nicole Tolliver | Occupational Therapist | 4651 Dallas Pkwy, Suite 200, Dallas, TX 75254 | 2020-06-19 |
| 1700400991 | Jamie Bridge | Occupational Therapist | 8390 Lbj Fwy Ste 100, Dallas, TX 75243-1215 | 2020-06-03 |
| 1528697158 | Bethany P Mcgowan | Occupational Therapist | 2600 Cole Ave Apt 111, Dallas, TX 75204-4040 | 2020-04-06 |
| 1831726470 | Kathryn Knight | Occupational Therapist | 4110 Fairmount St Apt 3105, Dallas, TX 75219-3385 | 2020-03-24 |
| 1790328656 | Kelsey Burrous | Occupational Therapist | 1506 Drury Dr, Dallas, TX 75232-1940 | 2019-10-23 |
| 1720621030 | Benchmark Physical Therapy of Or, LLC | Occupational Therapist | 170 W Ellendale Ave Ste 101, Dallas, OR 97338-1456 | 2019-10-21 |
| 1639724024 | Lindsay Gannon | Occupational Therapist | 2787 N Houston St Apt 3026, Dallas, TX 75219-5037 | 2019-08-02 |
| 1427511393 | Robert Parker Elliott | Occupational Therapist | 11249 Shelterwood Ln, Dallas, TX 75229-4357 | 2019-04-09 |
| 1255815601 | Christine A Weber | Occupational Therapist | 10812 Fernald Ave, Dallas, TX 75218-1202 | 2018-09-21 |
| Find all providers in DALLAS | ||||
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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.