Macey Marie Chisholm-Hanks, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

213522 Issued in TX

Practice address

310 E Lawrence St
Dayton, TX 77535-1805

Phone

(936) 258-7227

Fax

(936) 258-7223

NPI assigned

Aug 27, 2018

Last updated

Aug 27, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1124509385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 PAPOOSE TRL",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "775323218",
            "telephone_number": "832-509-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E LAWRENCE ST",
            "city": "DAYTON",
            "state": "TX",
            "postal_code": "775351805",
            "telephone_number": "936-258-7227",
            "fax_number": "936-258-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISHOLM-HANKS",
        "first_name": "MACEY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "213522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florence Renee Carter
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• Coremedical Supplies LLC

• Occupational Therapy Assistant in Dayton, TX
• Providers in Dayton, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.