STACEY JO RUSSELL (NPI# 1033462114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033462114 |
| Entity Type | Individual |
| Full Name | STACEY JO RUSSELL |
| Credential | PTA |
| Practice Address |
4700 Nw Cliff View Dr Riverside MO 64150-1237 |
| Practice Telephone | 8167415105 |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2020-05-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 2015030162 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225200000X | Physical Therapy Assistant | 001388 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790206803 | Stacey Russell | Behavior Technician | 6 Naushon Rd, Sagamore Beach, MA 02562-2718 | 2017-06-28 |
| 1275945511 | Stacey Russell | Psychiatry & Neurology | 2006 S Loop 336 W Ste 500, Conroe, TX 77304 | 2014-05-21 |
| 1144577438 | Stacey Russell | Nurse Practitioner | 1945 Route 33, Neptune, NJ 07753-4859 | 2012-08-06 |
| 1811267487 | Stacey W Russell | Dentist | 22 Truck House Rd Ste 3, Severna Park, MD 21146-2728 | 2012-01-12 |
| 1538372388 | Stacey L Russell | Dentist | 132 Jefferson Hts, Catskill, NY 12414-1215 | 2007-05-08 |
| Street Address |
4700 NW CLIFF VIEW DR |
| City | RIVERSIDE |
| State | MO |
| Zip Code | 64150-1237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883549 | Elizabeth Danielle Ham | Physical Therapy Assistant | 4700 Nw Cliff View Dr, Riverside, MO 64150-1237 | 2020-05-26 |
| 1730503558 | Kimberly Cowgill | Registered Nurse | 4700 Nw Cliff View Dr, Riverside, MO 64150-1237 | 2014-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053437392 | Sunflower Dermatology & Day Spa LLC | Dermatology | 1805 Nw Platte Rd., Suite 120, Riverside, MO 64150 | 2007-03-21 |
| 1063897395 | Kyle Wong | Internal Medicine | 4742 Nw Riverside Dr, Riverside, MO 64150-1102 | 2015-07-28 |
| 1376160515 | Abigail Hardy Rives | Social Worker | 4800 Nw Cliff View Dr Apt 402, Riverside, MO 64150-1207 | 2020-07-04 |
| 1497972624 | Riverside Nursing and Rehabilitation Center LLC | Skilled Nursing Facility | 4700 Nw Cliffview Drive, Riverside, MO 64150-1237 | 2007-04-19 |
| 1568557205 | Swope Health Services | Clinic/Center | 2906 Nw Vivion Rd, Riverside, MO 64150-1502 | 2006-10-04 |
| 1356339279 | Kendallwood Hospice Company | Hospice Care, Community Based | 2908 Nw Vivion Rd, Riverside, MO 64150-1502 | 2005-10-13 |
| 1356839617 | Children's Mercy Hospital | Pharmacy | 700 Nw Argosy Parkway, Suite 150, Riverside, MO 64150-1512 | 2018-04-23 |
| 1144462029 | Children's Mercy Hospital | Home Health | 700 Nw Argosy Pkwy Ste 200, Riverside, MO 64150-1512 | 2009-03-24 |
| 1184768293 | Children's Mercy Hospital | Durable Medical Equipment & Medical Supplies | 700 Nw Argosy Pkwy, Riverside, MO 64150-1512 | 2007-02-20 |
| 1598809600 | Children's Mercy Hospital | Pharmacy | 700 Nw Argosy Pkwy Ste 150, Riverside, MO 64150-1512 | 2007-02-20 |
| Find all providers in zip 64150 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958839 | Karan Kamdar | Physical Therapy Assistant | 8123 Magnolia Ave Apt 39, Riverside, CA 92504-3463 | 2020-09-28 |
| 1063033827 | Deann Marie Jacobsen | Physical Therapy Assistant | 8750 Briarcliff Ln, Riverside, CA 92508-2519 | 2020-05-04 |
| 1598289480 | Cy Cross | Physical Therapy Assistant | 7702 Cassia Ave, Riverside, CA 92504-3604 | 2017-08-01 |
| 1114398815 | Sergio Gerardo Tejada | Physical Therapy Assistant | 2267 Drummond St, Riverside, CA 92506-1533 | 2015-10-07 |
| 1043600471 | Ronald Goldsmith Sr. | Physical Therapy Assistant | 1452 Lovat Ct, Riverside, CA 92507-6463 | 2015-01-23 |
| 1750779294 | Crizelda Mallares-reyes | Physical Therapy Assistant | 12707 Harlow Ave, Riverside, CA 92503-4613 | 2015-01-07 |
| 1336555960 | Benjamin Franco Jr. | Physical Therapy Assistant | 10983 Middleborough Rd, Riverside, CA 92503-5925 | 2014-07-03 |
| 1215375993 | Michael David Doorley | Physical Therapy Assistant | 2 Ravena Ave, Aptartment 302, Riverside, RI 02915-3821 | 2013-06-04 |
| 1790068567 | Tricia Faeldan Suarez | Physical Therapy Assistant | 9338 Millionaire Ln, Riverside, CA 92508-9360 | 2011-09-27 |
| 1790064475 | Erik Mauricio Farias | Physical Therapy Assistant | 4746 Beatty Dr, Riverside, CA 92506-2307 | 2011-08-11 |
| Find all providers in RIVERSIDE | ||||
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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.