IGNITE PERFORMANCE CENTER AND SPORTS REHAB LLC (NPI# 1053705541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053705541 |
| Entity Type | Organization |
| Organization Name | IGNITE PERFORMANCE CENTER AND SPORTS REHAB LLC |
| Practice Address |
313 Main Street Velma OK 73491-9998 |
| Mailing Address |
Po Box 298 Velma OK 73491-0298 |
| Practice Telephone | 4093927628 |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |
| Authorized Official Name | MR. GEORGE EDDIE DEWBRE (OWNER/MANAGER) |
| Authorized Official Telephone | 4093927628 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
313 MAIN STREET |
| City | VELMA |
| State | OK |
| Zip Code | 73491-9998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710432000 | Lauren Virginia Duroy | Nurse Practitioner | 404 East Main, Velma, OK 73491 | 2016-08-17 |
| 1154458149 | Town of Velma | Ambulance | 910 Main Street, Velma, OK 73491 | 2007-02-27 |
| 1124569744 | Duncan Regional Hospital, Inc. | Clinic/Center | 404 Main St, Velma, OK 73491 | 2017-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710432000 | Lauren Virginia Duroy | Nurse Practitioner | 404 East Main, Velma, OK 73491 | 2016-08-17 |
| 1154458149 | Town of Velma | Ambulance | 910 Main Street, Velma, OK 73491 | 2007-02-27 |
| 1124569744 | Duncan Regional Hospital, Inc. | Clinic/Center | 404 Main St, Velma, OK 73491 | 2017-03-15 |
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) 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 |
|---|---|---|---|---|
| 1578178620 | Matthew Scott Manzo | Physical Therapist | 6039 Berry St, Fort Sill, OK 73503-4445 | 2020-09-14 |
| 1497360135 | Ashley Paige Condit | Physical Therapist | 1401 Sw 34th St Ste 300, Moore, OK 73160-3059 | 2020-09-10 |
| 1083229983 | Mathew Connor Stockton | Physical Therapist | 4224 Nw 147th St, Oklahoma City, OK 73134-1813 | 2020-09-09 |
| 1770196966 | Kellen J Allen | Physical Therapist | 922 North A St, Elgin, OK 73538 | 2020-08-26 |
| 1700495686 | Lin-kai Wang | Physical Therapist | 13312 Creekside Dr, Oklahoma City, OK 73131-1290 | 2020-07-27 |
| 1134738362 | Elevate Therapy, Pllc | Physical Therapist | 523 N Wshington Ave, Durant, OK 74701 | 2020-07-23 |
| 1558988402 | Andrea Mckenzie Rock | Physical Therapist | 11319 S State Highway 51 Ste 1000, Coweta, OK 74429-7164 | 2020-06-26 |
| 1023634896 | Alvin George Varghese | Physical Therapist | 3717 1/2 N Lee Ave, Oklahoma City, OK 73118-7047 | 2020-06-17 |
| 1053936252 | Kimberly Shay Nash | Physical Therapist | 5980 E 144th St N, Collinsville, OK 74021-7428 | 2020-06-12 |
| 1487279113 | Desirae Rose Woodford | Physical Therapist | 840 Research Pkwy Ste 165, Oklahoma City, OK 73104-3616 | 2020-06-09 |
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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.