HEATHER RENEE ELLIS (NPI# 1053898759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053898759 |
| Entity Type | Individual |
| Full Name | HEATHER RENEE ELLIS |
| Credential | PT, DPT |
| Practice Address |
62 Carriage Oaks Dr Tyrone GA 30290 |
| Mailing Address |
6397 Lee Hwy Ste 300 Chattanooga TN 37421-2564 |
| Practice Telephone | 7709697166 |
| Practice Fax Number | 7709697168 |
| Mailing Telephone | 4232387217 |
| Mailing Fax Number | 4233628684 |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT013604 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194963397 | Heather Kaye Ellis | Chiropractor | 908 W Henderson St, Cleburne, TX 76033-4836 | 2009-01-26 |
| 1922609874 | Heather Ellis | Technician | 652 Main St, Barboursville, WV 25504-1439 | 2020-11-06 |
| 1700349198 | Heather Nicole Ellis | Counselor | 200 12th Street Ext, Princeton, WV 24740-2329 | 2019-04-11 |
| 1386132967 | Heather Ellis | Registered Nurse | 1853 R W Berends Dr Sw, Wyoming, MI 49519-4955 | 2018-04-29 |
| 1386797892 | Heather Leigh Ellis | Case Manager/Care Coordinator | 3665 Bay Rd, Saginaw, MI 48603-2445 | 2007-01-19 |
| 1285720623 | Heather Ellis | Social Worker | 5707 N 22nd St, Tampa, FL 33610 | 2006-10-05 |
| 1093794489 | Heather Ellis | Physical Therapist | 1367 Washington Ave, Suite 100, Albany, NY 12206-1043 | 2006-01-13 |
| Street Address |
62 CARRIAGE OAKS DR |
| City | TYRONE |
| State | GA |
| Zip Code | 30290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629431929 | Independent Physical Therapy of Ga, LLC | Occupational Therapist | 62 Carriage Oaks Dr, Tyrone, GA 30290-1684 | 2016-04-04 |
| 1023472271 | John Arthur Woolf | Specialist/Technologist | 62 Carriage Oaks Dr, Tyrone, GA 30290-1684 | 2016-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407215361 | Kaitlin Lackey | Occupational Therapist | 105 Glendalough Court, Suite H, Tyrone, GA 30290 | 2016-02-19 |
| 1114211745 | Johannes Daniel Smit | Pharmacist | 525 Valleywood Drive, Tyrone, GA 30290 | 2011-05-31 |
| 1760700199 | Georgia Integrative Medicine | Preventive Medicine | 120 Milbrook Village Drive, Suite E, Tyrone, GA 30290 | 2010-05-10 |
| 1427384783 | Exelle Home Care | Home Health | 105 Silverthorn Drive, Tyrone, GA 30290 | 2009-10-21 |
| 1386884138 | Genesys Ob/gyn, LLC | Clinic/Center | 245 Greencastle Road, Tyrone, GA 30290 | 2009-03-05 |
| 1689858805 | Immediate Care Centers of Georgia, LLC | Clinic/Center | 190 Greencastle Rd., Tyrone, GA 30290 | 2007-12-24 |
| 1437212834 | Dawn M Coffman | Physician Assistant | 190 Handley Rd., Tyrone, GA 30290 | 2006-12-18 |
| 1912971805 | Jason Rex Lee | Dentist | 195 Greencastle Rd, Tyrone, GA 30290 | 2006-02-15 |
| 1134630858 | Marjorie Yvette Elibert | Advanced Practice Midwife | 190 Handley Rd Ste A, Tyrone, GA 30290 | 2017-10-20 |
| 1407973936 | Genesys Family Practice, Inc. | Family Medicine | 120 Handley Rd, Suite 410, Tyrone, GA 30290 | 2007-03-22 |
| Find all providers in zip 30290 | ||||
| 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 |
|---|---|---|---|---|
| 1790119147 | Wesley Allen Furry | Physical Therapist | 187 Hosptial Drive, Tyrone, PA 16686-1810 | 2013-08-21 |
| 1255597837 | Martha B Trisler | Physical Therapist | 210 Vista Ln, Tyrone, GA 30290-2618 | 2008-08-01 |
| 1497920607 | Aubrey Lyn Swogger | Physical Therapist | Rr 2 Box 328a, Tyrone, PA 16686-9717 | 2008-04-29 |
| 1538203021 | Elizabeth Johnson Higbie | Physical Therapist | 285 Ashland Trl, Tyrone, GA 30290-2206 | 2007-02-16 |
| 1104859610 | Branton Rice Queen | Physical Therapist | 100 Millbrook Village Dr, Suite C, Tyrone, GA 30290-3603 | 2006-07-08 |
| 1629639745 | Larissa Aguado | Physical Therapist | 1504 Highway 74 N Ste 2a, Tyrone, GA 30290-1663 | 2019-06-28 |
| 1568840809 | Becki Mcdonald | Physical Therapist | 951 Washington Ave, Tyrone, PA 16686-1426 | 2015-05-06 |
| 1043463094 | Erica Lyn Schellhammer | Physical Therapist | 1 Hospital Dr, Tyrone, PA 16686-1810 | 2008-11-03 |
| 1891954814 | Stefanie Maire Lieb | Physical Therapist | 1 Hospital Dr, Tyrone, PA 16686-1810 | 2008-06-05 |
| 1982801577 | Sarah Elizabeth Hazlett | Physical Therapist | 1747 Adams Ave, Tyrone, PA 16686-2151 | 2007-06-28 |
| Find all providers in TYRONE | ||||
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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.