BRYAN FEDOR (NPI# 1073026258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073026258 |
| Entity Type | Individual |
| Full Name | BRYAN FEDOR |
| Credential | PTA |
| Practice Address |
3817 Stagg Dr Beaumont TX 77701-3717 |
| Practice Telephone | 4098660856 |
| Mailing Telephone | 4098660856 |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2017-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 2133910 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3817 STAGG DR |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77701-3717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073515359 | Vicki L Greenwell | Physical Therapist | 3817 Stagg Dr, Beaumont, TX 77701-3717 | 2005-06-01 |
| 1922499417 | Adrienne Stephanie Asumbrado | Physical Therapist | 3817 Stagg Dr, Beaumont, TX 77701-3717 | 2015-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891296604 | Jessica Paige Seago | Licensed Vocational Nurse | 3330 Fannin, Beaumont, TX 77701 | 2018-02-27 |
| 1154833135 | Shannon Denard | Naturopath | 1595 S. M.l. King Jr. Parkway, Beaumont, TX 77701 | 2017-10-30 |
| 1558818096 | Kelli North | Nurse Practitioner | 810 Hospital Dr Ste. 235, Beaumont, TX 77701 | 2016-09-01 |
| 1821446055 | La Costa of Beaumont Pa | Dentist | 3870 College Street, Suite #200, Beaumont, TX 77701 | 2016-05-27 |
| 1811361462 | Azuka Ginigeme | Pharmacist | 3605 College Street, Walgreens Pharmacy, Beaumont, TX 77701 | 2015-11-19 |
| 1093184921 | Coastal Spine & Pain Institute, Pllc | Specialist | 3070 College Street, Suite 300, Beaumont, TX 77701 | 2015-09-22 |
| 1831584663 | H-e-b, Lp | Clinical Medical Laboratory | 3590 College Street, Beaumont, TX 77701 | 2015-03-30 |
| 1205272648 | Yalanda S Jessie | Counselor | 755 S 11th St Ste 246, Beaumont, TX 77701 | 2013-05-13 |
| 1871856443 | Henry Clay Williams | Day Training, Developmentally Disabled Services | 2316 Orange St., Beaumont, TX 77701 | 2012-06-19 |
| 1053670398 | Park Infusioncare, Lp | Durable Medical Equipment & Medical Supplies | 3695 Stagg Dr, Beaumont, TX 77701 | 2012-05-07 |
| Find all providers in zip 77701 | ||||
| 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 |
|---|---|---|---|---|
| 1013516954 | Laurence Oliver Parker | Physical Therapy Assistant | 7655 Park North Dr Apt 806, Beaumont, TX 77708-2413 | 2020-10-21 |
| 1518447739 | Marsha Geraldine Marks | Physical Therapy Assistant | 7655 Park North Dr Apt 602, Beaumont, TX 77708-2412 | 2018-08-16 |
| 1386166296 | Stephanie Campbell | Physical Therapy Assistant | 3635 Calder Ave Ste 109, Beaumont, TX 77706-5044 | 2017-07-12 |
| 1316398688 | Channing Tharpe | Physical Therapy Assistant | 1605 Cornerstone Ct Apt 410, Beaumont, TX 77706-3963 | 2016-06-28 |
| 1962760272 | Jenna Mansfield | Physical Therapy Assistant | 2990 Laurel St, Beaumont, TX 77702-2104 | 2012-04-25 |
| 1376855890 | Cheryl Marie Leemhuis | Physical Therapy Assistant | 2485 S Major Dr, Beaumont, TX 77707-5019 | 2010-07-13 |
| 1912103763 | Elizabeth Reedy | Physical Therapy Assistant | 3395 Plaza 10 Dr, Beaumont, TX 77707-2556 | 2007-06-26 |
| 1306467162 | Bryce James Burnett | Physical Therapy Assistant | 87 Ih 10 N Ste 225, Beaumont, TX 77707-2549 | 2020-05-04 |
| 1376009134 | Rodney D Shaw | Physical Therapy Assistant | 87 Interstate 10 N Ste 225, Beaumont, TX 77707-2549 | 2019-02-18 |
| 1417413410 | Katie Jo Whitt | Physical Therapy Assistant | 87 Interstate 10 N Ste 225, Beaumont, TX 77707-2549 | 2019-02-14 |
| Find all providers in BEAUMONT | ||||
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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.