MCKINZIE GALE EDSTENE (NPI# 1073121091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073121091 |
| Entity Type | Individual |
| Full Name | MCKINZIE GALE EDSTENE |
| Credential | PTA |
| Practice Address |
8905 Evergreen Ave Indianapolis IN 46240-2000 |
| Mailing Address |
119 Stonegate Dr New Castle IN 47362-1791 |
| Practice Telephone | 3175711250 |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-07-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 06005891A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
8905 EVERGREEN AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46240-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649586199 | Bethany Michelle Arthur | Physical Therapy Assistant | 8905 Evergreen Ave, Indianapolis, IN 46240-2000 | 2010-08-23 |
| 1205353570 | Erica D Belli | Occupational Therapist | 8905 Evergreen Ave, Indianapolis, IN 46240-2000 | 2017-08-27 |
| 1801243134 | Christina Sokolek | Physical Therapist | 8905 Evergreen Ave, Indianapolis, IN 46240-2000 | 2016-05-17 |
| 1750752275 | Stephanie Sampson | Physical Therapist | 8905 Evergreen Ave, Indianapolis, IN 46240-2000 | 2015-10-09 |
| 1417295767 | Barbara Elliott | Physical Therapy Assistant | 8905 Evergreen Ave, Indianapolis, IN 46240-2000 | 2013-01-22 |
| 1275824609 | Andrew Joseph Stoltz | Physical Therapist | 8905 Evergreen Ave, Indianapolis, IN 46240-2000 | 2011-04-19 |
| 1770887721 | Julie Westberg | Occupational Therapist | 8905 Evergreen Ave, Indianapolis, IN 46240-2000 | 2011-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124674908 | Indianapolis Neurobehavioral Health Center LLC | Psychologist | 921 E. 86th St., Suite 210 C, Indianapolis, IN 46240 | 2019-08-16 |
| 1720507999 | Refractive Surgery Professionals LLC | Clinic/Center | 8500 Keystone Xing Ste 150, Indianapolis, IN 46240 | 2017-09-19 |
| 1184148892 | Hannah Hoyt | Specialist/Technologist | 9504 N. Washington Blvd, Indianapolis, IN 46240 | 2017-08-03 |
| 1134657455 | Donann Kissick | Speech-Language Pathologist | 450 E 96th St., Suite 500, Indianapolis, IN 46240 | 2017-05-31 |
| 1992138804 | George Byington Pratt IIi | Radiology | 9015 Crystal Lake Drive, Indianapolis, IN 46240 | 2013-08-14 |
| 1871934513 | Kayla Harpenau | Occupational Therapist | 7405 Westfield Blvd, Indianapolis, IN 46240 | 2013-07-10 |
| 1235483835 | Christina Marie Wilson | Nurse Practitioner | 8888 Keystone Crossing, Suite 1300, Indianapolis, IN 46240 | 2012-11-04 |
| 1770850927 | Holly Bergeron | Pharmacist | 1505 E 86th Street, Indianapolis, IN 46240 | 2011-11-16 |
| 1104128214 | Meghan Kyle Fricke | Physician Assistant | 860 E 86th St Ste 4, Indianapolis, IN 46240 | 2010-11-22 |
| 1689901118 | Katherine Jane Russell | Audiologist | 2001 W. 86th St., Indianapolis, IN 46240 | 2009-11-04 |
| Find all providers in zip 46240 | ||||
| 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 |
|---|---|---|---|---|
| 1194347773 | Anna Jamison | Physical Therapy Assistant | 11736 Grazing Ln, Indianapolis, IN 46239-7828 | 2020-05-18 |
| 1376192096 | Maya Alexandra Leblanc Skaggs | Physical Therapy Assistant | 500 N Capitol Ave Ste A, Indianapolis, IN 46204-1204 | 2019-09-05 |
| 1386102267 | Tanea Renee Spanton | Physical Therapy Assistant | 10431 Lookout Ln, Indianapolis, IN 46234-9856 | 2019-03-09 |
| 1457853962 | Tracie Lynn King | Physical Therapy Assistant | 500 N Capitol Ave Unit A, Indianapolis, IN 46204 | 2018-03-01 |
| 1518466960 | Debra Cottongim | Physical Therapy Assistant | 6329 South East St, Ste A, Indianapolis, IN 46227 | 2018-02-12 |
| 1740792084 | Jamey Kleva | Physical Therapy Assistant | 2647 Waterfront Parkway East Dr Ste Wf3-185, Indianapolis, IN 46214-2061 | 2017-10-26 |
| 1922542471 | Hailey Janson | Physical Therapy Assistant | 6821 Creek Vale Way Apt 1a, Indianapolis, IN 46237-9526 | 2016-12-16 |
| 1982156196 | Ayushi Sharma | Physical Therapy Assistant | 7345 Woodland Drive, Suite B, Indianapolis, IN 46278 | 2016-11-04 |
| 1194181404 | Dennis Tyler Riker Iv | Physical Therapy Assistant | 6017 Westlake South Dr Apt F, Indianapolis, IN 46224-7669 | 2016-01-04 |
| 1962871939 | Dylan Bowker | Physical Therapy Assistant | 500 N Capitol Ave, Indianapolis, IN 46204-1204 | 2015-09-21 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46240 |
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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.