IDUMANGE T. IDUMANGE (NPI# 1083864649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083864649 |
| Entity Type | Individual |
| Full Name | IDUMANGE T. IDUMANGE |
| Credential | PT |
| Practice Address |
707 Eldridge Ave E Wynne AR 72396-4032 |
| Practice Telephone | 8702088989 |
| Practice Fax Number | 8702088107 |
| Mailing Telephone | 8702088989 |
| Mailing Fax Number | 8702088107 |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2008-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT1965 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
707 ELDRIDGE AVE E |
| City | WYNNE |
| State | AR |
| Zip Code | 72396-4032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518011782 | Maryangelia Hoffpauir | Occupational Therapist | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2007-01-23 |
| 1740729748 | Kassi Talbot | Occupational Therapist | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2017-02-23 |
| 1497294409 | Amanda Green | Speech-Language Pathologist | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2017-02-23 |
| 1063816049 | Jacob Towell | Physical Therapist | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2014-10-20 |
| 1881994804 | Raymond Gerrity | Occupational Therapy Assistant | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2010-10-25 |
| 1124259304 | Brina Bailey | Physical Therapist | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2009-08-05 |
| 1346481942 | Allison Breck Birdsong | Speech-Language Pathologist | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2009-03-12 |
| 1356580252 | Lee O'banion | Specialist/Technologist | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2009-02-17 |
| 1780821066 | Guy Biggs | Occupational Therapist | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2009-01-08 |
| 1639321300 | Marci Suzanne Langston | Specialist/Technologist | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2008-10-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962918813 | David Makool | Occupational Therapy Assistant | 2000 Gogbill Road, Wynne, AR 72396 | 2017-12-14 |
| 1912425554 | Barbara Ann Burgess | Case Manager/Care Coordinator | 661 Addison, Wynne, AR 72396 | 2017-09-05 |
| 1518481308 | Tyler Leigh Shumard | Physical Therapy Assistant | 128 County Road 145, Wynne, AR 72396 | 2017-08-02 |
| 1588957476 | Northeast Arkansas Community Mental Health Center | Counselor | 661 Addison Dr., Wynne, AR 72396 | 2011-05-25 |
| 1417106493 | Katherine Danielle Calhoun | Dietitian, Registered | 1013 Bridges Ave East, Wynne, AR 72396 | 2008-09-15 |
| 1053531319 | George Scott Puryear, Dds, Pa | Dentist | 715 East Eldrdige Avenue, Wynne, AR 72396 | 2007-04-27 |
| 1730245465 | Marilyn J Cullum | Counselor | 1742 Falls Blvd. Suite 5, The Logan Center, Wynne, AR 72396 | 2006-12-28 |
| 1770655185 | Robert Walton Bassham | Dentist | 669 Addison Drive, Wynne, AR 72396 | 2006-11-14 |
| 1073683827 | George Scott Puryear Jr. | Dentist | 715 E. Eldridge Ave, Wynne, AR 72396 | 2006-11-09 |
| 1194809517 | Richard Keeter Toland | Dentist | 2100 North Killough, Wynne, AR 72396 | 2006-10-24 |
| Find all providers in zip 72396 | ||||
| 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 |
|---|---|---|---|---|
| 1891042396 | Cody Don Nickles | Physical Therapist | 3027 Hwy 364 East, Wynne, AR 72387 | 2012-08-14 |
| 1689725061 | Cecelia Killough | Physical Therapist | 661 Highway 64b, Wynne, AR 72396-8506 | 2007-01-14 |
| 1740244847 | Juliet Noel | Physical Therapist | 1871 Falls Blvd. North, Wynne, AR 72396 | 2006-04-14 |
| 1013568393 | Deidre Sparks | Physical Therapist | 1871 Falls Blvd N, Wynne, AR 72396-4026 | 2019-09-26 |
| 1770962573 | Ashley Pettus | Physical Therapist | 1871 Falls Blvd. North, Wynne, AR 72396 | 2015-05-26 |
| 1063816049 | Jacob Towell | Physical Therapist | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2014-10-20 |
| 1649577081 | Lauren Dodson | Physical Therapist | 1871 Falls Blvd. North, Wynne, AR 72396 | 2011-02-22 |
| 1184945826 | Robert Dunn Brawner Jr. | Physical Therapist | 310 Falls Blvd S, Wynne, AR 72396-3013 | 2010-06-17 |
| 1124259304 | Brina Bailey | Physical Therapist | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2009-08-05 |
| 1356505085 | Patricia D. Crail | Physical Therapist | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2008-07-11 |
| Find all providers in WYNNE | ||||
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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.