MICHELLE KETCHUM (NPI# 1124641295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124641295 |
| Entity Type | Individual |
| Full Name | MICHELLE KETCHUM |
| Credential | PTA |
| Practice Address |
605 Sw Rustic Cir Stuart FL 34997-6233 |
| Practice Telephone | 5617623975 |
| Mailing Telephone | 5617623975 |
| Enumeration Date | 2020-05-25 |
| Last Update Date | 2020-05-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA17487 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265687297 | Michelle Evonne Ketchum | Counselor | 500 W Foster Rd, Santa Maria, CA 93455-3620 | 2008-11-18 |
| Street Address |
605 SW RUSTIC CIR |
| City | STUART |
| State | FL |
| Zip Code | 34997-6233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765955 | Mari Glover | Behavior Technician | 4574 S.e. Dixie Hwy., Stuart, FL 34997 | 2020-09-21 |
| 1942812649 | Homeward Bound Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3836 Old Dixie Hwy, Stuart, FL 34997 | 2020-08-24 |
| 1790320943 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 5610 Se Grouper Ave, Stuart, FL 34997 | 2019-11-12 |
| 1083108567 | Rachel Providence Bosco | Nutritionist | 4729 Se Glenridge Trail, Stuart, FL 34997 | 2018-06-19 |
| 1801303896 | Cecilia Wanja Woller | Technician | 4575 Se Dixie Highway, Stuart, FL 34997 | 2017-12-29 |
| 1164941506 | Yvonne Mann | Technician, Other | 4574 Se Dixie Highway, Stuart, FL 34997 | 2017-09-18 |
| 1235653239 | Leticia Danielle Resendiz-moreno | Technician, Other | 4574 S.e Dixie Highway, Stuart, FL 34997 | 2017-08-01 |
| 1538680889 | Jessica Rose Geary | Behavior Technician | 4574 Old Dixie Hwy, Stuart, FL 34997 | 2017-06-27 |
| 1366972267 | Alexandra Melendez | Technician, Other | 4575 S.e. Dixie Hwy, Stuart, FL 34997 | 2017-06-14 |
| 1750813135 | Mauzie Mimose Adelson | Assistant Behavior Analyst | 4574 S.e. Dixie Hwy, Treasure Coast, Stuart, FL 34997 | 2017-04-03 |
| Find all providers in zip 34997 | ||||
| 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 |
|---|---|---|---|---|
| 1396128948 | Rebecca Hawks | Physical Therapy Assistant | 817 Woodland Drive, Stuart, VA 24171 | 2015-07-01 |
| 1578998316 | Vicky A Lombardo | Physical Therapy Assistant | 1271 Se Parkview Pl, H-7, Stuart, FL 34994-5411 | 2013-09-12 |
| 1720323546 | Marshall Johnson | Physical Therapy Assistant | 4189 Se Peppertree St, Stuart, FL 34997-2255 | 2012-12-05 |
| 1205102423 | Marcus Alston | Physical Therapy Assistant | 4203 Se Federal Hwy Ste 102, Stuart, FL 34997-4925 | 2012-04-02 |
| 1356627293 | Laura Jo Lobosco | Physical Therapy Assistant | 104 Se Lonita Street, Stuart, FL 34994-3447 | 2011-10-24 |
| 1588958144 | Darlene Ann Young | Physical Therapy Assistant | 1074 Nw Federal Hwy, Stuart, FL 34994-1028 | 2011-06-01 |
| 1104134741 | Louis Millis | Physical Therapy Assistant | 1201 Se Palm Beach Rd, Apt B104, Stuart, FL 34994-4004 | 2010-09-16 |
| 1659606234 | Brooke Arianne Hinkel | Physical Therapy Assistant | 2750 Se Ocean Blvd, Stuart, FL 34996-2766 | 2009-10-15 |
| 1578761813 | Jennifer Lynn Trevino | Physical Therapy Assistant | 915 E Ocean Blvd Ste 5, Stuart, FL 34994-2426 | 2007-07-09 |
| 1063062909 | Jennifer Wysock | Physical Therapy Assistant | 4900 Se Willoughby Blvd, Stuart, FL 34997-4002 | 2019-09-12 |
| Find all providers in STUART | ||||
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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.