JUSTIN BUCCILLE (NPI# 1134421720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134421720 |
| Entity Type | Individual |
| Full Name | JUSTIN BUCCILLE |
| Practice Address |
918 S Mount Olive St Siloam Springs AR 72761-4220 |
| Mailing Address |
Po Drawer 2109 Russellivlle AR 72811 |
| Practice Telephone | 4799672322 |
| Mailing Telephone | 4799672322 |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2013-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 184894721 | 05 |
| Street Address |
918 S MOUNT OLIVE ST |
| City | SILOAM SPRINGS |
| State | AR |
| Zip Code | 72761-4220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538361001 | Julie Ann Glenn | Physical Therapy Assistant | 918 S Mount Olive St, Siloam Springs, AR 72761-4220 | 2007-06-05 |
| 1386094530 | Jimmy Kue | Speech-Language Pathologist | 918 S Mount Olive St, Siloam Springs, AR 72761-4220 | 2016-06-20 |
| 1255791703 | Jenny Gann | Occupational Therapist | 918 S Mount Olive St, Siloam Springs, AR 72761-4220 | 2016-02-26 |
| 1528435328 | Ronald Houle | Speech-Language Pathologist | 918 S Mount Olive St, Siloam Springs, AR 72761-4220 | 2015-08-27 |
| 1700188398 | Terra Caldwell | Speech-Language Pathologist | 918 S Mount Olive St, Siloam Springs, AR 72761-4220 | 2010-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285908 | Tripharma Inc. | Pharmacy | 310 N Progress Ave, Siloam Springs, AR 72761 | 2019-09-24 |
| 1861058547 | Oyenike Adigun-awonaike | Nurse Practitioner | 3271, Hwy 412, Siloam Springs, AR 72761 | 2019-05-17 |
| 1811551989 | Natasha Victoria Clayton | Registered Nurse | 3721 U.S. 412 Hwy, Siloam Springs, AR 72761 | 2019-04-24 |
| 1649750662 | David Raymond Jordan | Physical Therapy Assistant | 301 Glenwood Pl, Siloam Springs, AR 72761 | 2018-08-20 |
| 1689120222 | Wesley Phillip Horton | Speech-Language Pathologist | 501 W Elgin St, Siloam Springs, AR 72761 | 2016-09-01 |
| 1407216138 | Amy Bassarear | Social Worker | 1500 N Mount Olive St Ste 1, Siloam Springs, AR 72761 | 2016-02-23 |
| 1033584073 | Siloam Springs Clinic Company, LLC | Clinic/Center | 3721 East 412 Hwy, Suite B, Siloam Springs, AR 72761 | 2015-12-02 |
| 1801279575 | Rachel Fritsche Gordon | Physician Assistant | Northwest Health Urgent Care-siloam Springs, 3721 Us-412, Siloam Springs, AR 72761 | 2015-06-30 |
| 1508258021 | Lifebridge Ar Counseling | Counselor | 301 East Ashley St., Siloam Springs, AR 72761 | 2015-02-20 |
| 1902176472 | Meghan Daley | Occupational Therapist | 918 South Mt Olive, Siloam Springs, AR 72761 | 2011-12-30 |
| Find all providers in zip 72761 | ||||
| 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 |
|---|---|---|---|---|
| 1649750662 | David Raymond Jordan | Physical Therapy Assistant | 301 Glenwood Pl, Siloam Springs, AR 72761 | 2018-08-20 |
| 1538361001 | Julie Ann Glenn | Physical Therapy Assistant | 918 S Mount Olive St, Siloam Springs, AR 72761-4220 | 2007-06-05 |
| 1861884868 | Holly Smith | Physical Therapy Assistant | 1675 W Jefferson, Siloam Springs, AR 72761-1379 | 2015-02-27 |
| 1336394642 | Phillip M Greer | Physical Therapy Assistant | 1675 W Jefferson St, Ste. A, Siloam Springs, AR 72761-3057 | 2008-12-01 |
| 1043242837 | Tomoe Mitchell | Physical Therapy Assistant | 1675 W. Jefferson, Ste. A, Siloam Springs, AR 72761-1379 | 2006-07-06 |
| 1215969027 | Sonya E Ellis | Physical Therapy Assistant | 1675 W. Jefferson, Ste. A, Siloam Springs, AR 72761-1379 | 2006-07-06 |
| 1124050935 | Terra J Bellamy | Physical Therapy Assistant | 1675 W. Jefferson, Ste. A, Siloam Springs, AR 72761-1379 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386035 | John Colin Smith | Physical Therapy Assistant | 416 N Main St Ste I, Cave City, AR 72521-9008 | 2020-11-03 |
| 1629677216 | Inspiring Hearts Pediatric Therapy Services | Physical Therapy Assistant | 119 Samantha Dr, Brookland, AR 72417-9115 | 2020-10-23 |
| 1649878190 | Joshua Christian Hefty | Physical Therapy Assistant | 1801 Forest Blvd #205, Bella Vista, AR 72715 | 2020-10-15 |
| 1831797547 | Emma Sullivent | Physical Therapy Assistant | 240 Ouachita Road 85, Bearden, AR 71720-9518 | 2020-10-14 |
| 1639777642 | Tykia Deshea Robinson | Physical Therapy Assistant | 5904 Leabrook Ln, Sherwood, AR 72120-4168 | 2020-10-12 |
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1861007791 | Makesha Monique Jefferson | Physical Therapy Assistant | 7500 Dollarway Rd Ste 203, White Hall, AR 71602-3085 | 2020-09-08 |
| 1518578442 | Kierstyn Paige Latchaw | Physical Therapy Assistant | 668 Mc 6067, Flippin, AR 72634-8362 | 2020-08-13 |
| 1336750553 | Darren Pool | Physical Therapy Assistant | 1250 Edwards Rd, Atkins, AR 72823-7101 | 2020-08-11 |
| 1487264123 | Rebecca Slaughter | Physical Therapy Assistant | 2001 Karen Cir, Magnolia, AR 71753-4361 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
| City | SILOAM SPRINGS |
| Zip Code | 72761 |
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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.