CLARISSA NICOLE BULATEK (NPI# 1154506772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154506772 |
| Entity Type | Individual |
| Full Name | CLARISSA NICOLE BULATEK |
| Other Name | CLARISSA NICOLE STANTON |
| Credential | D.P.T. |
| Practice Address |
11550 Common Oaks Dr Suite 100 Raleigh NC 27614-7298 |
| Mailing Address |
120 William Penn Plz Durham NC 27704-2150 |
| Practice Telephone | 9194535740 |
| Practice Fax Number | 9194535741 |
| Mailing Telephone | 9192205255 |
| Mailing Fax Number | 9193131276 |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2012-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 12562 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
11550 COMMON OAKS DR SUITE 100 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27614-7298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740275734 | Matthew Bogaert | Physician Assistant | 11550 Common Oaks Dr, Suite 100, Raleigh, NC 27614-7298 | 2005-09-15 |
| 1619338647 | Emergeortho, Pa | Durable Medical Equipment & Medical Supplies | 11550 Common Oaks Dr, Suite 100, Raleigh, NC 27614-7298 | 2016-03-18 |
| 1043640790 | Laurie King | Specialist/Technologist | 11550 Common Oaks Dr, Raleigh, NC 27614-7298 | 2013-11-16 |
| 1770868887 | Jessica Martin King | Physical Therapist | 11550 Common Oaks Dr, Suite 100, Raleigh, NC 27614-7298 | 2011-10-20 |
| 1518242221 | Trinity Behavioral Health Center Inc | Counselor | 11550 Common Oaks Dr, Suite 108, Raleigh, NC 27614-7298 | 2011-10-13 |
| 1275837262 | Ms Imaging Pllc | Specialist | 11550 Common Oaks Dr, Ste 110, Raleigh, NC 27614-8093 | 2011-01-05 |
| 1003030131 | Superior Diagnostic Imaging Inc | Radiology | 11550 Common Oaks Dr, Suite 110, Raleigh, NC 27614-7298 | 2007-04-12 |
| 1831269687 | Carolina Radiology, Pa | Radiology | 11550 Common Oaks Dr, Suite 110, Raleigh, NC 27614-7298 | 2006-11-09 |
| 1295829067 | James Charles Mosure | Radiology | 11550 Common Oaks Dr, Ste 110, Raleigh, NC 27614-8093 | 2006-10-03 |
| 1730295023 | Mark A Burt | Orthopaedic Surgery | 11550 Common Oaks Dr, Suite 100, Raleigh, NC 27614-7298 | 2006-08-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215419379 | Patrick Orion Finn | Family Medicine | 10010 Falls of The Neuse Rd, Suite 11, Raleigh, NC 27614 | 2018-09-05 |
| 1538652557 | Amn Medical Group Pllc | General Practice | 13200 Falls of Neuse Rd Ste 113, Raleigh, NC 27614 | 2018-06-13 |
| 1497201727 | Kelsey Scheerer | Student in an Organized Health Care Education/Training Program | 11200 Governor Way, Raleigh, NC 27614 | 2016-08-28 |
| 1538521463 | Liane Rudd | Speech-Language Pathologist | 4700 Norbury Place, Raleigh, NC 27614 | 2016-03-21 |
| 1891088068 | Michelle Lynn Thompson | Pharmacist | 10930 Raven Ridge Road, Raleigh, NC 27614 | 2011-05-22 |
| 1821396185 | Bettye Jo Johnson | Physical Medicine & Rehabilitation | 11200 Governor Manly Way, Suite 305, Orhopaedic Specialists of North Carolina, Pa, Raleigh, NC 27614 | 2011-03-09 |
| 1982900650 | Blake Jennings Lamm | Pharmacist | 14460 New Falls of Neuse Rd, Suite 165, Raleigh, NC 27614 | 2011-01-28 |
| 1013223023 | Lauren S Lawler | Pharmacist | 11201 Durant Road, Raleigh, NC 27614 | 2010-08-27 |
| 1588985378 | Kashif Mazhar | General Acute Care Hospital | 10010 Falls of Neuse Road, Suite #12, Raleigh, NC 27614 | 2010-06-16 |
| 1922240100 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 14520 John Rex Blvd, Raleigh, NC 27614 | 2009-04-02 |
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| 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 |
|---|---|---|---|---|
| 1073127718 | Abbey Cathlene Freville | Physical Therapist | 3230 Lynn Ridge Dr Apt 2d, Raleigh, NC 27613-8934 | 2020-09-01 |
| 1407406622 | Katherine Miller | Physical Therapist | 8600 Brittdale Ln Apt 202, Raleigh, NC 27617-6270 | 2019-09-19 |
| 1508414434 | Katherine Irene Virgin | Physical Therapist | 2031 Smallwood Dr, Raleigh, NC 27605-1334 | 2019-09-04 |
| 1285289256 | Carlie Bromer Huberman | Physical Therapist | 1105 W Cabarrus St, Raleigh, NC 27603-1905 | 2019-08-07 |
| 1316509508 | Movement First Physical Therapy, LLC | Physical Therapist | 11308 N Radner Way, Raleigh, NC 27613-5534 | 2019-07-08 |
| 1114582301 | Wakemed Specialists Group, LLC | Physical Therapist | 10010 Falls of Neuse Rd Ste 9, Raleigh, NC 27614-8495 | 2019-05-03 |
| 1750945796 | Benjamin Thomas Schmitt | Physical Therapist | 11201 Galleria Ave Ste 105, Raleigh, NC 27614-8137 | 2019-04-25 |
| 1790264455 | Cortney E Marotto | Physical Therapist | 1300 Corporation Pkwy Ste B, Raleigh, NC 27610-1362 | 2018-08-13 |
| 1801386305 | Samantha Roedel | Physical Therapist | 4351 Avent Ferry Rd Apt 2, Raleigh, NC 27606-4780 | 2018-05-10 |
| 1306341029 | Katherine Elizabeth Drumheller | Physical Therapist | 7024 Sandringham Dr, Raleigh, NC 27613-4053 | 2018-03-26 |
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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.