MS. CAROLYN JOYCE DOUGLAS (NPI# 1164633301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164633301 |
| Entity Type | Individual |
| Full Name | MS. CAROLYN JOYCE DOUGLAS |
| Credential | PTA |
| Practice Address |
1440 168th Ave San Leandro CA 94578-2409 |
| Mailing Address |
3317 Wyman St Oakland CA 94619-3454 |
| Practice Telephone | 5104818575 |
| Mailing Telephone | 5106826140 |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | AT6243 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609808286 | Carolyn Jory Douglas | Psychiatry & Neurology | 345 E 84th St, Apartment 1, New York, NY 10028-4434 | 2006-07-06 |
| 1972964690 | Carolyn Kay Douglas | Physician Assistant | 7102 Mineral Point Rd, Madison, WI 53717-1706 | 2016-03-08 |
| Street Address |
1440 168TH AVE |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94578-2409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770657561 | Kaiser Foundation Hospitals | Skilled Nursing Facility | 1440 168th Ave, San Leandro, CA 94578-2409 | 2006-11-20 |
| 1588186167 | Rita Marie Hess | Registered Nurse | 1440 168th Ave, San Leandro, CA 94578 | 2017-07-14 |
| 1801251210 | Joseph Harrison | Occupational Therapist | 1440 168th Ave, San Leandro, CA 94578-2409 | 2015-12-30 |
| 1316318868 | Phuoc Ngo | Occupational Therapist | 1440 168th Ave, San Leandro, CA 94578-2409 | 2015-10-09 |
| 1255616280 | Kaiser | Skilled Nursing Facility | 1440 168th Ave, San Leandro, CA 94578-2409 | 2011-10-21 |
| 1326221276 | Angela Tsang | Dietitian, Registered | 1440 168th Ave, San Leandro, CA 94578-2409 | 2007-12-14 |
| 1740461433 | Suzan Almeida | Dietitian, Registered | 1440 168th Ave, San Leandro, CA 94578-2409 | 2007-11-21 |
| 1487851796 | Sangeetha Mathivanan | Dietitian, Registered | 1440 168th Ave, San Leandro, CA 94578-2409 | 2007-06-29 |
| 1063613891 | Casey Erik Boomer | Occupational Therapist | 1440 168th Ave, San Leandro, CA 94578-2409 | 2007-05-30 |
| 1588872063 | Alisha Blau Braun | Physical Therapy Assistant | 1440 168th Ave, San Leandro, CA 94578-2409 | 2007-05-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952886327 | Keyla Itzel Monroy Rodriguez | Behavioral Analyst | 900 143rd Ave, Apt 269, San Leandro, CA 94578 | 2018-10-01 |
| 1962938340 | Shaylah Rigmaiden | Counselor | 3847 E14th St, #215, San Leandro, CA 94578 | 2017-05-04 |
| 1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
| 1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
| 1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
| 1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
| 1710231717 | Farida M Ismail | Non-emergency Medical Transport (VAN) | 1601 165th Ave, 107, San Leandro, CA 94578 | 2012-10-30 |
| 1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
| 1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
| 1730445644 | Nisreen Mesiwala Kothari | Ophthalmology | 15051 Hesperian Blvd Ste A, San Leandro, CA 94578 | 2012-04-04 |
| Find all providers in zip 94578 | ||||
| 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 |
|---|---|---|---|---|
| 1326683442 | Lizhen Gong | Physical Therapy Assistant | 680 Beatrice St, San Leandro, CA 94579-1736 | 2019-11-12 |
| 1740678010 | Roan Cruz David | Physical Therapy Assistant | 2283 Marina Blvd, San Leandro, CA 94577-3211 | 2015-01-08 |
| 1851419618 | Karen Lynn Moerwald | Physical Therapy Assistant | 2251 Buena Vista Ave., Apt. #14, San Leandro, CA 94577 | 2007-03-27 |
| 1336701804 | Celine Vera Cruz | Physical Therapy Assistant | 14766 Washington Ave, San Leandro, CA 94578-4220 | 2019-07-03 |
| 1437551629 | Mary Biagini | Physical Therapy Assistant | 14766 Washington Ave, Washington Center, San Leandro, CA 94578-4220 | 2014-09-19 |
| 1154765956 | Kristina Bostrom | Physical Therapy Assistant | 14766 Washington Ave, San Leandro, CA 94578-4220 | 2013-04-23 |
| 1730423260 | Freddie Calara | Physical Therapy Assistant | 2370 Belvedere Ave, San Leandro, CA 94577-6548 | 2012-11-21 |
| 1588872063 | Alisha Blau Braun | Physical Therapy Assistant | 1440 168th Ave, San Leandro, CA 94578-2409 | 2007-05-18 |
| 1972623163 | Jeannie Ann Davidson | Physical Therapy Assistant | 13939 E 14th St, San Leandro, CA 94578-2613 | 2007-03-30 |
| 1538202718 | John Embody | Physical Therapy Assistant | 13939 E 14th St, Ste. #150, San Leandro, CA 94578-2613 | 2007-02-15 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94578 |
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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.