MRS. EMILIE ANNETTE OTIS (NPI# 1164636015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164636015 |
| Entity Type | Individual |
| Full Name | MRS. EMILIE ANNETTE OTIS |
| Other Name | MS. EMILIE ANNETTE COVER |
| Credential | PTA |
| Practice Address |
4300 Bartlett Street Homer AK 99603 |
| Mailing Address |
41364 Charlie Drive Homer AK 99603 |
| Practice Telephone | 9072350370 |
| Mailing Telephone | 9072350706 |
| Enumeration Date | 2007-05-10 |
| 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 | 1454 | AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4300 BARTLETT STREET |
| City | HOMER |
| State | AK |
| Zip Code | 99603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679566269 | South Peninsula Hospital, Inc. | Emergency Medicine | 4300 Bartlett Street, Homer, AK 99603-7005 | 2005-08-29 |
| 1073899266 | Heidi J Smith | Registered Nurse | 4300 Bartlett Street, C/o Sph- Homehealth, Homer, AK 99603 | 2011-11-01 |
| 1770785578 | Noreen Jacqueline Zavorsky | Occupational Therapist | 4300 Bartlett Street, Occupational Physical Therapy Dept South Peninsula Hosp, Homer, AK 99603 | 2007-06-04 |
| 1871617225 | William Stephan Roberts | Radiology | 4300 Bartlett Street, South Peninsula Hospital, Homer, AK 99603 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572387 | Morgan Dwyer | Counselor | 51310 Timber Bay Ct, Homer, AK 99603 | 2020-09-09 |
| 1346859824 | John George Hetrick | Counselor | 51310 Timber Bay Ct., Homer, AK 99603 | 2020-07-30 |
| 1093352502 | Katieostrommd | Obstetrics & Gynecology | 205 W Fairview, Homer, AK 99603 | 2019-12-03 |
| 1023651965 | Melissa Elizabeth Malcolm | Physical Therapy Assistant | 4107 Hohe Ave, Homer, AK 99603 | 2019-10-23 |
| 1184143620 | Homer Birth and Wellness Center | Clinic/Center | 3902 Shelford Street, Homer, AK 99603 | 2017-09-15 |
| 1588913271 | Sharon Marie Gorman | Registered Nurse | 3959 Ben Walters, Homer, AK 99603 | 2012-09-10 |
| 1477802197 | Aldergrove Assisted Living | Community Based Residential Treatment Facility, Mental Illness | 41045 Denny Lane, Homer, AK 99603 | 2012-09-10 |
| 1194087551 | Stephen Michael Mueller | Pharmacist | 3858 Lake Street, Suite #5, Lakeside Mall, Homer, AK 99603 | 2012-06-12 |
| 1962778001 | Homer Dental Center Inc | Dentist | 4014 Lake St., Ste 210, Homer, AK 99603 | 2012-03-22 |
| 1346544368 | William R Easton | General Practice | 2495 Bayridge Rd, Homer, AK 99603 | 2011-01-05 |
| Find all providers in zip 99603 | ||||
| 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 |
|---|---|---|---|---|
| 1023651965 | Melissa Elizabeth Malcolm | Physical Therapy Assistant | 4107 Hohe Ave, Homer, AK 99603 | 2019-10-23 |
| 1619521812 | Richard John Kleinleder | Physical Therapy Assistant | 4300 Bartlett St, Homer, AK 99603-7005 | 2019-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588277255 | Shoshanalee Marrero | Physical Therapy Assistant | 7623 Chaimi Loop, Anchorage, AK 99504-4689 | 2020-08-24 |
| 1902445489 | Kelsey Coolidge Boardman | Physical Therapy Assistant | 3831 Piper St Ste S-320, Anchorage, AK 99508-4680 | 2019-12-31 |
| 1780238014 | Bradley Duke Ischinger | Physical Therapy Assistant | 6701 Blondell Drive, Wasilla, AK 99623 | 2019-07-25 |
| 1578062857 | Richard Dean Wolcott | Physical Therapy Assistant | 1200 Airport Heights Dr Bldg E, Anchorage, AK 99508-2965 | 2018-02-01 |
| 1306383518 | Maggie Carlton | Physical Therapy Assistant | 3831 Piper St Ste 320, Anchorage, AK 99508-4680 | 2017-01-25 |
| 1427501725 | Kathryn Deena Swore | Physical Therapy Assistant | 3190 E Meridian Park Loop Ste 206a, Wasilla, AK 99654-7422 | 2016-08-03 |
| 1861845752 | Katelyn Sazama | Physical Therapy Assistant | 11421 Old Glenn Hwy Ste 100, Eagle River, AK 99577-7783 | 2016-07-15 |
| 1780039123 | Kendra Piaskowski | Physical Therapy Assistant | 2440 E Tudor Rd # 338, Anchorage, AK 99507-1185 | 2016-05-03 |
| 1568820280 | Joshua Scott Campbell | Physical Therapy Assistant | 619 South Kinik Goose Bay, Suite H, Wasilla, AK 99654 | 2016-02-09 |
| 1982072039 | Lacey Anne Stalder | Physical Therapy Assistant | 5993 Coho St, Unit C, Jber, AK 99506-3605 | 2015-09-07 |
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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.