JESSICA MICHELLE PENA (NPI# 1174168116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174168116 |
| Entity Type | Individual |
| Full Name | JESSICA MICHELLE PENA |
| Credential | PTA |
| Practice Address |
4011 Williams Dr Georgetown TX 78628-2491 |
| Mailing Address |
9301 Axtellon Ct Austin TX 78749-4168 |
| Practice Telephone | 5128682700 |
| Mailing Telephone | 5127434053 |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 2145800 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013415421 | Jessica Pena | Behavior Technician | 27720 Jefferson Ave Ste 150, Temecula, CA 92590-2630 | 2018-01-31 |
| 1003240136 | Jessica Pena | Counselor | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2013-08-26 |
| 1639514912 | Jessica Pena | Case Manager/Care Coordinator | 4343 W Flagler St Ste 100, Coral Gables, FL 33134-1585 | 2013-05-01 |
| 1578807749 | Jessica Pena | Counselor | 2805 Millwood Ave, Columbia, SC 29205-1298 | 2012-11-12 |
| 1235490459 | Jessica M Pena | Nurse Anesthetist, Certified Registered | 601 E Rollins St, Orlando, FL 32803-1248 | 2012-06-05 |
| 1336196435 | Jessica Pena | Internal Medicine | 1825 Eastchester Rd, Cardiology Administration, Bronx, NY 10461-2301 | 2006-05-27 |
| Street Address |
4011 WILLIAMS DR |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78628-2491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285934232 | Mason Georgetown Op LLC | Skilled Nursing Facility | 4011 Williams Dr, Georgetown, TX 78628-2491 | 2010-10-25 |
| 1790327153 | Brandon Allen Kline | Occupational Therapy Assistant | 4011 Williams Dr, Georgetown, TX 78628-2491 | 2019-10-16 |
| 1699317990 | Devin Fitzsimmons | Physical Therapy Assistant | 4011 Williams Dr, Georgetown, TX 78628-2491 | 2019-10-08 |
| 1366923054 | Manasi Shidhaye | Physical Therapy Assistant | 4011 Williams Dr, Georgetown, TX 78628-2491 | 2018-08-22 |
| 1205317716 | Celeste Ann Saldutte | Speech-Language Pathologist | 4011 Williams Dr, Georgetown, TX 78628-2491 | 2018-08-22 |
| 1467844993 | Claudia O'nions | Nurse Practitioner | 4011 Williams Dr, Georgetown, TX 78628-2491 | 2015-02-20 |
| 1467878629 | South Limestone Hospital District | Skilled Nursing Facility | 4011 Williams Dr, Georgetown, TX 78628-2491 | 2014-03-12 |
| 1558784801 | Georgetown Snf Operations LLC | Skilled Nursing Facility | 4011 Williams Dr, Georgetown, TX 78628-2491 | 2014-01-22 |
| 1942572482 | Megan Frey | Speech-Language Pathologist | 4011 Williams Dr, Georgetown, TX 78628-2491 | 2012-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164079760 | Maegan Marissa Milliet | Student in an Organized Health Care Education/Training Program | 302 Rideg Run Dr, Georgetown, TX 78628 | 2019-08-20 |
| 1366918419 | Harold F. Adelman, M.d, Pllc | Clinic/Center | 3008 Dawn Drive, Suite #103, Georgetown, TX 78628 | 2018-10-16 |
| 1679085401 | Georgetown Emergency Physicians Pllc | Clinic/Center | 1210 W University Blvd, Georgetown, TX 78628 | 2017-11-02 |
| 1134631450 | Meredith Rollins Hatcher | Physician Assistant | 204 S Interstate I-35, Suite 103, Georgetown, TX 78628 | 2017-10-26 |
| 1588188304 | Wolf Ranch Dental Group, PC | Dentist | 1135 West University Avenue, Georgetown, TX 78628 | 2017-08-02 |
| 1982066528 | Imren Ozturk | Family Medicine | Arc Georgetown, 940 W University Ave Suite 101, Georgetown, TX 78628 | 2016-03-23 |
| 1093114100 | Della Davis | Hearing Instrument Specialist | 1013 W. University Ave, Suite 122, Georgetown, TX 78628 | 2014-08-14 |
| 1083988125 | Deann Reinshuttle | Audiologist-Hearing Aid Fitter | 3316 Williams Dr Ste 115, Georgetown, TX 78628 | 2012-03-07 |
| 1700195823 | Zeyad B Mughrabi | Dentist | 1615 Williams Dr, Georgetown, TX 78628 | 2010-10-07 |
| 1497071534 | Jeri Lynne Manhal | Counselor | 1618 Williams Dr., Suite 4, Georgetown, TX 78628 | 2010-04-14 |
| Find all providers in zip 78628 | ||||
| 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 |
|---|---|---|---|---|
| 1316579170 | Christina Torosian | Physical Therapy Assistant | 207 Shady Elm, Georgetown, TX 78633-2037 | 2020-02-10 |
| 1255813648 | Taous Bouadi | Physical Therapy Assistant | 204 Wisteria Dr, Georgetown, TX 78626-4718 | 2018-08-31 |
| 1376023499 | Lori Johnson | Physical Therapy Assistant | 110 Champions Ct, Georgetown, TX 78628-1185 | 2018-08-17 |
| 1083133789 | Christopher Crain | Physical Therapy Assistant | 108 Crossvine Trl, Georgetown, TX 78626-2311 | 2017-09-13 |
| 1568836252 | Jason Brown | Physical Therapy Assistant | 112 Seminole Canyon Dr, Georgetown, TX 78628-7193 | 2015-11-18 |
| 1356739080 | Craig Crossman | Physical Therapy Assistant | 705 E 13th St, Georgetown, TX 78626 | 2015-01-05 |
| 1851730600 | Earl Randall Smullen | Physical Therapy Assistant | 12 Gordy St, Georgetown, DE 19947-2116 | 2013-06-14 |
| 1811281280 | Nancy Saverine | Physical Therapy Assistant | 4612 Chestnut Meadows Bnd, Georgetown, TX 78626-7075 | 2011-06-02 |
| 1811182934 | Devina Monique Mendez | Physical Therapy Assistant | 903 River Haven Dr., Georgetown, TX 78626 | 2007-09-11 |
| 1336746338 | Montrelle Latwan Lewis | Physical Therapy Assistant | 2199 N Fraser St, Georgetown, SC 29440-6409 | 2020-10-03 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 78628 |
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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.