STACEY ANN ERTEL (NPI# 1174757793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174757793 |
| Entity Type | Individual |
| Full Name | STACEY ANN ERTEL |
| Credential | PT |
| Practice Address |
3054 Goodrich Rd Cambridge ID 83610-5134 |
| Practice Telephone | 2082573499 |
| Practice Fax Number | 2082573539 |
| Mailing Telephone | 2082573499 |
| Mailing Fax Number | 2082573539 |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172M00000X | Mechanotherapist | 3180 | OR | Other Service Providers |
| Y | 172M00000X | Mechanotherapist | PT-1187 | ID | Other Service Providers |
| Street Address |
3054 GOODRICH RD |
| City | CAMBRIDGE |
| State | ID |
| Zip Code | 83610-5134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366998395 | Linsey Sunderland | Physical Therapy Assistant | 1224 8th Street, Suite A, Rupert, ID 83610 | 2016-08-30 |
| 1386015691 | Cambridge School District | Local Education Agency (LEA) | 40 N Fourth Street, Cambridge, ID 83610 | 2015-10-13 |
| 1952749335 | Dille Dental, Pllc | Dentist | 90 S Superior Street, Cambridge, ID 83610 | 2013-06-07 |
| 1114292000 | Two Rivers Family & Cosmetic Dentistry | Dentist | 90 S Superior, Cambridge, ID 83610 | 2012-03-12 |
| 1235343542 | Colleen E Gardner | Counselor | 425 S. Whitley Dr., Suite #2, Fruitland, ID 83610 | 2007-05-09 |
| 1104978535 | Cambridge Volunteer Fire Dept Inc | Ambulance | 30 Superior St., Cambridge, ID 83610 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538269 | Jolene Potter | Physical Therapist | 32 Prospect St, Cambridge, MA 02139-2401 | 2020-11-05 |
| 1770182230 | Elizabeth Anne Sutera | Nurse Practitioner | 725 Concord Ave Ste 3200, Cambridge, MA 02138-1092 | 2020-10-25 |
| 1730788324 | Debra Merle Baker | Massage Therapist | 10 Holworthy Pl, Cambridge, MA 02138-4510 | 2020-10-23 |
| 1316546294 | Steacy Lynne Suddaby | Nurse Practitioner | 272 N Main Street, Suite 101, Cambridge, VT 05444-0102 | 2020-10-21 |
| 1346849619 | Judith Olden | Home Health Aide | 807 N7th St., Cambridge, OH 43725 | 2020-10-19 |
| 1669070389 | Theresa Howe | Registered Nurse | 148 Gore St, Cambridge, MA 02141-1135 | 2020-10-14 |
| 1659979615 | Ruth Carter | Homemaker | 9808 Ohio Ave, Cambridge, OH 43725-9313 | 2020-10-13 |
| 1982202032 | Makayla Davis | Social Worker | 43 Kinnaird St, Cambridge, MA 02139-3127 | 2020-10-12 |
| 1225636558 | Agnprx LLC | Nurse Practitioner | 5543 Bonnie Brook Rd, Cambridge, MD 21613-3437 | 2020-10-09 |
| 1558968784 | Francina Alvarez Noboa | Dentist | 700 Huron Ave Apt 15m, Cambridge, MA 02138-4590 | 2020-10-01 |
| Find all providers in CAMBRIDGE | ||||
| Taxonomy Code | 172M00000X |
| Grouping | Other Service Providers |
| Classification | Mechanotherapist |
| A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy. |
| Notes: Source: Summarized from Ohio Revised Code 4731.15 [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724176 | Alexandra Mischke | Mechanotherapist | 2464 Massachusetts Ave Ste 315a, Cambridge, MA 02140-1648 | 2020-06-13 |
| 1245560911 | Lisa A Santoro | Mechanotherapist | 777 Concord Ave, Cambridge, MA 02138-1056 | 2010-01-01 |
| 1508018680 | Aline Newton | Mechanotherapist | 875 Massachusetts Ave, Suite 83, Cambridge, MA 02139-3067 | 2008-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780127407 | Alison Styer | Mechanotherapist | 1365 N Orchard St, Boise, ID 83706-2251 | 2016-11-29 |
| 1326445024 | Susan Swetnam | Mechanotherapist | 324 S 5th Ave, Pocatello, ID 83201-5803 | 2014-11-24 |
| 1922423474 | Daniel Nuzum | Mechanotherapist | 319 9th Ave S, Nampa, ID 83651-3828 | 2014-02-20 |
| 1225301252 | Jason Robert Griffin | Mechanotherapist | 2270 N Cecil Rd, Post Falls, ID 83854-4417 | 2012-02-22 |
| 1306155320 | John Boyatt Phillips | Mechanotherapist | 726 E Hayden St, Pocatello, ID 83201-6226 | 2010-09-27 |
| 1457687311 | Kristen Rice | Mechanotherapist | 7447 W Emerald St Ste 150, Boise, ID 83704-5003 | 2009-10-28 |
| 1801040191 | Sandra Louise Powell | Mechanotherapist | 704 Blaine St Ste 3, Caldwell, ID 83605-3731 | 2008-11-13 |
| 1699947127 | Alicia Braden | Mechanotherapist | 6606 Lincoln St, Bonners Ferry, ID 83805-8513 | 2008-03-25 |
| 1689844540 | Elizabete Rangel Cruz | Mechanotherapist | 200 S Almon St, Suite 102, Moscow, ID 83843-2098 | 2008-03-06 |
| 1669664488 | Terence Kevin Potts | Mechanotherapist | 16 W Croy St, Suite K, Hailey, ID 83333-9700 | 2007-08-15 |
| Find all providers with the same taxonomy | ||||
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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.