MRS. GAIL LUCILLE NISTICO (NPI# 1174849756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174849756 |
| Entity Type | Individual |
| Full Name | MRS. GAIL LUCILLE NISTICO |
| Credential | PHYSICAL THERAPY ASS |
| Practice Address |
256 Sunset Lake Rd Sullivan County Adult Care Center Liberty NY 12754 |
| Mailing Address |
219 Seminary Rd. Callicoon NY 12723-5316 |
| Practice Telephone | 8452925910 |
| Mailing Telephone | 8458871956 |
| Mailing Fax Number | 8458871956 |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2010-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 000169-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
256 SUNSET LAKE RD SULLIVAN COUNTY ADULT CARE CENTER |
| City | LIBERTY |
| State | NY |
| Zip Code | 12754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033382601 | Senior Connections Psychological Services of New York, PC | Psychologist | 256 Sunset Lake Rd, Liberty, NY 12754-2847 | 2008-04-03 |
| 1316458904 | Susan Lee Madnick | Clinical Nurse Specialist | 256 Sunset Lake Rd, Liberty, NY 12754-2847 | 2017-10-23 |
| 1043721764 | Jenifer H Laymon | Clinical Nurse Specialist | 256 Sunset Lake Rd, Liberty, NY 12754-2847 | 2017-10-20 |
| 1750892584 | Susan Faith Furgison | Clinical Nurse Specialist | 256 Sunset Lake Rd, Liberty, NY 12754-2847 | 2017-10-19 |
| 1114438934 | Kimberly T Neves | Clinical Nurse Specialist | 256 Sunset Lake Rd, Liberty, NY 12754-2847 | 2017-10-19 |
| 1871004747 | Krystyna Barbara Potok | Clinical Nurse Specialist | 256 Sunset Lake Rd, Liberty, NY 12754-2847 | 2017-10-19 |
| 1003327875 | Susan Southerton | Registered Nurse | 256 Sunset Lake Rd, Liberty, NY 12754-2847 | 2017-10-19 |
| 1669983532 | Suzanne B King | Clinical Nurse Specialist | 256 Sunset Lake Rd, Liberty, NY 12754-2847 | 2017-10-19 |
| 1407367220 | Nichelle K Dewitt | Clinical Nurse Specialist | 256 Sunset Lake Rd, Liberty, NY 12754-2847 | 2017-10-19 |
| 1134630056 | Wendy Cole-dean | Clinical Nurse Specialist | 256 Sunset Lake Rd, Liberty, NY 12754-2847 | 2017-10-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871060749 | Tiffany Anne Huebsch | Registered Nurse | 52 Ferndale Loomis Rd, Liberty, NY 12754 | 2018-10-30 |
| 1548744667 | Nicole Rose | Case Manager/Care Coordinator | 50 Community Lane, Liberty, NY 12754 | 2018-09-25 |
| 1073093035 | Gelsomino and Davis Speech and Occupational Therapy | Case Management | 5 Triangle Rd Ste C, Liberty, NY 12754 | 2018-08-20 |
| 1063952935 | Kathleen F Brandt | Chiropractor | 10 Hanofee Dr., Liberty, NY 12754 | 2017-02-27 |
| 1437401924 | Shannon Marie Ostrander | Social Worker | 20 Commmunity Lane, Liberty, NY 12754 | 2012-10-08 |
| 1962788554 | Jill M Holland | Occupational Therapy Assistant | 6 Weirk Ave, Liberty, NY 12754 | 2011-10-26 |
| 1962653790 | Sylvie B Acoulon | Social Worker | 20 Community Services, Liberty, NY 12754 | 2008-10-10 |
| 1568680767 | Melanie A Cavrell | Social Worker | 76 Nature Lake Rd Ofc, Liberty, NY 12754 | 2007-04-23 |
| 1922015817 | Helen Marian Burke | Advanced Practice Midwife | 23 High Street, Monticello, NY 12754 | 2006-08-02 |
| 1427087105 | Town of Liberty Volunteer Ambulance Corps Inc | Ambulance | 178 Mill St, Liberty, NY 12754 | 2006-07-03 |
| Find all providers in zip 12754 | ||||
| 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 |
|---|---|---|---|---|
| 1922513464 | Alyssa Kaylee Hensley | Physical Therapy Assistant | 2609 Glenn Hendren Dr # G100, Liberty, MO 64068-3313 | 2017-12-06 |
| 1366846875 | April Garcia | Physical Therapy Assistant | 21 Meadowmere Ln, Liberty, NY 12754-2920 | 2014-10-13 |
| 1043581762 | Cherie F Darr | Physical Therapy Assistant | 1200 West College St, Liberty, MO 64068 | 2012-01-26 |
| 1497793848 | Gini Anne Fite | Physical Therapy Assistant | 2105 Kara Ct, Suite 320, Liberty, MO 64068-1392 | 2006-06-04 |
| 1588657134 | Rick Lee Bell | Physical Therapy Assistant | 113 Blue Jay Dr, Ste 200, Liberty, MO 64068-1997 | 2005-08-30 |
| 1346856564 | Lenita D Broussard | Physical Therapy Assistant | 1620 Magnolia St, Liberty, TX 77575-3546 | 2020-09-22 |
| 1629616420 | Jennifer L Harrington | Physical Therapy Assistant | 1200 W College St, Liberty, MO 64068-1036 | 2019-12-12 |
| 1235785197 | Noah Manuel Palomino | Physical Therapy Assistant | 1620 Magnolia St, Liberty, TX 77575-3546 | 2019-08-15 |
| 1326602038 | Monique Demoine Liburd | Physical Therapy Assistant | 1620 Magnolia St, Liberty, TX 77575-3546 | 2019-04-28 |
| 1083173983 | Travis Plymell | Physical Therapy Assistant | 1200 W College St, Liberty, MO 64068-1036 | 2019-03-19 |
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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.