KERRIE BLADES (NPI# 1174954648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174954648 |
| Entity Type | Individual |
| Full Name | KERRIE BLADES |
| Credential | DPT |
| Practice Address |
14900 Pete Dye St Moreno Valley CA 92555-6333 |
| Practice Telephone | 9513155307 |
| Mailing Telephone | 9513155307 |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2013-12-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 40746 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
14900 PETE DYE ST |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92555-6333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817935 | Jillian Mika Ogata | Social Worker | Riverside University Health System, 26520 Cactus Ave., Moreno Valley, CA 92555 | 2020-10-05 |
| 1114549144 | Providence Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 11165 Bonnie View Ave, Moreno Valley, CA 92555 | 2020-05-13 |
| 1720645096 | Shahida Nawaz | Non-emergency Medical Transport (VAN) | 26528 Primrose Way, Moreno Valley, CA 92555 | 2019-05-22 |
| 1679139828 | Moses Lee | Student in an Organized Health Care Education/Training Program | Department of Orthopaedic Surgery Rm. B2042 Ruhs-mc, 26520 Cactus Ave., Moreno Valley, CA 92555 | 2019-05-14 |
| 1215419668 | Johannes Wattimena | Counselor | 26624 Saffron Circle, Moreno Valley, CA 92555 | 2018-09-02 |
| 1437676939 | Aleksandra Vargas | Behavioral Analyst | 12549 Atherton Dr, Moreno Valley, CA 92555 | 2017-08-25 |
| 1063938603 | Anthony I Odimegwu | Nurse Practitioner | 26062 Bercaw Ct, Moreno Valley, CA 92555 | 2017-08-16 |
| 1073036703 | Karen Parker | Licensed Psychiatric Technician | 12944 Dolomite Lane, Moreno Valley, CA 92555 | 2017-07-25 |
| 1861923674 | Elena Vizcaino | Behavior Technician | 15670 Turnberry St, Moreno Valley, CA 92555 | 2017-03-23 |
| 1154744522 | Nancy Chivichon | Dietitian, Registered | 28648 Avenue Ave., Moreno Valley, CA 92555 | 2014-01-21 |
| Find all providers in zip 92555 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) 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 |
|---|---|---|---|---|
| 1881159671 | Pamela Hannah Tena Diezmo | Physical Therapist | 16611 War Cloud Dr, Moreno Valley, CA 92551-2584 | 2019-02-05 |
| 1487192670 | Kyle M Stone | Physical Therapist | 23100 Eucalyptus Ave Ste 100, Moreno Valley, CA 92553-5439 | 2017-02-07 |
| 1225416803 | Kinetx Therapy Inc | Physical Therapist | 26357 Okeefe Ln, Moreno Valley, CA 92555-2547 | 2015-05-14 |
| 1801132899 | Lysa Cimicato | Physical Therapist | 25967 Redbay Ln, Moreno Valley, CA 92553-6843 | 2012-12-18 |
| 1073801908 | Camille Cecelia Grace Medley | Physical Therapist | 11713 Star Jasmine Cir, Moreno Valley, CA 92557-6027 | 2011-07-12 |
| 1184951279 | Lamar Johnson Physical Therapy Services | Physical Therapist | 27409 Arla St, Moreno Valley, CA 92555-4947 | 2009-11-10 |
| 1750338976 | Cynthia Lynn Tumbleson | Physical Therapist | 11470 Tiffany Ln, Moreno Valley, CA 92557-4706 | 2006-05-31 |
| 1285602946 | Rancho Physical Therapy, Inc. | Physical Therapist | 23100 Eucalyptus Ave Ste C, Moreno Valley, CA 92553-5439 | 2006-03-09 |
| 1336129360 | Anthony Renel Tabingo II | Physical Therapist | 13373 Perris Blvd, Suite C-202-b, Moreno Valley, CA 92553-4206 | 2006-01-17 |
| 1659357135 | Painless Spine Center Inc | Physical Therapist | 23110 Atlantic Cir, #f, Moreno Valley, CA 92553-5920 | 2005-12-16 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92555 |
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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.