MISS STACI CATHY-SUE ROBERTS (NPI# 1205057858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205057858 |
| Entity Type | Individual |
| Full Name | MISS STACI CATHY-SUE ROBERTS |
| Credential | PTA |
| Practice Address |
1525 Herbert St Port Orange FL 32129 |
| Mailing Address |
11300 Nw 90 Ave Reddick FL 32686 |
| Practice Telephone | 3867560424 |
| Mailing Telephone | 3526222570 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA20841 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LICENSURE | PTA20841 | 01 |
| Street Address |
1525 HERBERT ST |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063913309 | Jillian Miller | Physical Therapist | 1525 Herbert St, Port Orange, FL 32129-6106 | 2018-02-22 |
| 1497272355 | Brooke Martinez | Rehabilitation Practitioner | 1525 Herbert St, Port Orange, FL 32129-6106 | 2017-08-23 |
| 1972959807 | Michael John Hawkins Jr. | Physical Therapy Assistant | 1525 Herbert St, Port Orange, FL 32129-6106 | 2016-05-10 |
| 1114301033 | Michelle Vann | Physical Therapy Assistant | 1525 Herbert St, Port Orange, FL 32129-6106 | 2015-07-10 |
| 1427326651 | Heather Nicole Lemaster | Specialist/Technologist | 1525 Herbert St, Port Orange, FL 32129-6106 | 2011-12-02 |
| 1528335668 | Timothy Ryan Tylec | Physical Therapy Assistant | 1525 Herbert St, Unit 103, Port Orange, FL 32129-6106 | 2011-11-17 |
| 1912141490 | Kari Mcdonald Williams | Physical Therapist | 1525 Herbert St, Suite 103, Port Orange, FL 32129-6106 | 2009-04-28 |
| 1669503264 | Advanced Dental Inc. | Dentist | 1525 Herbert St, Suite 101, Port Orange, FL 32129-6106 | 2007-03-08 |
| 1174531966 | Luis O Soto | Dentist | 1525 Herbert St, Suite 101, Port Orange, FL 32129 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982179818 | Port Orange Modern Dentistry, Pa | Dentist | 1765 Dunlawton Ave., Suite 103, Port Orange, FL 32129 | 2018-10-08 |
| 1932698131 | Brittany Michele Claude | Behavioral Analyst | 4647 Clyde Morris Blvd Suite 501, Port Orange, FL 32129 | 2018-05-03 |
| 1760919468 | Makayla Earl | Behavior Technician | 1557 Town Park Dr., Port Orange, FL 32129 | 2017-05-12 |
| 1184157968 | Katie Lynn Weisz | Physician Assistant | 3635 South Clyde Morris Blvd, Suite 100, Port Orage, FL 32129 | 2017-04-07 |
| 1285178319 | Mallory Driggers | Counselor | 980 Canal View Blvd Apt F7, Port Orange, FL 32129 | 2016-12-08 |
| 1912321654 | Edward L. Staudt Dds & Kenneth L. Staudt Dds, Mph | Dentist | 944 Bridgewater Dr., Suite 2-b, Port Orange, FL 32129 | 2014-02-18 |
| 1538411731 | Roberta Ann Gilmartin | Specialist | 1048 W Samms Ave, Port Orange, FL 32129 | 2012-10-11 |
| 1679892996 | Pamela Kirby Pa | Clinic/Center | 4606 South Clyde Morris Boulevard, Suite 1j, Port Orange, FL 32129 | 2010-05-26 |
| 1326376385 | Connie Jeanne Bodnarik | Physical Therapy Assistant | 3780 S Clyde Morris Blvd Apt 1206, Port Orange, FL 32129 | 2009-12-02 |
| 1669645057 | American Family & Sports Chiropractic Center Inc | Chiropractor | 4649 Clyde Morris Blvd Unit 609, Port Orange, FL 32129 | 2008-04-08 |
| Find all providers in zip 32129 | ||||
| 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 |
|---|---|---|---|---|
| 1578198750 | Daniel Martin | Physical Therapy Assistant | 5535 S Williamson Blvd Ste 700, Port Orange, FL 32128-8321 | 2020-03-07 |
| 1104489319 | Errol Lopez | Physical Therapy Assistant | 3882 Sunset Cove Dr, Port Orange, FL 32129-1916 | 2019-04-15 |
| 1154739811 | Linda Anthony | Physical Therapy Assistant | 50 Cypress Pond Rd, Port Orange, FL 32128-6722 | 2014-07-25 |
| 1477975480 | Roxanne Hemmerling | Physical Therapy Assistant | 1119 Nature View Cir, Port Orange, FL 32128-7454 | 2014-01-09 |
| 1417209719 | Sally J Blunier | Physical Therapy Assistant | 3646 Socha Way, Port Orange, FL 32129-4259 | 2012-10-10 |
| 1952611188 | Tiffany Lynn Dunham | Physical Therapy Assistant | 6048 Spruce Point Cir, Port Orange, FL 32128-5502 | 2010-10-21 |
| 1326376385 | Connie Jeanne Bodnarik | Physical Therapy Assistant | 3780 S Clyde Morris Blvd Apt 1206, Port Orange, FL 32129 | 2009-12-02 |
| 1811192636 | Eric W Harting | Physical Therapy Assistant | 1675 Dunlawton Ave, Port Orange, FL 32127-4755 | 2007-06-20 |
| 1407058506 | Meghan J Traverse | Physical Therapy Assistant | 687 Branch Dr, Port Orange, FL 32127-5893 | 2007-06-01 |
| 1780723510 | Mark Kolb | Physical Therapy Assistant | 1525 Herbert St Ste 103, Port Orange, FL 32129-6107 | 2007-02-06 |
| Find all providers in PORT ORANGE | ||||
| City | PORT ORANGE |
| Zip Code | 32129 |
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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.