NICOLE CHRISTINE STAVINOHA-PETTIT (NPI# 1215162672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215162672 |
| Entity Type | Individual |
| Full Name | NICOLE CHRISTINE STAVINOHA-PETTIT |
| Credential | P.T. |
| Practice Address |
500 Canyon Ridge Dr Suite B-150 Austin TX 78753-1632 |
| Mailing Address |
800 Crescent Centre Dr Ste 300 Franklin TN 37067-7285 |
| Practice Telephone | 5125960566 |
| Practice Fax Number | 5125960567 |
| Mailing Telephone | 6153731350 |
| Mailing Fax Number | 6152219054 |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2019-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 1189310 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
500 CANYON RIDGE DR SUITE B-150 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78753-1632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366418519 | Kirby Reed | Nurse Practitioner | 500 Canyon Ridge Dr, Suite J350, Austin, TX 78753-1632 | 2006-02-27 |
| 1134772122 | Richard Barnum Gustafson | Pharmacist | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2019-07-19 |
| 1972059103 | Samir Alrajab | Dentist | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2016-08-28 |
| 1396198552 | Melissa Jean Harper | Nurse Practitioner | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2016-07-22 |
| 1164853461 | Carrie Banigan Hodges | Nurse Practitioner | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2013-12-11 |
| 1497189195 | Gabrielle Mccart | Nurse Practitioner | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2013-08-29 |
| 1861733735 | Mark Zamutt | Pharmacist | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2013-03-01 |
| 1407196363 | Shannon Zucca | Pharmacist | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2013-02-28 |
| 1558679662 | Rediclinic Austin, LLC | Clinic/Center | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2010-09-23 |
| 1437476256 | Todd Ellsworth | Pharmacist | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2010-05-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306486659 | Gc Mental Wellness LLC | Counselor | 601 Farley Drive, Austin, TX 78753 | 2020-01-14 |
| 1871142992 | Virgie Lee Clement | Technician | 9704 Kendal Dr, 9704 Kendal Dr, Austin, TX 78753 | 2019-09-11 |
| 1851870190 | Mallory Lynch, Od, Pllc | Optometrist | 500 Canyon Ridge Dr. Suite L300, Austin, TX 78753 | 2018-08-08 |
| 1205320538 | Cameron Health Care LLC | Skilled Nursing Facility | 8324 Cameron Road, Austin, TX 78753 | 2018-06-20 |
| 1851883433 | Greater Austin Transportation Company | Taxi | 10630 Joseph Clayton Dr., Bldg A, Austin, TX 78753 | 2018-05-31 |
| 1093212151 | Enamel Dentistry Parmer Park, Pllc | Dentist | 1606 E. Parmer Ln, Suite #125, Austin, TX 78753 | 2018-04-06 |
| 1699270462 | Kelly Marcello | Nurse Practitioner | 11207 N Lamar Blvd Ste B, Austin, TX 78753 | 2018-03-26 |
| 1710481155 | Techridge Oaks, LLC | Assisted Living Facility | 400 E Yager Ln, Austin, TX 78753 | 2018-03-21 |
| 1013441286 | Mydental At Norwood Pllc | Dentist | 1045 Norwood Park Blvd, Suite 103, Austin, TX 78753 | 2017-04-14 |
| 1477908093 | Nicole Amy Kosich | Massage Therapist | 8740 N. Lamar Blvd., Austin, TX 78753 | 2016-05-02 |
| Find all providers in zip 78753 | ||||
| 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 |
|---|---|---|---|---|
| 1598366940 | Evan Pratt | Physical Therapist | 11007 Ranch Road 2222, Austin, TX 78730-1106 | 2020-11-03 |
| 1063012177 | Celina Nguyen | Physical Therapist | 11442 N Ih 35 Ste B, Austin, TX 78753-2708 | 2020-10-28 |
| 1952900607 | Andrea Lissette Pantoja | Physical Therapist | 2712 Bee Caves Rd Ste 110, Austin, TX 78746-5662 | 2020-10-23 |
| 1689273617 | Victor Yeung | Physical Therapist | 9430 Research Blvd Bldg 2, Austin, TX 78759-6586 | 2020-10-21 |
| 1730788118 | Christian Johnson | Physical Therapist | 10222 Pecan Park Blvd # 11, Austin, TX 78729-1783 | 2020-10-18 |
| 1710585468 | Janet Solomon | Physical Therapist | 1904 Goodrich Ave Apt 13, Austin, TX 78704-3366 | 2020-10-14 |
| 1679170211 | Cheryl Lynn Stritzinger | Physical Therapist | 2402 Roehampton Dr, Austin, TX 78745-6968 | 2020-10-07 |
| 1255948626 | Lauren Michelle Baulch | Physical Therapist | 11215 S Interstate 35 Ste 102, Austin, TX 78747-1864 | 2020-09-29 |
| 1538775572 | Holly Hambacher | Physical Therapist | 1212 W Parmer Ln Ste G, Austin, TX 78727-4657 | 2020-09-16 |
| 1932713195 | Amy Marie Lucero | Physical Therapist | 9430 Research Blvd Ste 350, Austin, TX 78759-6586 | 2020-09-04 |
| Find all providers in AUSTIN | ||||
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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.