MR. MARK JEFFERY LISEMBEE


Address: 1561 Newton Ave, Bowling Green, KY 42104-3238
Phone: 2708421611

MR. MARK JEFFERY LISEMBEE (NPI# 1225326895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225326895
Entity Type Individual
Full Name MR. MARK JEFFERY LISEMBEE
Credential PTA
Practice Address 1561 Newton Ave
Bowling Green
KY 42104-3238
Practice Telephone 2708421611
Practice Fax Number 2708423858
Mailing Telephone 2708421611
Mailing Fax Number 2708423858
Enumeration Date 2011-07-18
Last Update Date 2012-05-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225200000X Physical Therapy Assistant A02788 KY Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1561 NEWTON AVE
City BOWLING GREEN
State KY
Zip Code 42104-3238

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871666560 Extendicare Homes, Inc. Skilled Nursing Facility 1561 Newton Ave, Bowling Green, KY 42104-3238 2006-11-17
1780169060 Bowling Green Health Center LLC Skilled Nursing Facility 1561 Newton Ave, Bowling Green, KY 42104-3238 2018-10-02
1033479498 Bowling Green Health Facilities Lp Skilled Nursing Facility 1561 Newton Ave, Bowling Green, KY 42104-3238 2012-05-20
1396060323 Jordana A Hartman Physical Therapy Assistant 1561 Newton Ave, Bowling Green, KY 42104-3238 2010-04-01
1902121353 Selina Renee Brigance Occupational Therapy Assistant 1561 Newton Ave, Bowling Green, KY 42104-3238 2010-03-29
1760707129 Dana Clare Kramer Occupational Therapist 1561 Newton Ave, Bowling Green, KY 42104-3238 2010-03-29
1043417074 Angela Robinson Occupational Therapy Assistant 1561 Newton Ave, Bowling Green, KY 42104-3238 2007-07-02
1407053473 Edna Palispis Occupational Therapist 1561 Newton Ave, Bowling Green, KY 42104-3238 2007-07-02
1396942389 Abby Raye Lee Speech-Language Pathologist 1561 Newton Ave, Bowling Green, KY 42104-3238 2007-07-02
1639376734 Tiffany Marie Ayers Speech-Language Pathologist 1561 Newton Ave, Bowling Green, KY 42104-3238 2007-07-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043822042 Ashley Marie Sterchi Speech-Language Pathologist The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 2020-08-20
1093339111 Rachel Marie Held Specialist/Technologist 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 2020-06-04
1043846769 C D S 10 Pharmacy LLC Pharmacy 1308 Ashley Circle, Bowling Green, KY 42104 2020-03-13
1073075792 Applegate Health Services, Inc Clinic/Center 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 2019-04-02
1487122099 Candice Spencer Specialist/Technologist, Other 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 2018-11-13
1053819904 Cumberland Foot and Ankle Centers Orthopaedic Surgery 1850 Westen Street, Bowling Green, KY 42104 2018-01-25
1841731494 Olivia Catherine Sanders Speech-Language Pathologist 954 Aristides Dr, Bowling Green, KY 42104 2017-03-15
1376901488 Trung Trinh Pharmacist 1530 Campbell Lane, Bowling Green, KY 42104 2016-02-03
1225409121 Adam Wesley Baird Optometrist 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 2015-10-18
1851797898 Michelle Leigh King Speech-Language Pathologist 829 Mandarin Ave., Bowling Green, KY 42104 2014-11-18
Find all providers in zip 42104

Taxonomy Information

Taxonomy Code 225200000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapy Assistant

Taxonomy Definition

(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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558701607 Mark Joseph Kleeberger Physical Therapy Assistant 1180 N Main St, Bowling Green, OH 43402 2013-07-02
1952645491 Nitin Jhamb Physical Therapy Assistant 171 Phelps Way, Bowling Green, KY 42104-7464 2012-11-21
1184857286 Gary Russell Hales Physical Therapy Assistant 1514 Cardinal Rd, Bowling Green, OH 43402-8821 2009-08-24
1306004791 Julie Hurt Physical Therapy Assistant 450 Millwood Ct, Bowling Green, KY 42104-6448 2008-06-02
1164077988 Jeremy Darnell Physical Therapy Assistant 201 Park St, Bowling Green, KY 42101-1742 2019-08-08
1730667338 Dadrion Richardson Physical Therapy Assistant 1381 Campbell Ln, Bowling Green, KY 42104-1049 2018-08-06
1881189413 Autumn Bland Physical Therapy Assistant 2365 Nashville Rd, Bowling Green, KY 42101-4144 2018-06-26
1972034650 Haley Scott Physical Therapy Assistant 944 Fields Dr, 102, Bowling Green, KY 42104-5341 2017-03-23
1750749743 Alexandra Brown Physical Therapy Assistant 1381 Campbell Ln, Bowling Green, KY 42104-1049 2016-02-04
1619212727 Debra Lynn Hancock Physical Therapy Assistant 1381 Campbell Ln, Bowling Green, KY 42104-1049 2012-11-29
Find all providers in BOWLING GREEN

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City BOWLING GREEN
Zip Code 42104

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Dataset Information

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.

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