JACOB PROVANCE (NPI# 1235529967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235529967 |
| Entity Type | Individual |
| Full Name | JACOB PROVANCE |
| Practice Address |
121 W Main St Monongahela PA 15063-2354 |
| Practice Telephone | 7242584227 |
| Mailing Telephone | 7242584227 |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | TE010421 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
121 W MAIN ST |
| City | MONONGAHELA |
| State | PA |
| Zip Code | 15063-2354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578910543 | Eric John Madore | Physical Therapy Assistant | 121 W Main St, Monongahela, PA 15063-2354 | 2016-05-19 |
| 1184001331 | Penn Neuromuscular Diagnostics, LLC | Clinic/Center | 121 W Main St, Monongahela, PA 15063-2354 | 2015-04-27 |
| 1649285222 | Valerie Radic | Physical Therapist | 121 W Main St, Monongahela, PA 15063-2354 | 2006-07-30 |
| 1376557009 | Jane Jonas-homa | Physical Therapist | 121 W Main St, Monongahela, PA 15063-2354 | 2006-07-28 |
| 1083659049 | Keystone Rehabilitation Systems Inc | Clinic/Center | 121 W Main St, Monongahela, PA 15063-2354 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457902009 | Joan Romaine Wilkerson | Technician | 46 West Euclid Ave, Monongahela, PA 15063 | 2019-09-25 |
| 1700217361 | Dion Kong | Occupational Therapist | 1277 Country Club Road, Havencrest Nursing Center, Monongahela, PA 15063 | 2013-12-09 |
| 1861708414 | Pieter H Heemstra | Dentist | 100 Alexander Avenue, Monongahela, PA 15063 | 2010-08-20 |
| 1043530959 | Thumrong Boonvisudhi | Pediatrics | 23 Carroll Way, Monongahela, PA 15063 | 2010-06-03 |
| 1174629901 | Mon City Chiropractic Clinic, PC | Chiropractor | 1230 West Main Street, Monongahela, PA 15063 | 2006-09-16 |
| 1407952856 | Charles Lomago Jr. | Family Medicine | 447 West Main Street, Monongahela, PA 15063 | 2006-09-15 |
| 1790899714 | Mon-valley Ekg Associates | Nuclear Medicine | Country Club Rd, Monongahela Valley Hospital, Monongahela, PA 15063 | 2006-08-18 |
| 1730198409 | Stacy Ann Chandler | Dental Hygienist | 173 West Main St, Monongahela, PA 15063 | 2006-08-05 |
| 1962411637 | Randall Gabriel Rodriguez | Dentist | 173 W Main Street, Monongahela, PA 15063 | 2006-08-05 |
| 1265426266 | Ronald A Lutes | Internal Medicine | 100 Stoops Dr Ste 200, Monongahela, PA 15063 | 2005-09-06 |
| Find all providers in zip 15063 | ||||
| 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 |
|---|---|---|---|---|
| 1578910543 | Eric John Madore | Physical Therapy Assistant | 121 W Main St, Monongahela, PA 15063-2354 | 2016-05-19 |
| 1356770614 | Nicholas Pavlick | Physical Therapy Assistant | 1277 Country Club Rd, Monongahela, PA 15063-1057 | 2013-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265032478 | Kyle Sibio Joyce | Physical Therapy Assistant | 105 Maloney St, Dunmore, PA 18512-3158 | 2020-10-27 |
| 1396350443 | Nicholas Chupick | Physical Therapy Assistant | 276 E Grove St Ste 2, Clarks Green, PA 18411-1723 | 2020-09-14 |
| 1184238784 | Nora Marie Heister | Physical Therapy Assistant | 2491 Raystown Rd, Everett, PA 15537-4959 | 2020-09-02 |
| 1245843416 | Michael Mcghen | Physical Therapy Assistant | 3313 Macintyre Dr, Murrysville, PA 15668-1315 | 2020-08-28 |
| 1972115129 | Jodi Newcome | Physical Therapy Assistant | 108 Lois Ln, Punxsutawney, PA 15767-1201 | 2020-08-19 |
| 1750992426 | George Joseph Marcucci I | Physical Therapy Assistant | 1316 Pine St, Norristown, PA 19401-3209 | 2020-08-14 |
| 1013528215 | Dennis Anthony Barker Jr. | Physical Therapy Assistant | 2443 E Sergeant St, Philadelphia, PA 19125-3114 | 2020-08-11 |
| 1134739790 | Kara Mae Watts Hamill | Physical Therapy Assistant | 1424 Montfort Dr, Harrisburg, PA 17110-3015 | 2020-08-07 |
| 1720698780 | Jessica Verno | Physical Therapy Assistant | 108 Kiawa St, Johnstown, PA 15904-3746 | 2020-08-05 |
| 1306456280 | Michele Rae Parsonsage | Physical Therapy Assistant | 4112 Dundee Dr, Murrysville, PA 15668-1010 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
| City | MONONGAHELA |
| Zip Code | 15063 |
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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.