LUCAS GUSTILO (NPI# 1245487206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245487206 |
| Entity Type | Individual |
| Full Name | LUCAS GUSTILO |
| Practice Address |
4560 Se International Way Suite 100 Consonus Healthcare Services Milwaukie OR 97222 |
| Practice Telephone | 9712065200 |
| Practice Fax Number | 9712065209 |
| Mailing Telephone | 9712065200 |
| Mailing Fax Number | 9712065209 |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2008-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | A0306 | NV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4560 SE INTERNATIONAL WAY SUITE 100 CONSONUS HEALTHCARE SERVICES |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366418535 | Kerry Lee O'brien | Nurse Practitioner | 4560 Se International Way, Suite 100, Milwaukie, OR 97222-4628 | 2006-02-27 |
| 1417563529 | Jordan Victorio | Physical Therapy Assistant | 4560 Se International Way, Milwaukie, OR 97222-4628 | 2020-09-23 |
| 1992268007 | Artur Azizkhanian | Physical Therapy Assistant | 4560 Se International Way, Milwaukie, OR 97222-4628 | 2019-04-08 |
| 1730643966 | Heather Lin Heilman | Physical Therapy Assistant | 4560 Se International Way, Milwaukie, OR 97222-4628 | 2019-01-22 |
| 1235604687 | Kam Y Lau | Physical Therapy Assistant | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2018-10-11 |
| 1396267779 | Sydney Cook | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2017-07-07 |
| 1407381080 | Colleen Mathews | Physical Therapy Assistant | 4560 Se International Way, Ste 100, Milwaukie, OR 97222-4628 | 2017-04-20 |
| 1245762988 | Kristina Gill | Physical Therapist | 4560 Se International Way, Suite 100, Milwaukie, OR 97222-4628 | 2017-03-31 |
| 1093246381 | Jeffrey Lawman | Physical Therapy Assistant | 4560 Se International Way, Ste 100, Milwaukie, OR 97222-4628 | 2017-03-27 |
| 1841731650 | Eva Sachen | Occupational Therapist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222-4628 | 2017-03-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
| 1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
| 1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
| 1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
| 1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
| 1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
| 1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
| 1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
| 1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
| 1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
| Find all providers in zip 97222 | ||||
| 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 |
|---|---|---|---|---|
| 1508231622 | Michelle Smock | Physical Therapy Assistant | 12530 Se Oatfield Rd, #2, Milwaukie, OR 97222-6963 | 2015-12-01 |
| 1922429455 | Misty Portash | Physical Therapy Assistant | 19304 Se River Drive Ct, Milwaukie, OR 97267-6856 | 2013-12-31 |
| 1396180220 | Naomi Skylark Munichiello | Physical Therapy Assistant | 12045 Southeast Stanley Ave., Milwaukie, OR 97222 | 2013-05-06 |
| 1386899391 | Louise Marie Rhoades | Physical Therapy Assistant | 4560 Se International Way, Ste. 100, Consonus Healthcare Services Attn: Anna Browne, Milwaukie, OR 97222 | 2008-11-19 |
| 1689859498 | Amy Renee Langhals | Physical Therapy Assistant | 450 Se International Way, Suite 100 Consonus Rehab Services, Milwaukie, OR 97222 | 2007-12-31 |
| 1437207891 | Dolly Ann Westover | Physical Therapy Assistant | Conconus Rehab Services, 4560 Se International Way, Milwaukie, OR 97222 | 2007-01-08 |
| 1417563529 | Jordan Victorio | Physical Therapy Assistant | 4560 Se International Way, Milwaukie, OR 97222-4628 | 2020-09-23 |
| 1114568151 | Amy Elizabeth Eicher | Physical Therapy Assistant | 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 | 2019-10-01 |
| 1710532767 | Maura Rosalie Stinson | Physical Therapy Assistant | 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 | 2019-08-06 |
| 1083272934 | Phillip Clark | Physical Therapy Assistant | 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 | 2019-06-04 |
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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.