CHARLOTTE ANN MOORE (NPI# 1255548061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255548061 |
| Entity Type | Individual |
| Full Name | CHARLOTTE ANN MOORE |
| Practice Address |
206 Maryland Ave Mccomb MS 39648-3926 |
| Mailing Address |
Po Box 40801 Memphis TN 38174-0801 |
| Practice Telephone | 6012504815 |
| Practice Fax Number | 6012506859 |
| Mailing Telephone | 6012504815 |
| Mailing Fax Number | 6012506859 |
| Enumeration Date | 2007-05-17 |
| 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 | 0000001995 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376758920 | Charlotte Marie Moore | Audiologist | 2339 Irving St, Suite 200, San Francisco, CA 94122-1620 | 2007-05-14 |
| 1275512360 | Charlotte A Moore | Family Medicine | 1405 Kiln Creek Parkway, Ste K, Newport News, VA 23602 | 2006-01-17 |
| 1598158693 | Charlotte Moore | Nurse Practitioner | 13655 Riverport Dr, Maryland Hts, MO 63043-4812 | 2015-03-12 |
| 1194064659 | Charlotte Moore | Registered Nurse | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2013-02-04 |
| 1568737252 | Charlotte J Moore | Counselor | 5537 N Broadway St, Chicago, IL 60640-1405 | 2012-03-14 |
| 1073821963 | Charlotte A Moore | Counselor | 104 Crescent Dr, Lebanon, MO 65536-3301 | 2010-09-14 |
| 1205016748 | Charlotte A Moore | Developmental Therapist | 126 Phoenix Ave, Lowell, MA 01852-4931 | 2007-11-13 |
| 1457542524 | Charlotte Catherine Moore | Speech-Language Pathologist | 4825 E Roosevelt St, Phoenix, AZ 85008-5917 | 2007-08-05 |
| 1336278670 | Charlotte Moore | Marriage & Family Therapist | 23 Masonic Ave, San Francisco, CA 94118-3417 | 2007-03-04 |
| 1740343201 | Charlotte D Moore | Counselor | 250 Dewey Ave, Spartanburg, SC 29303-3009 | 2006-12-18 |
| Street Address |
206 MARYLAND AVE |
| City | MCCOMB |
| State | MS |
| Zip Code | 39648-3926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437363785 | Wendy Clayton | Occupational Therapy Assistant | 206 Maryland Ave, Mccomb, MS 39648-3926 | 2007-05-09 |
| 1881831402 | Praveen K Ravi | Physical Therapist | 206 Maryland Ave, Mccomb, MS 39648-3926 | 2009-01-20 |
| 1093967127 | Kyla Bland | Speech-Language Pathologist | 206 Maryland Ave, Mccomb, MS 39648-3926 | 2008-10-21 |
| 1205088358 | Angel Marshall | Occupational Therapist | 206 Maryland Ave, Mccomb, MS 39648-3926 | 2008-10-21 |
| 1780835363 | Joyce Bates | Speech-Language Pathologist | 206 Maryland Ave, Mccomb, MS 39648-3926 | 2008-10-01 |
| 1639320385 | Jamie Calaway | Occupational Therapist | 206 Maryland Ave, Mccomb, MS 39648-3926 | 2008-09-30 |
| 1053561332 | Melissa Castagnetta | Occupational Therapy Assistant | 206 Maryland Ave, Mccomb, MS 39648-3926 | 2008-09-24 |
| 1811147010 | Lori Wood | Speech-Language Pathologist | 206 Maryland Ave, Mccomb, MS 39648-3926 | 2008-09-24 |
| 1629228804 | Claire Williams | Occupational Therapist | 206 Maryland Ave, Mccomb, MS 39648-3926 | 2008-09-24 |
| 1548410897 | Misty Ellerby-broussard | Speech-Language Pathologist | 206 Maryland Ave, Mccomb, MS 39648-3926 | 2008-09-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910366 | Ct Stamps Inc | Pharmacy | 206 Marion Avenue, Mccomb, MS 39648 | 2020-07-31 |
| 1952910457 | Fresenius Medical Care East Mccomb Dialysis, LLC | Clinic/Center | 103 Business Center Drive, Mccomb, MS 39648 | 2020-07-30 |
| 1902423312 | Joseph Edward Mingo II | Counselor | 513 Lee St, Mccomb, MS 39648 | 2020-07-01 |
| 1427608769 | Benda Truvillion | Technician | 2128 Park Dr. Ext., Mccomb, MS 39648 | 2019-09-18 |
| 1295228187 | Edna Ruth Winston | Counselor | Sw Ms Mental Health Complex, 1701 White St, Mccomb, MS 39648 | 2018-06-14 |
| 1386153450 | Sholitha Nunnery | Counselor | 502 North Cherry Street, Mccomb, MS 39648 | 2017-09-21 |
| 1548600612 | Jordan Harrington | Nurse Practitioner | 303 Marion Ave., Mccomb, MS 39648 | 2013-07-03 |
| 1891096236 | Zwound Care | Family Medicine | 1126 Country Club Road, Mccomb, MS 39648 | 2010-11-16 |
| 1588891717 | Kelly Edmondson | Physical Therapy Assistant | 1301a Harrison Ave, Mccomb, MS 39648 | 2009-06-15 |
| 1962647651 | Gwendolyn Michelle Brown | Home Health Aide | 1114 1/2 Venable St., Mccomb, MS 39648 | 2008-12-09 |
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| 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 |
|---|---|---|---|---|
| 1588891717 | Kelly Edmondson | Physical Therapy Assistant | 1301a Harrison Ave, Mccomb, MS 39648 | 2009-06-15 |
| 1538636709 | Andrew Kawamleh | Physical Therapy Assistant | 501 S Locust St, Mccomb, MS 39648-4336 | 2018-10-25 |
| 1023596426 | Courtney Vosika | Physical Therapy Assistant | 501 S Locust St, Mccomb, MS 39648-4336 | 2018-07-30 |
| 1164920385 | Neil William Pierson | Physical Therapy Assistant | 501 S Locust St, Mccomb, MS 39648-4336 | 2018-01-23 |
| 1124540026 | Jason Carter | Physical Therapy Assistant | 501 S Locust St, Mccomb, MS 39648-4336 | 2017-07-12 |
| 1437687969 | Victor Trinchera | Physical Therapy Assistant | 501 S Locust St, Mccomb, MS 39648-4336 | 2017-05-29 |
| 1093248817 | Benjamin Pollard | Physical Therapy Assistant | 501 S Locust St, Mccomb, MS 39648-4336 | 2017-04-08 |
| 1700142288 | Amy Diane Mccaa | Physical Therapy Assistant | 501 S Locust St, Mccomb, MS 39648-4336 | 2012-04-09 |
| 1073760690 | Michael Mitchell | Physical Therapy Assistant | 206 Maryland Ave, Mccomb, MS 39648-3926 | 2008-08-26 |
| 1891942991 | Kristy Gates | Physical Therapy Assistant | 206 Maryland Ave, Mccomb, MS 39648-3926 | 2008-08-20 |
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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.