JACKIE WILMOTH (NPI# 1255679155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255679155 |
Entity Type | Individual |
Full Name | JACKIE WILMOTH |
Practice Address |
849 Waterworks Rd Winston Salem NC 27101-1956 |
Mailing Address |
100 Kerney Trl Thurmond NC 28683-9571 |
Practice Telephone | 3365952166 |
Enumeration Date | 2013-01-28 |
Last Update Date | 2013-01-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | A4893 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
849 WATERWORKS RD |
City | WINSTON SALEM |
State | NC |
Zip Code | 27101-1956 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639413370 | Amy Boes | Physical Therapist | 849 Waterworks Rd, Winston Salem, NC 27101-1956 | 2012-11-19 |
1447733191 | Joely Brodit | Physical Therapist | 849 Waterworks Rd, Winston Salem, NC 27101-1956 | 2018-09-10 |
1114429321 | Raydesha Banks | Occupational Therapist | 849 Waterworks Rd, Winston Salem, NC 27101-1956 | 2018-03-03 |
1215279641 | Ladonna Shantee King | Occupational Therapist | 849 Waterworks Rd, Winston Salem, NC 27101-1956 | 2013-03-24 |
1851635411 | Harley Eugene Trero | Occupational Therapy Assistant | 849 Waterworks Rd, Winston Salem, NC 27101-1956 | 2012-11-20 |
1477897148 | Kathleen Conway | Occupational Therapist | 849 Waterworks Rd, Winston Salem, NC 27101-1956 | 2012-11-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003421876 | Annie Carolina Mccollum | Occupational Therapist | 3 S Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2020-09-09 |
1891321337 | Philippe Ayres | Personal Emergency Response Attendant | 475 Vine St., Bowman Gray Center for Medical Education, Winston-salem, NC 27101 | 2020-03-17 |
1497385595 | Aereil Moore | Counselor | 655 West 4th St, Winston Salem, NC 27101 | 2020-01-17 |
1619519428 | Brandi Melissa Decriscio | Nurse Practitioner | 1200 N Martin Luther King Jr Drive, Winston-salem, NC 27101 | 2019-10-14 |
1316502909 | Burke Street Chiropractic, Pllc | Chiropractor | 1016 Burke St., Winston-salem, NC 27101 | 2019-05-08 |
1790349728 | Nakia Carter | Counselor | 1o1o W. Northwest Boulevard, Winston-salem, NC 27101 | 2019-04-25 |
1003391251 | Hannah Fortwengler Rainey | Nurse Anesthetist, Certified Registered | Medical Center Blvrd, Winston-salem, NC 27101 | 2018-10-03 |
1750875928 | Susan Wilhelm Patterson | Nurse Practitioner | 1200 Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2018-06-20 |
1194228049 | Anjanette Gilley Benjamin | Counselor | 650 Highland Ave Ste 1000, Winston Salem, NC 27101 | 2018-03-16 |
1376054627 | Paulisha Da-shawna Mcintyre | Social Worker | 650 Highland Ave Ste 101, Winston Salem, NC 27101 | 2017-10-13 |
Find all providers in zip 27101 |
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 |
---|---|---|---|---|
1154934727 | Sreto Duric | Physical Therapy Assistant | 3863 Robbins Brook Dr, Winston Salem, NC 27107 | 2020-08-24 |
1053880294 | Maria Biege | Physical Therapy Assistant | 5101 Indiana Ave, Winston Salem, NC 27106-2821 | 2018-11-16 |
1427459981 | Tammy Bartlett | Physical Therapy Assistant | 4850 Sandusky St., Winston Salem, NC 27105 | 2014-09-15 |
1255730255 | Carl Skinner | Physical Therapy Assistant | 1351 Susanna Wesley Dr, Winston Salem, NC 27104-1159 | 2014-08-15 |
1124443304 | Crystal Mccoy | Physical Therapy Assistant | 3250 Homestead Club Dr, Winston Salem, NC 27103-6787 | 2014-02-25 |
1851608277 | James Harold Jenkins | Physical Therapy Assistant | 215 Crowne Club Dr, Apartment 13, Winston Salem, NC 27104-3590 | 2010-09-07 |
1134362031 | Amanda Michelle Dyer | Physical Therapy Assistant | 3608 Shady Acres Ln Trlr 17, Winston Salem, NC 27127-8761 | 2009-04-08 |
1255958245 | Carlie Stafford Carlton | Physical Therapy Assistant | 2101 Homestead Hills Dr, Winston Salem, NC 27103-6445 | 2020-06-25 |
1255964086 | Stephanie Seawell | Physical Therapy Assistant | 1315 S Hawthorne Rd, Winston Salem, NC 27103-4121 | 2020-02-20 |
1386205706 | Justin Kyle Burke | Physical Therapy Assistant | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2019-06-26 |
Find all providers in WINSTON SALEM |
City | WINSTON SALEM |
Zip Code | 27101 |
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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.