JACKIE WILMOTH


Address: 849 Waterworks Rd, Winston Salem, NC 27101-1956
Phone: 3365952166

JACKIE WILMOTH (NPI# 1255679155) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225200000X Physical Therapy Assistant A4893 NC Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 849 WATERWORKS RD
City WINSTON SALEM
State NC
Zip Code 27101-1956

Providers in the same location

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

Providers in the same zip code

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 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
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

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City WINSTON SALEM
Zip Code 27101

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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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