ELEXA NICKERSON (NPI# 1285188052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285188052 |
| Entity Type | Individual |
| Full Name | ELEXA NICKERSON |
| Practice Address |
117 Bennoch Rd Orono ME 04473-3620 |
| Mailing Address |
98 Poplar St Old Town ME 04468-5901 |
| Practice Telephone | 2078664914 |
| Mailing Telephone | 2077454955 |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PA4696 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
117 BENNOCH RD |
| City | ORONO |
| State | ME |
| Zip Code | 04473-3620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780746131 | Orono Operations, LLC | Skilled Nursing Facility | 117 Bennoch Rd, Orono, ME 04473-3620 | 2006-12-14 |
| 1437785920 | Rebeecca Orcutt | Occupational Therapist | 117 Bennoch Rd, Orono, ME 04473-3620 | 2020-03-17 |
| 1023652138 | Kathryn J Day | Occupational Therapy Assistant | 117 Bennoch Rd, Orono, ME 04473-3620 | 2019-10-31 |
| 1518422898 | Jodi Evenson | Speech-Language Pathologist | 117 Bennoch Rd, Orono, ME 04473-3620 | 2019-01-31 |
| 1588131247 | Jesse Dale Damron | Occupational Therapy Assistant | 117 Bennoch Rd, Orono, ME 04473 | 2018-10-30 |
| 1124546379 | Milessa Joy Gatheright | Occupational Therapy Assistant | 117 Bennoch Rd, Orono, ME 04473-3620 | 2017-09-07 |
| 1003355777 | Emily Welch | Physical Therapist | 117 Bennoch Rd, Orono, ME 04473-3620 | 2017-02-15 |
| 1144692401 | Jennifer E Fiske | Speech-Language Pathologist | 117 Bennoch Rd, Orono, ME 04473-3620 | 2015-10-27 |
| 1699173815 | Lindsey Mcadam | Physical Therapist | 117 Bennoch Rd, Orono, ME 04473-3620 | 2014-12-22 |
| 1265782304 | Tina Marie Brown | Nurse Practitioner | 117 Bennoch Rd, Orono, ME 04473-3620 | 2012-09-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225321961 | Orono Med Now | Clinic/Center | 16 Mill Street, Uite 4, Orono, ME 04473 | 2011-05-26 |
| 1134380512 | Renee Light | Social Worker | 6 Stillwater Ave, Orono, ME 04473 | 2008-06-19 |
| 1124048418 | Constance A Poulin | Social Worker | 6 Stillwater Avenue, University Mall, Orono, ME 04473 | 2006-07-20 |
| 1356683981 | Penobscot Community Health Center | Clinic/Center | 9 Alumni Dr, Orono, ME 04473 | 2013-03-21 |
| 1093998536 | Cecil A Philpott | Social Worker | 6 Stillwater Avenue, University Mall, Orono, ME 04473 | 2007-12-06 |
| 1770799140 | Rachael Marie Tyler | Social Worker | 6 Stillwater Avenue, University Mall, Orono, ME 04473 | 2007-05-15 |
| 1235354051 | Jessica Ledier Daigle | Social Worker | 6 Stillwater Avenue, University Mall, Orono, ME 04473 | 2007-04-16 |
| 1861557423 | John S Hale Jr. | Psychologist | 69 Main St, Orono, ME 04473 | 2006-12-26 |
| 1750948444 | Lauren Marcella Daigle | Nurse Anesthetist, Certified Registered | 109 Gould Rd, Orono, ME 04473-3038 | 2019-05-29 |
| 1770652331 | Elizabeth King Mcconnon | Counselor | 2269 Essex St, Orono, ME 04473-3043 | 2006-11-07 |
| Find all providers in zip 04473 | ||||
| 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 |
|---|---|---|---|---|
| 1417126079 | Robyn L Pride | Physical Therapy Assistant | 117 Bennoch Rd, Orono, ME 04473-3620 | 2008-02-27 |
| 1326165317 | Tracey Elizabeth Flewelling | Physical Therapy Assistant | 117 Bennoch Rd, Orono, ME 04473-3620 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039772 | Russell P Graham | Physical Therapy Assistant | 1500 North Road, North Yarmouth, ME 04097 | 2020-09-28 |
| 1992319396 | Carl Edward Jakowenko | Physical Therapy Assistant | 378 Gorham Rd, Scarborough, ME 04074-9640 | 2020-09-02 |
| 1225690084 | Barry James Heath | Physical Therapy Assistant | 91 Camden St Ste 107, Rockland, ME 04841-2458 | 2019-07-02 |
| 1679134001 | Arielle Oosten | Physical Therapy Assistant | 22 Bramhall St Rm 4602, Portland, ME 04102-3175 | 2019-06-26 |
| 1083176853 | Jessica Tucker | Physical Therapy Assistant | 20 Dyer Brook Rd, Oakfield, ME 04763 | 2019-04-02 |
| 1609353721 | Caitlin Johnston | Physical Therapy Assistant | 549 Reach Rd, Deer Isle, ME 04627-3342 | 2018-07-21 |
| 1326555319 | Satu Donahoe | Physical Therapy Assistant | 85 Harrison Heights Rd, Harrison, ME 04040 | 2017-12-29 |
| 1750808788 | Jill Daicey Hutchison | Physical Therapy Assistant | 67 Pine Point Road, Scarborough, ME 04074 | 2017-08-30 |
| 1588185409 | Dwight David Hubacher | Physical Therapy Assistant | 162 Academy Strret, Presque Isle, ME 04769 | 2017-06-30 |
| 1538699988 | Megan Elizabeth Gilbert | Physical Therapy Assistant | 88 Harbor Dr, Saco, ME 04072-2148 | 2017-06-19 |
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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.