MR. JAMIE SHANNON SOUTAR (NPI# 1295781243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295781243 |
| Entity Type | Individual |
| Full Name | MR. JAMIE SHANNON SOUTAR |
| Credential | PTA |
| Practice Address |
130 Executive Dr Newark DE 19702-3349 |
| Mailing Address |
203 Tinsley Ct Newark DE 19702-2819 |
| Practice Telephone | 3022923454 |
| Practice Fax Number | 3022923464 |
| Mailing Telephone | 3022667122 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | J2-0000488 | DE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
130 EXECUTIVE DR |
| City | NEWARK |
| State | DE |
| Zip Code | 19702-3349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609821636 | Bradford Anthony Wallace Jr. | Occupational Therapy Assistant | 130 Executive Dr, Newark, DE 19702-3349 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407467814 | Leilanie Redondiez | Physical Therapist | 110 Blue Ridge Circle, Newark, DE 19702 | 2020-08-11 |
| 1285118679 | A Center for Mental Wellness Community Support Programs, LLC | Substance Abuse Rehabilitation Facility | 25 S. Old Baltimore Pike, Lafayette Building 1, Suite 201, Newark, DE 19702 | 2018-09-20 |
| 1124510854 | Shena Williams | Counselor | 1423 Capital Trail Rd, Newark, DE 19702 | 2018-05-30 |
| 1437664737 | Excellence Home Care LLC | Home Health | 122 Delaware Street, New Castle, DE 19702 | 2017-12-08 |
| 1710496773 | Kirt Leigh Randolph | Physical Therapy Assistant | 229 Barrett Run Place, Newark, DE 19702 | 2017-09-21 |
| 1871014399 | Edeline Elicin | Marriage & Family Therapist | 260 Chapman Road, Suite 100-b, Newark, DE 19702 | 2017-07-06 |
| 1831646454 | Rickia Izetta Spivey-kennedy | Counselor | 36 Avignon Drive, Newark, DE 19702 | 2016-09-01 |
| 1134585748 | Thomas Wolters | Pharmacist | 248 Chaoman Road, Newark, DE 19702 | 2016-01-12 |
| 1851700686 | Candice Roberts | Nurse Practitioner | 100 Biddle Ave Ste 101, Newark, DE 19702 | 2014-08-06 |
| 1316367428 | Evyline Chioma | Occupational Therapist | 25 Buttonwood Ct., Newark, DELAWARE 19702 | 2014-04-16 |
| Find all providers in zip 19702 | ||||
| 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 |
|---|---|---|---|---|
| 1730705203 | Coleen Moira Dizon | Physical Therapy Assistant | 5 Manor Dr Apt 3n, Newark, NJ 07106-3236 | 2020-06-22 |
| 1356806962 | Karnaveeben Dharampal Patel | Physical Therapy Assistant | 107 Margit Ct, Newark, DE 19711-6778 | 2019-02-07 |
| 1417455411 | Molly S Pancini | Physical Therapy Assistant | 341 Woods Ave, Newark, OH 43055-4485 | 2018-01-25 |
| 1710496773 | Kirt Leigh Randolph | Physical Therapy Assistant | 229 Barrett Run Place, Newark, DE 19702 | 2017-09-21 |
| 1598200511 | Stephanie Bryant | Physical Therapy Assistant | 5800 Martinsburg Rd, Newark, OH 43055-9744 | 2016-12-29 |
| 1376085738 | Kathleen Andrade | Physical Therapy Assistant | 116 Fleming Ave, 3rd Fl, Newark, NJ 07105-4012 | 2016-11-15 |
| 1740652098 | Meshell Gipson | Physical Therapy Assistant | 3630 Cord Rd, Newark, AR 72562 | 2015-10-27 |
| 1518367648 | Austin Lorenzoni | Physical Therapy Assistant | 239 Romney Blvd, Newark, DE 19702-2671 | 2014-08-26 |
| 1346650835 | Adeboye Adeoye Adeniran | Physical Therapy Assistant | 110 Somerset Street, Apt 3a, Newark, NJ 07108 | 2014-05-06 |
| 1598018657 | Heather Ann Immediato | Physical Therapy Assistant | 280 E. Main St., Suite 132, Newark, DE 19711 | 2012-10-25 |
| Find all providers in NEWARK | ||||
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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.