HEATHER DIANA PROFETTO (NPI# 1316379332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316379332 |
| Entity Type | Individual |
| Full Name | HEATHER DIANA PROFETTO |
| Credential | PTA |
| Practice Address |
8505 San Jose Blvd Jacksonville FL 32217-4225 |
| Mailing Address |
10746 Lippizan Dr Jacksonville FL 32257-3657 |
| Practice Telephone | 9044196101 |
| Mailing Telephone | 9049932741 |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2013-08-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA 21452 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
8505 SAN JOSE BLVD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32217-4225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740220524 | Genesis Health Development, Inc. | Clinic/Center | 8505 San Jose Blvd, Jacksonville, FL 32217-4225 | 2006-06-08 |
| 1639257157 | Ashley Gainey Robinson | Physical Therapist | 8505 San Jose Blvd, Jacksonville, FL 32217 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336605005 | Mary Ellen Mccullough-list | Behavior Technician | 3437 Miruelo Circle North, Jacksonville, FL 32217 | 2019-02-18 |
| 1285131656 | Priority One Home Care LLC | In Home Supportive Care | 7500 Powers Ave Apt 198, Jacksonville, FL 32217 | 2018-04-11 |
| 1407361272 | Sharon Williams | Home Health | 8300 Plaza Gate Lane #1152, Jacksonville, FL 32217 | 2017-12-02 |
| 1548779929 | Acumed Medical Ltd. | Durable Medical Equipment & Medical Supplies | 6653 Powers Avenue, Suite 134, Jacksonville, FL 32217 | 2017-09-28 |
| 1437685526 | Ward Zeigler | Behavior Technician | 3437 Miruelo Cr. N., Jacksonville, FL 32217 | 2017-05-10 |
| 1538695754 | Shilonda Peterson-jackson | Technician, Other | 3437 Miruelo Cr N, Jacksonville, FL 32217 | 2017-05-08 |
| 1114467834 | Louis R. Lothman | Counselor | 3734 San Viscaya Dr., Jacksonville, FL 32217 | 2017-02-28 |
| 1023490141 | A Gentle Touch Home Health Care LLC. | Home Health | 5991 Chester Avenue, Jacksonville, FL 32217 | 2015-06-25 |
| 1912320334 | Christopher Marshall Fuller | Developmental Therapist | 5132 Edgeware Ct., Jacksonville, FL 32217 | 2014-01-22 |
| 1790040020 | Maria R. Tapia | Psychologist | 7680 Smullian Trail West, Jacksonville, FL 32217 | 2012-07-12 |
| Find all providers in zip 32217 | ||||
| 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 |
|---|---|---|---|---|
| 1104439546 | Dylan Michael Hanna | Physical Therapy Assistant | 6170 County Road 1405, Jacksonville, TX 75766-7601 | 2020-08-25 |
| 1447860515 | Callen Logan | Physical Therapy Assistant | 7365 Steventon Way, Jacksonville, FL 32244-8179 | 2020-08-04 |
| 1346863016 | Mary Maegan Smith | Physical Therapy Assistant | 4545 State Highway 135 N, Jacksonville, TX 75766-6971 | 2020-05-28 |
| 1518513944 | Tiffany Ann Dodson | Physical Therapy Assistant | 806 Palestine St, Jacksonville, TX 75766-3128 | 2019-08-12 |
| 1427618826 | Alen Islamovic | Physical Therapy Assistant | 9745 Touchton Rd Unit 225, Jacksonville, FL 32246-4489 | 2019-06-18 |
| 1962069260 | Douglas Wade | Physical Therapy Assistant | 38 Betty Ct, Jacksonville, AL 36265-8814 | 2019-05-22 |
| 1548825219 | Mikhail Yatsishin | Physical Therapy Assistant | 13990 Bartram Park Blvd Unit 422, Jacksonville, FL 32258-5546 | 2019-05-07 |
| 1861057994 | Leonardo Sanchez | Physical Therapy Assistant | 3165 Old Acosta Rd, Jacksonville, FL 32223-4902 | 2019-05-03 |
| 1801356696 | Iuliia Vartanov | Physical Therapy Assistant | 6138 Kennerly Rd Unit 150, Jacksonville, FL 32216-4395 | 2019-03-20 |
| 1366932634 | Casey Michael Mcneill | Physical Therapy Assistant | 2054 Park St, Jacksonville, FL 32204-3810 | 2018-05-13 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32217 |
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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.