ERNEST RANDY BLOOM (NPI# 1366561011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366561011 |
| Entity Type | Individual |
| Full Name | ERNEST RANDY BLOOM |
| Credential | PTA |
| Practice Address |
1930 Highland Avenue Suite A Augusta GA 30904-7803 |
| Mailing Address |
1930 Highland Ave Ste A Augusta GA 30904-7803 |
| Practice Telephone | 7064819105 |
| Practice Fax Number | 7064819107 |
| Mailing Telephone | (706) 481-9105 |
| Mailing Fax Number | 7064819107 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225200000X | Physical Therapy Assistant | TE007060 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225200000X | Physical Therapy Assistant | PTA002060 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 659 Main St, Thomson, GA 308247456 | 7065971190 | 7065971191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306941620 | Ernest Bloom | Dermatology | 501 S Shore Ctr W, 103a, Alameda, CA 94501-5762 | 2006-09-13 |
| Street Address |
1930 HIGHLAND AVENUE SUITE A |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-7803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| 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 |
|---|---|---|---|---|
| 1659937761 | Michael Tyrone Mackie | Physical Therapy Assistant | 2541 Winterville Dr, Augusta, GA 30909-0623 | 2019-05-14 |
| 1427580984 | Lisa Boward | Physical Therapy Assistant | 407 Offutt School Road, Augusta, WV 26704 | 2017-04-03 |
| 1942510888 | Laura Evelyn Boone | Physical Therapy Assistant | 2052 Doris Rd, Augusta, GA 30906-2104 | 2010-10-13 |
| 1588851810 | Brian Edward Naborowsky | Physical Therapy Assistant | 187 Eastern Ave, Augusta Rehabilitation Center, Augusta, ME 04330 | 2007-10-01 |
| 1063060432 | Donna Jean Byers | Physical Therapy Assistant | 3618 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2019-08-29 |
| 1508413345 | Hannah Nicole Neal | Physical Therapy Assistant | 160 Riverside Dr, Augusta, ME 04330-4162 | 2019-08-26 |
| 1861048076 | Leslie Terrill Toney | Physical Therapy Assistant | 3725 Wheeler Rd, Augusta, GA 30909-6623 | 2019-08-13 |
| 1386203529 | Precious Tanksley | Physical Therapy Assistant | 1600 Anthony Rd, Augusta, GA 30904-4824 | 2019-06-11 |
| 1932669009 | Andrea Lynn Beitler | Physical Therapy Assistant | 2021 Scott Rd, Augusta, GA 30906-2539 | 2019-03-23 |
| 1366908253 | Troy A Waltemath | Physical Therapy Assistant | 1503 Washington Ln, Augusta, KS 67010-1638 | 2019-02-15 |
| Find all providers in AUGUSTA | ||||
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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.