MRS. THERESA MARIE MCCOLLOM (NPI# 1366695405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366695405 |
| Entity Type | Individual |
| Full Name | MRS. THERESA MARIE MCCOLLOM |
| Credential | PTA |
| Practice Address |
5540 W 111th St Oak Lawn IL 60453-5574 |
| Practice Telephone | 7084221311 |
| Practice Fax Number | 7084221812 |
| Mailing Telephone | 7084221311 |
| Mailing Fax Number | 7084221812 |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2008-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 160005041 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205900461 | Theresa Lynne Mccollom | Obstetrics & Gynecology | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2006-11-20 |
| Street Address |
5540 W 111TH ST |
| City | OAK LAWN |
| State | IL |
| Zip Code | 60453-5574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710974472 | John B Mcclellan IIi | Orthopaedic Surgery | 5540 W 111th St, Oak Lawn, IL 60453-5574 | 2005-09-28 |
| 1952554099 | Melissa Lee Duckett | Physical Therapy Assistant | 5540 W 111th St, Oak Lawn, IL 60453-5574 | 2008-11-03 |
| 1285887315 | Denise Joy Voss | Physical Therapy Assistant | 5540 W 111th St, Oak Lawn, IL 60453-5574 | 2008-11-03 |
| 1356594485 | Susan Marie Alexander | Physical Therapy Assistant | 5540 W 111th St, Oak Lawn, IL 60453-5574 | 2008-11-03 |
| 1023261161 | Martha Lynn Coate | Physical Therapy Assistant | 5540 W 111th St, Oak Lawn, IL 60453-5574 | 2008-11-03 |
| 1922251966 | Jason D Lucci | Physical Therapist | 5540 W 111th St, Oak Lawn, IL 60453-5574 | 2008-11-03 |
| 1487844429 | Marc A. Cecchini | Physical Therapist | 5540 W 111th St, Oak Lawn, IL 60453-5574 | 2007-07-26 |
| 1619181625 | Sharon D Rasmussen | Physician Assistant | 5540 W 111th St, Oak Lawn, IL 60453-5574 | 2007-05-09 |
| 1124148739 | Medical Alliance for Corrective and Reconstructive Orthopedic Surgery | Specialist | 5540 W 111th St, Oak Lawn, IL 60453-5574 | 2007-03-29 |
| 1023138633 | Chicago South Orthopedics, Inc | Specialist | 5540 W 111th St, Oak Lawn, IL 60453-5574 | 2007-03-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
| 1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
| 1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
| 1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
| 1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
| 1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
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| 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 |
|---|---|---|---|---|
| 1568706133 | Carol Ann Vysocky | Physical Therapy Assistant | 10033 Cook Ave, Oak Lawn, IL 60453-3832 | 2012-11-20 |
| 1346507811 | Shibu Porinchu Perumbully | Physical Therapy Assistant | 9725 S Karlov Ave, Oak Lawn, IL 60453-3388 | 2012-04-20 |
| 1295770089 | Beata Nakielna Ix | Physical Therapy Assistant | 6737 W 95th St, Oak Lawn, IL 60453-2112 | 2006-06-17 |
| 1033562426 | Peter Rasla | Physical Therapy Assistant | 5255 W 95th St, Oak Lawn, IL 60453-2450 | 2016-07-20 |
| 1164771697 | Kathleen Dub | Physical Therapy Assistant | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2012-08-30 |
| 1962709592 | Barbara Ann Zomick | Physical Therapy Assistant | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2011-02-16 |
| 1790080117 | Laura Trbovic | Physical Therapy Assistant | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2011-01-15 |
| 1457668337 | Susan Marie Dineen | Physical Therapy Assistant | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2010-09-13 |
| 1538476510 | Beth Gilmartin | Physical Therapy Assistant | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2010-09-11 |
| 1083921175 | Amy Ritchie | Physical Therapy Assistant | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2010-09-10 |
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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.