TRACY ANN DAUGHERTY (NPI# 1427174226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427174226 |
| Entity Type | Individual |
| Full Name | TRACY ANN DAUGHERTY |
| Credential | MS, ATC, PTA |
| Practice Address |
200 N Emerald Ln Ste 1a Carbondale IL 62901-2100 |
| Mailing Address |
201 Cypress Ave Elkville IL 62932-2526 |
| Practice Telephone | 6185499449 |
| Mailing Telephone | 6185682543 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 225200000X | Physical Therapy Assistant | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| X | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326513300 | Tracy Daugherty | Social Worker | 705 Mount Auburn St, Watertown, MA 02472-1508 | 2018-10-05 |
| Street Address |
200 N EMERALD LN STE 1A |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| 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 |
|---|---|---|---|---|
| 1003289620 | Bridget Rose | Physical Therapy Assistant | 600 W Owens St, Carbondale, IL 62901-1246 | 2015-11-04 |
| 1649429457 | James Gerald Phillips-zee | Physical Therapy Assistant | 214 S Glenview Dr, Carbondale, IL 62901-2240 | 2008-09-17 |
| 1588630594 | Donald L Howard | Physical Therapy Assistant | 200 N Emerald Ln, Suite 1a, Carbondale, IL 62901-2100 | 2006-02-28 |
| 1124625082 | Jessica Ann Watts | Physical Therapy Assistant | 120 N Tower Rd, Carbondale, IL 62901-1929 | 2020-10-05 |
| 1538790258 | Richard Kyle Walker | Physical Therapy Assistant | 1050 N Reed Station Rd, Carbondale, IL 62902-7376 | 2020-01-31 |
| 1639715543 | Paul Eric Winchester | Physical Therapy Assistant | 374 E Grand Ave, Carbondale, IL 62901-3962 | 2019-11-26 |
| 1952947004 | Jennifer Winchester | Physical Therapy Assistant | 374 E Grand Ave, Carbondale, IL 62901-3962 | 2019-11-25 |
| 1366084956 | Angela Brown | Physical Therapy Assistant | 1378 Main St, Carbondale, CO 81623-1840 | 2019-10-15 |
| 1588143846 | Kati Borowski | Physical Therapy Assistant | 1378 Main St, Carbondale, CO 81623-1840 | 2018-08-08 |
| 1548755374 | Jennifer Kalt | Physical Therapy Assistant | 45 N Scott St, Carbondale, PA 18407-1833 | 2018-06-25 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
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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.