MR. DALE ROBERT ETTER (NPI# 1447463393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447463393 |
| Entity Type | Individual |
| Full Name | MR. DALE ROBERT ETTER |
| Credential | P.T. |
| Practice Address |
11527 W Peoria Ave Youngtown AZ 85363-1640 |
| Mailing Address |
19325 N 78th Dr Glendale AZ 85308-6089 |
| Practice Telephone | 6239334683 |
| Practice Fax Number | 6239746652 |
| Mailing Telephone | 6235619196 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 1974 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
11527 W PEORIA AVE |
| City | YOUNGTOWN |
| State | AZ |
| Zip Code | 85363-1640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447256466 | Lifestream Complete Senior Living Inc. | Skilled Nursing Facility | 11527 W Peoria Ave, Youngtown, AZ 85363-1640 | 2005-06-23 |
| 1407190895 | Jacqueline Lyn Ashlock | Occupational Therapy Assistant | 11527 W Peoria Ave, Youngtown, AZ 85363-1640 | 2012-11-26 |
| 1114218062 | Arizona Baptist Retirement Centers, Inc | Clinic/Center | 11527 W Peoria Ave, Youngtown, AZ 85363-1640 | 2011-04-27 |
| 1841513215 | Lifestream Complete Senior Living Inc | Assisted Living Facility | 11527 W Peoria Ave, Youngtown, AZ 85363-1640 | 2010-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710495387 | Sage Counseling, Inc. | Community/Behavioral Health | 12600 N. 113th Ave., Building B, Suite 6, Phoenix, AZ 85363 | 2018-01-17 |
| 1770026361 | Lifestream Complete Senior Living, Inc. | Skilled Nursing Facility | 11521 W. Peoria Avenue, Youngtown, AZ 85363 | 2016-11-30 |
| 1760925358 | Lifestream Complete Senior Living, Inc. | Skilled Nursing Facility | 11523 W. Peoria Avenue, Youngtown, AZ 85363 | 2016-11-30 |
| 1043753635 | Lifestream Complete Senior Living, Inc. | Skilled Nursing Facility | 11527 W. Peoria Avenue, Suite 500, Youngtown, AZ 85363 | 2016-11-30 |
| 1992257539 | Allen Michael Moore | Pharmacist | 10727 W. Olive Ave., Youngtown, AZ 85363 | 2016-10-31 |
| 1295010007 | Laura Nichols | Dentist | 11132 California Ave, Youngtown, AZ 85363 | 2011-10-13 |
| 1154541324 | Phoenix Senior Living LLC | Alzheimer Center (Dementia Center) | 12322 N 13th Avenue, Youngtown, AZ 85363 | 2007-04-27 |
| 1265509319 | John E Cooper II | Dentist | 11126 West Wisconsin Avenue, Suite 1, Youngtown, AZ 85363 | 2006-11-30 |
| 1194783886 | Mark Paul Yates | Dentist | 11100 W Michigan Ave, Youngtown, AZ 85363 | 2006-05-02 |
| 1447646146 | Rajkumar Sugumaran Md Pllc | Internal Medicine | 11124 W California Ave, # G, Youngtown, AZ 85363 | 2015-04-09 |
| Find all providers in zip 85363 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) 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 |
|---|---|---|---|---|
| 1912330267 | Benjamin Handler | Physical Therapist | 12600 N 113th Ave Bldg A, Youngtown, AZ 85363-1162 | 2013-08-09 |
| 1407119456 | Eric Lee Amiel | Physical Therapist | 12207 N 113th Ave, Youngtown, AZ 85363-1208 | 2012-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407976 | Pawat Poupongtong | Physical Therapist | 23350 W Yuma Rd, Buckeye, AZ 85326-3106 | 2020-11-05 |
| 1811596430 | Emily Gable | Physical Therapist | 37200 N Gantzel Rd Ste 260, San Tan Valley, AZ 85140-7387 | 2020-10-23 |
| 1891394144 | Tiffany Kharran | Physical Therapist | 380 N Estrella Pkwy, Goodyear, AZ 85338-2884 | 2020-10-19 |
| 1982203261 | Auxo Therapy LLC | Physical Therapist | 4140 E Sidewinder Ct, Gilbert, AZ 85297-8368 | 2020-10-19 |
| 1841898681 | Rafael Lopez | Physical Therapist | 440 N Camino Mercado, Casa Grande, AZ 85122-5749 | 2020-10-14 |
| 1609474410 | Nnabuikem Ndubuisi Anaba | Physical Therapist | 3591 W 22nd St Unit D, Yuma, AZ 85364-7643 | 2020-10-14 |
| 1417554445 | Julius Record | Physical Therapist | 3134 S Market St Apt 2029, Gilbert, AZ 85295-1338 | 2020-10-02 |
| 1811503295 | Alyssa M Higgins | Physical Therapist | 7325 E Princess Blvd, Scottsdale, AZ 85255-5991 | 2020-09-21 |
| 1093321895 | Launch Physical Therapy & Performance Center, LLC | Physical Therapist | 1500 E Thomas Rd Unit 110, Phoenix, AZ 85014-5708 | 2020-09-17 |
| 1659987410 | Hanna Honn | Physical Therapist | 5590 W Chandler Blvd # B4, Chandler, AZ 85226-3697 | 2020-09-17 |
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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.