MR. CHRISTOPHER MICHAEL DILLARD (NPI# 1467684571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467684571 |
| Entity Type | Individual |
| Full Name | MR. CHRISTOPHER MICHAEL DILLARD |
| Credential | LPTA |
| Practice Address |
630 N Fodale Ave Southport NC 28461-3538 |
| Practice Telephone | 9104579581 |
| Practice Fax Number | 9104579583 |
| Mailing Telephone | 9104579581 |
| Mailing Fax Number | 9104579583 |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2009-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 4240 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417425596 | Christopher Dillard | Counselor | 1 Mustard St, Rochester, NY 14609-6980 | 2018-11-07 |
| 1659664514 | Christopher S Dillard | Case Manager/Care Coordinator | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2011-05-25 |
| Street Address |
630 N FODALE AVE |
| City | SOUTHPORT |
| State | NC |
| Zip Code | 28461-3538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891761979 | Ocean Trail Convalescent Center, Inc. | Skilled Nursing Facility | 630 N Fodale Ave, Southport, NC 28461-3538 | 2006-02-27 |
| 1548770423 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 630 N Fodale Ave, Southport, NC 28461 | 2017-10-05 |
| 1548642754 | Laura Elson | Physical Therapist | 630 N Fodale Ave, Southport, NC 28461-3538 | 2015-06-24 |
| 1952791832 | Chris G Shepherd | Physical Therapy Assistant | 630 N Fodale Ave, Southport, NC 28461-3538 | 2015-01-29 |
| 1245635317 | Ginny Hopkins | Occupational Therapy Assistant | 630 N Fodale Ave, Southport, NC 28461-3538 | 2014-10-30 |
| 1275978173 | Anita Faye Mckinney | Occupational Therapist | 630 N Fodale Ave, Southport, NC 28461-3538 | 2013-05-06 |
| 1902106065 | Douglas Erick Wood | Physical Therapy Assistant | 630 N Fodale Ave, Southport, NC 28461-3538 | 2010-10-23 |
| 1427366343 | Victoria Wessell | Occupational Therapist | 630 N Fodale Ave, Southport, NC 28461-3538 | 2010-09-14 |
| 1326367962 | Lauren Davis Brady | Speech-Language Pathologist | 630 N Fodale Ave, Southport, NC 28461-3538 | 2010-05-21 |
| 1740503812 | Harrietthall Hall Witherspoon | Occupational Therapist | 630 N Fodale Ave, 630 N Fodale Ave, Southport, NC 28461-3538 | 2010-03-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225645542 | Island Time Medical and Wellness, Pllc | Clinic/Center | 39 Dowitcher Trl, Bald Head Island, NC 28461 | 2020-09-30 |
| 1871095356 | Sunny Point Fire & Rescue | Emergency Medicine | 6280 Sunny Point Rd Bldg 44, Southport, NC 28461 | 2018-03-01 |
| 1962882035 | Kimberlee Kreuzer | Physical Therapist | 1517 N Howe St Suite 4, Southport, NC 28461 | 2015-06-04 |
| 1134449291 | Kristos Nektarios Vaughan | Family Medicine | 3009 Medical Plaza Lane, Southport, NC 28461 | 2010-06-10 |
| 1750612974 | Melissa Holden | Nurse Practitioner | 1517 N Howe St Ste 12, Southport, NC 28461 | 2010-01-28 |
| 1437315165 | North Carolina Shoulder and Elbow Surgery and Sports Medicine | Orthopaedic Surgery | 900 North Howe St, Southport, NC 28461 | 2008-08-01 |
| 1124212329 | Edward Frank Babel | Nurse Practitioner | 201 West Boiling Spring Lakes Road, New Hope Clinic, Boiling Spring Lakes, NC 28461 | 2007-08-30 |
| 1952453151 | Robert Wayne Poe | Otolaryngology | 900 N. Howe St, Southport, NC 28461 | 2007-01-17 |
| 1275640898 | Kurt Thomas Scheetz | Dentist | 1301 N Howe Street, Southport, NC 28461 | 2006-08-23 |
| 1396859872 | Brunswick Family Medicine Pa | Family Medicine | 3960 Executive Park Blvd, Unit 600, Southport, NC 28461 | 2006-08-19 |
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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 |
|---|---|---|---|---|
| 1952791832 | Chris G Shepherd | Physical Therapy Assistant | 630 N Fodale Ave, Southport, NC 28461-3538 | 2015-01-29 |
| 1902106065 | Douglas Erick Wood | Physical Therapy Assistant | 630 N Fodale Ave, Southport, NC 28461-3538 | 2010-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150094 | Kimberly Elizabeth Culler | Physical Therapy Assistant | 836 Winestone Ct, Greenville, NC 27858-9005 | 2020-09-27 |
| 1154934727 | Sreto Duric | Physical Therapy Assistant | 3863 Robbins Brook Dr, Winston Salem, NC 27107 | 2020-08-24 |
| 1063022515 | Ramachandran Pichamuthu | Physical Therapy Assistant | 3635 Eastover Ridge Dr Apt Unit1521, Charlotte, NC 28211-1595 | 2020-08-08 |
| 1548884380 | Mckenzie Ann Bauman | Physical Therapy Assistant | 25022 Matton Grove Church Rd, Gold Hill, NC 28071-6641 | 2020-06-06 |
| 1073137410 | Origin Rehabilitation, LLC | Physical Therapy Assistant | 13021 Saddletree Ct, Matthews, NC 28105-3927 | 2020-06-02 |
| 1700415205 | Marcella Eubanks | Physical Therapy Assistant | Rdl Therapeutic Outpatient Therapy, 424 Mcarthur Rd, Fayetteville, NC 28311 | 2020-04-06 |
| 1831722552 | Alexander Scott Emery | Physical Therapy Assistant | 111 Knox Way Ste 112, Chapel Hill, NC 27516-6615 | 2020-02-20 |
| 1083245880 | Heather D Baccus | Physical Therapy Assistant | 626 Swing Gate Rd, Hertford, NC 27944-8771 | 2020-01-30 |
| 1033755012 | Iris Kay Lovett | Physical Therapy Assistant | 12030 Elizabeth Madison Ct, Charlotte, NC 28277-6130 | 2019-11-25 |
| 1255989414 | Amy Utley | Physical Therapy Assistant | Pro Motion Rehab, 2810 W Us-64 Suite 1, Murphy, NC 28906 | 2019-08-30 |
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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.