MOLLY JO PETERSEN (NPI# 1508002403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508002403 |
| Entity Type | Individual |
| Full Name | MOLLY JO PETERSEN |
| Credential | PTA |
| Practice Address |
2420 Nw 115th Ave Coral Springs FL 33065-3422 |
| Practice Telephone | 9545524351 |
| Mailing Telephone | 9545524351 |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2008-12-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA1659 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679987432 | Molly Petersen | Nurse Practitioner | 17670 Welch Plz Ste 102, Omaha, NE 68135-3805 | 2014-06-19 |
| 1164882833 | Molly Petersen | Counselor | 15208 Se Tibbetts St, Portland, OR 97236-2356 | 2016-02-24 |
| Street Address |
2420 NW 115TH AVE |
| City | CORAL SPRINGS |
| State | FL |
| Zip Code | 33065-3422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255577151 | Anew Physical Therapy Inc. | Physical Therapist | 2420 Nw 115th Ave, Coral Springs, FL 33065-3422 | 2008-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740899418 | United Adult Care Services, LLC | Home Health | 11448 West Sample Rd, Coral Springs, FL 33065 | 2020-07-28 |
| 1245872068 | Grace Diana Perez | Developmental Therapist | 3325 N University Drive, Coral Springs, FL 33065 | 2019-10-14 |
| 1497397210 | Anjulia Maureen Nicholson | Speech-Language Pathologist | 3100 Coral Hills Dr Suite 200, Coral Springs, FL 33065 | 2019-10-14 |
| 1467911131 | Sawgrass Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 12415 Nw 35 Street, Coral Springs, FL 33065 | 2019-03-13 |
| 1992274252 | Kayon Shepherd | Dermatology | 7837 West Sample Rd, #127, Coral Springs, FL 33065 | 2018-11-15 |
| 1073009148 | Empire Detox, LLC | Clinic/Center | 3000 Nw 101st Ln Ste 101-a, Coral Springs, FL 33065 | 2018-07-02 |
| 1487148706 | Perfect Balance Healthcare, Pllc | Pharmacist | 7500 Live Oak Dr., Coral Springs, FL 33065 | 2018-06-20 |
| 1477051498 | Neuro Wellness Centers of America, LLC | Clinic/Center | 9734 W Sample Rd, Coral Springs, FL 33065 | 2018-01-24 |
| 1821502550 | Happy Adult Day Care Rehab, LLC | Clinic/Center | 7463 W Sample Rd, Coral Springs, FL 33065 | 2017-11-16 |
| 1821500059 | I'd Rather Be Home Homecare Services LLC | Registered Nurse | 7501 Nw 42nd Drive, Coral Springs, FL 33065 | 2017-10-27 |
| Find all providers in zip 33065 | ||||
| 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 |
|---|---|---|---|---|
| 1407453533 | Vennessa M Johnson | Physical Therapy Assistant | 3120 Nw 116th Ave # S, Coral Springs, FL 33065-3140 | 2020-10-01 |
| 1700403839 | Nadia Auguste-durfy | Physical Therapy Assistant | 1500 N University Dr Ste 105, Coral Springs, FL 33071-6071 | 2020-07-06 |
| 1568010916 | Allan Ramdeen | Physical Therapy Assistant | 9651 Nw 51st St, Coral Springs, FL 33076-2461 | 2019-08-29 |
| 1679015069 | Riley Nguyen | Physical Therapy Assistant | 5830 Coral Ridge Drive S-300, Coral Springs, FL 33076 | 2016-11-16 |
| 1396106969 | Rachel Kim Konicek | Physical Therapy Assistant | 8709 Forest Hills Blvd, Coral Springs, FL 33065-5474 | 2016-03-10 |
| 1962878421 | Lucas Cadiz | Physical Therapy Assistant | 5144 Nw 81st Ter, Coral Springs, FL 33067-0800 | 2015-08-19 |
| 1447630314 | Irving Isaac Horowitz | Physical Therapy Assistant | 4275 Coral Springs Dr, Coral Springs, FL 33065-2354 | 2015-06-04 |
| 1144651837 | Edward Viana | Physical Therapy Assistant | 5373 Nw 64th Way, Coral Springs, FL 33067-2712 | 2013-12-05 |
| 1720415193 | Kimberly Patricia Sutton | Physical Therapy Assistant | 6513 Nw 43rd Ct, Coral Springs, FL 33067-3015 | 2013-10-01 |
| 1902160427 | Jessica Mehsikomer | Physical Therapy Assistant | 5830 Coral Ridge Dr Ste 300, Coral Springs, FL 33076-3388 | 2012-06-29 |
| Find all providers in CORAL SPRINGS | ||||
| City | CORAL SPRINGS |
| Zip Code | 33065 |
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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.