CLARK W PEDIGO (NPI# 1508164062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508164062 |
| Entity Type | Individual |
| Full Name | CLARK W PEDIGO |
| Practice Address |
3302 Boca Chica Blvd Brownsville TX 78521-5193 |
| Practice Telephone | 9569821001 |
| Practice Fax Number | 9565509393 |
| Mailing Telephone | 9569821001 |
| Mailing Fax Number | 9565509393 |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2015-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 2028090 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE LICENSE | 2028090 | 01 |
| Street Address |
3302 BOCA CHICA BLVD |
| City | BROWNSVILLE |
| State | TX |
| Zip Code | 78521-5193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710920624 | Joseph John Martinez-o'hara | Internal Medicine | 3302 Boca Chica Blvd, Brownsville, TX 78521-5193 | 2006-06-14 |
| 1033769765 | Larry Wright | Nurse Practitioner | 3302 Boca Chica Blvd, Brownsville, TX 78521-5193 | 2019-09-15 |
| 1992293906 | Edna Daniela Michi | Physician Assistant | 3302 Boca Chica Blvd, Brownsville, TX 78521-5193 | 2018-04-25 |
| 1790273712 | David Roberto Medina | Physician Assistant | 3302 Boca Chica Blvd, Brownsville, TX 78521-5193 | 2018-04-25 |
| 1699207951 | Nathaniel Garcia | Physician Assistant | 3302 Boca Chica Blvd, Brownsville, TX 78521-5193 | 2017-03-28 |
| 1669855870 | Isaac Ornelas | Physical Therapist | 3302 Boca Chica Blvd, Brownsville, TX 78521-5193 | 2015-07-07 |
| 1891137576 | Raymundo Castillo Jr. | Physician Assistant | 3302 Boca Chica Blvd, Brownsville, TX 78521-5193 | 2013-07-23 |
| 1801148267 | Daniel Martinez Jr. | Physical Therapist | 3302 Boca Chica Blvd, Brownsville, TX 78521-4202 | 2012-10-10 |
| 1942572771 | Elizabeth Ann Betz | Nurse Practitioner | 3302 Boca Chica Blvd, Brownsville, TX 78521-4202 | 2012-02-09 |
| 1174891832 | Medicus Domus, LLC | Clinical Nurse Specialist | 3302 Boca Chica Blvd, Brownsville, TX 78521-4202 | 2011-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942811401 | D&r Medical Supplies | Durable Medical Equipment & Medical Supplies | 1805 Ruben M. Torrez Ste. C1, Brownsville, TX 78521 | 2020-08-10 |
| 1467085829 | Ariel Ann Cruz | Pharmacist | 2950 Souhmost Rd, Brownsville, TX 78521 | 2020-02-13 |
| 1659901908 | Luis Villarreal | Music Therapist | 1786 Coffee Rd, Brownsville, TX 78521 | 2020-01-24 |
| 1356999361 | Ambrose Eternity Home Services, LLC. | Technician | 3505 Boca Chica Blvd., Ste. 205, Brownsville, TX 78521 | 2019-09-03 |
| 1578128641 | South Texas Lymphedema Care LLC | Occupational Therapist | 35 Casa De Palmas, Brownsville, TX 78521 | 2019-05-04 |
| 1649752262 | Cristina Morales | Specialist/Technologist | 4430 E. 14th St. Unit E, Brownsville, TX 78521 | 2018-08-30 |
| 1831679182 | Josue Peralez | Occupational Therapy Assistant | 4430 E 14th St Unit E Brownsville, Tx 78521, Brownsville, TX 78521 | 2018-08-16 |
| 1386138170 | Chang Joo Lee | Dentist | 2950 Southmost Blvd, Suite 103, Brownsville, TX 78521 | 2018-06-15 |
| 1053822676 | Brownsville Adult and Pediatric Clinic | Nurse Practitioner | 3510 Southmost Road, Suite C, Brownsville, TX 78521 | 2017-10-23 |
| 1174041032 | Stephanie Hernandez | Specialist/Technologist | 532 Fresa, Brownsville, TX 78521 | 2017-08-31 |
| Find all providers in zip 78521 | ||||
| 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 |
|---|---|---|---|---|
| 1598390395 | Miguel Angel Segura | Physical Therapy Assistant | 1900, 77 N Expy Suit K, Brownsville, TX 78526 | 2020-03-12 |
| 1194381616 | Ben Medelez IIi | Physical Therapy Assistant | 4920 N. Expressway 77, Ste C, Brownsville, TX 78526 | 2019-05-10 |
| 1952884520 | Bianca Gonzalez | Physical Therapy Assistant | 4834 Beaver Pond Dr., Brownsville, TX 78520 | 2018-09-10 |
| 1538641923 | Lautaro Leonel Herrero | Physical Therapy Assistant | 2632 Windsor Pl, Brownsville, TX 78520-3987 | 2018-08-31 |
| 1093191314 | Sarah Besenti | Physical Therapy Assistant | 871 Old Alice Rd #600, Brownsville, TX 78520 | 2015-08-10 |
| 1063805810 | Cristina Lizette Garcia | Physical Therapy Assistant | 6090 Travis Rd, Brownsville, TX 78521-7024 | 2015-03-17 |
| 1215337035 | Jose Zamarripa | Physical Therapy Assistant | 135 San Diego Ave, Brownsville, TX 78526-1876 | 2014-08-28 |
| 1447697081 | Aristeo Ropeta Sales | Physical Therapy Assistant | 15 Tamaulipas Ct, Brownsville, TX 78526-1749 | 2013-05-22 |
| 1104194653 | Debra J Noel | Physical Therapy Assistant | N3015 Hickory Rd, Brownsville, WI 53006-0316 | 2011-12-12 |
| 1457638728 | Sh'voyne E Claybon | Physical Therapy Assistant | 144 S Dupree Ave, Brownsville, TN 38012-3217 | 2011-11-14 |
| Find all providers in BROWNSVILLE | ||||
| City | BROWNSVILLE |
| Zip Code | 78521 |
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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.