EVAN WAMPLER (NPI# 1508315615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508315615 |
| Entity Type | Individual |
| Full Name | EVAN WAMPLER |
| Credential | PTA |
| Practice Address |
2300 Pavilion Dr Kingsport TN 37660-4622 |
| Practice Telephone | 4237659655 |
| Practice Fax Number | 4233924795 |
| Mailing Telephone | 4237659655 |
| Mailing Fax Number | 4233924795 |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2016-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2300 PAVILION DR |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-4622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417956400 | Timothy James Sullivan Jr. | Psychiatry & Neurology | 2300 Pavilion Dr, Kingsport, TN 37660-4622 | 2005-07-20 |
| 1902438849 | Tonya Jean Keen | Occupational Therapy Assistant | 2300 Pavilion Dr, Kingsport, TN 37660-4622 | 2020-02-09 |
| 1669034682 | Victoria Gillenwater | Physical Therapy Assistant | 2300 Pavilion Dr, Kingsport, TN 37660-4622 | 2019-06-29 |
| 1649833880 | Brandon Drew Seale | Physical Therapist | 2300 Pavilion Dr, Kingsport, TN 37660-4622 | 2019-04-14 |
| 1770067415 | April Kuntz | Speech-Language Pathologist | 2300 Pavilion Dr, Kingsport, TN 37660-4622 | 2018-09-19 |
| 1346739174 | Carson Leigh Ann Johnson | Occupational Therapist | 2300 Pavilion Dr, Kingsport, TN 37660-4622 | 2018-05-07 |
| 1639670987 | Matthew David Donaldson | Occupational Therapy Assistant | 2300 Pavilion Dr, Kingsport, TN 37660-4622 | 2018-02-22 |
| 1437661089 | Brooke Ashley Parton | Physical Therapy Assistant | 2300 Pavilion Dr, Kingsport, TN 37660-4622 | 2017-11-03 |
| 1104350685 | Virginia Conkin | Physical Therapy Assistant | 2300 Pavilion Dr, Kingsport, TN 37660-4622 | 2017-04-12 |
| 1427590322 | Kelsey Stout | Occupational Therapy Assistant | 2300 Pavilion Dr, Kingsport, TN 37660-4622 | 2016-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| 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 |
|---|---|---|---|---|
| 1972068765 | James Clyde Oaks | Physical Therapy Assistant | 2421 North John B Dennis, Kingsport, TN 37665 | 2019-02-05 |
| 1740813476 | Aaron W Justus | Physical Therapy Assistant | 875 Larry Neil Way, Kingsport, TN 37660-6368 | 2020-02-21 |
| 1669034682 | Victoria Gillenwater | Physical Therapy Assistant | 2300 Pavilion Dr, Kingsport, TN 37660-4622 | 2019-06-29 |
| 1346806668 | Dylan Ketner | Physical Therapy Assistant | 1 Sheridan Sq Ste 100, Kingsport, TN 37660-7392 | 2019-05-13 |
| 1275099715 | William J Pannell | Physical Therapy Assistant | 2035 E Stonebrook Pl, Kingsport, TN 37660-4000 | 2019-02-20 |
| 1427522317 | Jill Marie Herren | Physical Therapy Assistant | 100 Netherland Ln, Kingsport, TN 37660-7245 | 2019-01-14 |
| 1154894459 | Stephen Hurley II | Physical Therapy Assistant | 100 Netherland Ln, Kingsport, TN 37660-7245 | 2019-01-09 |
| 1144714809 | Brianna Simone Tomlinson | Physical Therapy Assistant | 113 Cassell Dr, Kingsport, TN 37660-3775 | 2018-06-17 |
| 1437661089 | Brooke Ashley Parton | Physical Therapy Assistant | 2300 Pavilion Dr, Kingsport, TN 37660-4622 | 2017-11-03 |
| 1104350685 | Virginia Conkin | Physical Therapy Assistant | 2300 Pavilion Dr, Kingsport, TN 37660-4622 | 2017-04-12 |
| Find all providers in KINGSPORT | ||||
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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.