PONCIANO PORMENTIRA JR. (NPI# 1548510357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548510357 |
| Entity Type | Individual |
| Full Name | PONCIANO PORMENTIRA JR. |
| Credential | DPT |
| Practice Address |
929 Stacy Burk Drive Flora IL 62839 |
| Mailing Address |
124 E 4th St Flora IL 62839-2009 |
| Practice Telephone | 6186628060 |
| Practice Fax Number | 6186628080 |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 070.015245 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
929 STACY BURK DRIVE |
| City | FLORA |
| State | IL |
| Zip Code | 62839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730165788 | Cheryl Jane White | Nurse Practitioner | 929 Stacy Burk Drive, Flora, IL 62839-3241 | 2005-12-21 |
| 1447450085 | Michael Paul Klingler | Pediatrics | 929 Stacy Burk Drive, Flora, IL 62839-3241 | 2007-07-23 |
| 1396955316 | Susan J Mack | Nurse Practitioner | 929 Stacy Burk Drive, Flora, IL 62839 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467887455 | Gayla Kay Dunaway | Occupational Therapist | 232 Givens Dr, Flora, IL 62839 | 2013-09-09 |
| 1952652349 | Health Care Management Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 408 E 4th St, Rosewood Estates, Flora, IL 62839 | 2012-09-25 |
| 1437445947 | Gaurav Nigam | Family Medicine | 911 Stacy Burk Drive, Flora, IL 62839 | 2011-06-22 |
| 1831413947 | Philip K.c. Chung | Obstetrics & Gynecology | 116 East 4th, Floria, IL 62839 | 2010-03-18 |
| 1669672465 | Heritage Woods LLC | Assisted Living Facility | 1003 West 4th Street, Flora, IL 62839 | 2007-07-19 |
| 1043365968 | Martin Dental Associates PC | Dentist | 501 North Main Street, Flora, IL 62839 | 2007-01-23 |
| 1518047356 | Linda L Robards | Registered Nurse | Clay Medical Center, 201 E N Avenue, Flora, IL 62839 | 2006-10-16 |
| 1144312000 | Valerie Jill Henderson | Registered Nurse | 201 E N Avenue, Clay Medical Center, Flora, IL 62839 | 2006-09-29 |
| 1164523221 | Kimberly Ann Greenwalt | Licensed Practical Nurse | 201 E N Ave, Clay Medical Center, Flora, IL 62839 | 2006-09-25 |
| 1558879676 | Melissa Kay Laslie | Registered Nurse | 911 Stacy Burk Drive, Flora, IL 62839 | 2018-01-11 |
| Find all providers in zip 62839 | ||||
| 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 |
|---|---|---|---|---|
| 1891303699 | Kimberly Walker | Physical Therapist | 936 Pocahontas Rd, Flora, MS 39071 | 2020-07-17 |
| 1780086801 | Cody Burnett | Physical Therapist | 929 Stacey Burk Dr, Flora, IL 62839-3241 | 2014-09-19 |
| 1063775443 | Jessica Lewis | Physical Therapist | 929 Stacey Burk Dr, Flora, IL 62839-3241 | 2012-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366874 | Rachel Stoffregen | Physical Therapist | 812 East Ogden Ave, Westmont, IL 60559 | 2020-11-04 |
| 1710588264 | Be Well Physical Therapy and Wellness Inc. | Physical Therapist | 12509 W 159th St, Homer Glen, IL 60491-7845 | 2020-11-02 |
| 1346841871 | Anneisha Elerby | Physical Therapist | 305 W Indian Trl Ste B, Aurora, IL 60506-2473 | 2020-11-02 |
| 1326648023 | Jacob Daniel Ledesma | Physical Therapist | 588 William R Latham Senior Dr Ste 5, Bourbonnais, IL 60914 | 2020-10-30 |
| 1518567445 | Melissa Z Septon | Physical Therapist | 975 Auburn Ave, Highland Park, IL 60035-1119 | 2020-10-29 |
| 1841890787 | Eskoff Physical Therapy, LLC | Physical Therapist | 10545 Royal Porthcawl Dr, Naperville, IL 60564-8113 | 2020-10-29 |
| 1780283382 | Annmarie Perelle | Physical Therapist | 100 Village Green Drive, Suite 2010, Lincolnshire, IL 60069 | 2020-10-23 |
| 1720687585 | Cassandra Coleman | Physical Therapist | 13731 Quail Run Ct, Homer Glen, IL 60491-9448 | 2020-10-22 |
| 1528667698 | Saptherapy Physical Rehab & Associates | Physical Therapist | 111 N Wabash Ave Ste 1300, Chicago, IL 60602-2010 | 2020-10-20 |
| 1841899218 | Diana Ahtziri Trujillo Torres | Physical Therapist | 3934 W 68th St, Chicago, IL 60629-4106 | 2020-10-18 |
| Find all providers with the same taxonomy | ||||
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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.