MIKHAIL YATSISHIN (NPI# 1548825219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548825219 |
| Entity Type | Individual |
| Full Name | MIKHAIL YATSISHIN |
| Credential | PTA |
| Practice Address |
13990 Bartram Park Blvd Unit 422 Jacksonville FL 32258-5546 |
| Practice Telephone | 3153956901 |
| Mailing Telephone | 3153956901 |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-05-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 29230 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
13990 BARTRAM PARK BLVD UNIT 422 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32258-5546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794237 | Nicoleta Descalzo | Behavior Technician | 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 | 2019-11-15 |
| 1992275572 | William Lundgren | Nurse Anesthetist, Certified Registered | 3625 University Blvd South, Jacksonville, FL 32258 | 2018-11-27 |
| 1104301159 | Emergency Physicians Inc | Emergency Medicine | 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 | 2018-09-26 |
| 1679092886 | Palm Life Medical Associates Pa | Assisted Living Facility | 12494 Acosta Oaks Drive, Jacksonville, FL 32258 | 2017-09-19 |
| 1679013932 | Optometry Vision Care Pllc | Optometrist | 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 | 2017-03-06 |
| 1467991950 | North Florida Vision Group Inc | Optometrist | 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 | 2017-02-16 |
| 1124576566 | Revolution Chiropractic LLC | Chiropractor | 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-14 |
| 1396291936 | Robyn Reaves | Nurse Practitioner | 12361 Richards Glen Ct, Jacksonville, FL 32258 | 2016-09-01 |
| 1326595927 | Lauren Cost | Chiropractor | 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-01 |
| 1487991170 | Mark Steven Colosimo | Pharmacist | 13820 Old St Augustine Road, Jacksonville, FL 32258 | 2013-01-15 |
| Find all providers in zip 32258 | ||||
| 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 |
|---|---|---|---|---|
| 1104439546 | Dylan Michael Hanna | Physical Therapy Assistant | 6170 County Road 1405, Jacksonville, TX 75766-7601 | 2020-08-25 |
| 1447860515 | Callen Logan | Physical Therapy Assistant | 7365 Steventon Way, Jacksonville, FL 32244-8179 | 2020-08-04 |
| 1346863016 | Mary Maegan Smith | Physical Therapy Assistant | 4545 State Highway 135 N, Jacksonville, TX 75766-6971 | 2020-05-28 |
| 1518513944 | Tiffany Ann Dodson | Physical Therapy Assistant | 806 Palestine St, Jacksonville, TX 75766-3128 | 2019-08-12 |
| 1427618826 | Alen Islamovic | Physical Therapy Assistant | 9745 Touchton Rd Unit 225, Jacksonville, FL 32246-4489 | 2019-06-18 |
| 1962069260 | Douglas Wade | Physical Therapy Assistant | 38 Betty Ct, Jacksonville, AL 36265-8814 | 2019-05-22 |
| 1861057994 | Leonardo Sanchez | Physical Therapy Assistant | 3165 Old Acosta Rd, Jacksonville, FL 32223-4902 | 2019-05-03 |
| 1801356696 | Iuliia Vartanov | Physical Therapy Assistant | 6138 Kennerly Rd Unit 150, Jacksonville, FL 32216-4395 | 2019-03-20 |
| 1366932634 | Casey Michael Mcneill | Physical Therapy Assistant | 2054 Park St, Jacksonville, FL 32204-3810 | 2018-05-13 |
| 1689163313 | Alexander Bigale | Physical Therapy Assistant | 10475 Centurion Pkwy N Ste 104, Jacksonville, FL 32256-5004 | 2018-05-08 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32258 |
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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.