EDEN REHAB LLC (NPI# 1558664250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558664250 |
| Entity Type | Organization |
| Organization Name | EDEN REHAB LLC |
| Practice Address |
6100 Old Brandon Rd Brandon MS 39042-2543 |
| Mailing Address |
119 Bonne Vie Dr Brandon MS 39047-8789 |
| Practice Telephone | 6019331100 |
| Mailing Telephone | 6015739974 |
| Enumeration Date | 2010-12-19 |
| Last Update Date | 2010-12-19 |
| Authorized Official Name | MR. KENNETH J RICHE (MEMBER) |
| Authorized Official Telephone | 6015739974 |
| Authorized Official Credential | PTA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | TA1991 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 224Z00000X | Occupational Therapy Assistant | TA2342 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225200000X | Physical Therapy Assistant | PTA2698 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225200000X | Physical Therapy Assistant | PTA2491 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6100 OLD BRANDON RD |
| City | BRANDON |
| State | MS |
| Zip Code | 39042-2543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548683360 | Sentry-brandon, Inc. | Assisted Living Facility | 6100 Old Brandon Rd, Brandon, MS 39042-2543 | 2014-01-30 |
| 1760823728 | Kathryn Nicole Hand | Physical Therapist | 6100 Old Brandon Rd, Brandon, MS 39042-2543 | 2013-07-07 |
| 1972858561 | Annulet A Dillon | Registered Nurse | 6100 Old Brandon Rd, Brandon, MS 39042-2543 | 2012-07-19 |
| 1316228208 | Jennifer Kristen Nations | Physical Therapist | 6100 Old Brandon Rd, Brandon, MS 39042-2543 | 2011-09-06 |
| 1497056915 | Dena Shae Owens | Physical Therapy Assistant | 6100 Old Brandon Rd, Brandon, MS 39042-2543 | 2010-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821529 | Claudia Francis Jones | Technician | 1008 Greenfield Circle, Brandon, MS 39042 | 2019-10-03 |
| 1194294546 | Allen Keith Johnson Jr. | Counselor | 1700 West Government Street Building B. Suite O., Brandon, MS 39042 | 2018-11-15 |
| 1689167462 | Regional Home Care and Infusions, Inc. | Registered Nurse | 302 Town Square, Suite 110, Brandon, MS 39042 | 2018-06-07 |
| 1013419563 | Brandon Family Chiropractic LLC | Chiropractor | 1350 West Government Street Suite A1, Brandon, MS 39042 | 2018-03-01 |
| 1184146789 | Lakeland Home Program LLC | Clinic/Center | 209 Mar Lyn Dr, Brandon, MS 39042 | 2017-07-14 |
| 1104275510 | Matthew Logue | Community Health Worker | 2009 Mossy Cove, Brandon, MS 39042 | 2016-06-07 |
| 1932569704 | Haley Wilson | Chiropractor | 1350 W Government St Ste A1, Brandon, MS 39042 | 2016-03-07 |
| 1548698608 | St Dominic Medical Associates LLC | Family Medicine | 1297 West Government Street, Brandon, MS 39042 | 2013-10-28 |
| 1760825434 | Linda J. Bridges | Respiratory Therapist, Certified | 330 Rankin Road, Brandon, UNITED STATES 39042 | 2013-04-12 |
| 1861739922 | Georgia Christine Shirley | Nurse Practitioner | 2008 Brookstone Place, Brandon, MS 39042 | 2013-01-09 |
| Find all providers in zip 39042 | ||||
| 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 |
|---|---|---|---|---|
| 1639789175 | Alexandria Dean Hope | Physical Therapy Assistant | 2211 Grand Isle Dr Apt 1739, Brandon, FL 33511-4799 | 2020-08-07 |
| 1821580119 | Lisa Katherine Church | Physical Therapy Assistant | 1129 Professional Park Dr, Brandon, FL 33511-4887 | 2018-06-01 |
| 1932554235 | Jennifer Weir Norsworthy | Physical Therapy Assistant | 148 Eastside Dr, Brandon, MS 39047-7709 | 2016-04-25 |
| 1598132268 | Karen Beck | Physical Therapy Assistant | 602 Vonderburg Dr Suite 201, Brandon, FL 33511 | 2015-08-28 |
| 1699196352 | Rachell Bateman | Physical Therapy Assistant | 140 Eagle Dr, Brandon, MS 39047-7775 | 2013-12-26 |
| 1528497187 | Charlotte D Bruce | Physical Therapy Assistant | 3910 Sabal Palm Ct, Brandon, FL 33511-7972 | 2013-11-04 |
| 1740622539 | Total Rehab, Inc | Physical Therapy Assistant | 307 Chartrese Dr, Brandon, MS 39047-8779 | 2013-07-23 |
| 1124322854 | Andrea Mercedes Thurman | Physical Therapy Assistant | 1708 Chapel Tree Cir Apt H, Brandon, FL 33511-9305 | 2011-01-10 |
| 1861795130 | Gregory Wayne Morris | Physical Therapy Assistant | 205 S Moon Ave Ste 104, Brandon, FL 33511-5716 | 2010-12-08 |
| 1578715249 | Carina Gudrun Gines | Physical Therapy Assistant | 4701 Fernstone Ct, Brandon, FL 33511-8040 | 2008-10-14 |
| Find all providers in BRANDON | ||||
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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.