MICHELLE LYNN DOMINICK-DREYER (NPI# 1568094811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568094811 |
| Entity Type | Individual |
| Full Name | MICHELLE LYNN DOMINICK-DREYER |
| Credential | PTA |
| Practice Address |
4431 Bonnymede St Jackson MI 49201-8511 |
| Practice Telephone | 5177450827 |
| Mailing Telephone | 5177450827 |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 5502000597 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LICENSE | 5502000597 | 01 |
| Street Address |
4431 BONNYMEDE ST |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-8511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| 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 |
|---|---|---|---|---|
| 1023641446 | Andreanna Gibbs | Physical Therapy Assistant | 100 Hwy 15, Jackson, KY 41339 | 2020-02-13 |
| 1548810682 | Morgan E. Martin | Physical Therapy Assistant | 2142 Horton Rd, Jackson, MI 49203-5524 | 2019-09-19 |
| 1720638968 | Tara Jo Beebe | Physical Therapy Assistant | 3076 Hendee Rd, Jackson, MI 49201-9001 | 2019-09-19 |
| 1376190488 | Srilatha Mittapelli | Physical Therapy Assistant | 4605 Eagle Dr, Jackson, MI 49201-9747 | 2019-08-22 |
| 1831667864 | Kylie B Seyer | Physical Therapy Assistant | 121 Pinecrest, Jackson, MO 63755-8465 | 2018-11-07 |
| 1528558392 | Darlene Childers | Physical Therapy Assistant | 2700 Canoe Rd, Jackson, KY 41339-8458 | 2018-05-16 |
| 1154863454 | Gavin Blackwell | Physical Therapy Assistant | 115 Quail Rdg, Jackson, TN 38305-5420 | 2016-11-17 |
| 1881077436 | Natalie Stephens | Physical Therapy Assistant | 768 Miller Ave, Jackson, NJ 08527-3546 | 2015-07-01 |
| 1366856924 | Levella Kelly | Physical Therapy Assistant | 3856 Noble St, Apt 811, Jackson, MS 39209-4954 | 2014-06-11 |
| 1972928968 | Lauren Tracey Wirth | Physical Therapy Assistant | 288 Whitesville Rd, Jackson, NJ 08527-5139 | 2014-02-27 |
| Find all providers in JACKSON | ||||
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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.