ZACHARIAS MUNDAKKAL (NPI# 1568848323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568848323 |
| Entity Type | Individual |
| Full Name | ZACHARIAS MUNDAKKAL |
| Practice Address |
145 Grove St Waterbury CT 06710-2202 |
| Practice Telephone | 8888734221 |
| Mailing Telephone | 8888734221 |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 1016 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
145 GROVE ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06710-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669474961 | Grove Manor Nursing Home, Inc. | Skilled Nursing Facility | 145 Grove St, Waterbury, CT 06710-2202 | 2005-06-01 |
| 1306460944 | Olivia Maeve Dineen | Occupational Therapist | 145 Grove St, Waterbury, CT 06710-2202 | 2020-05-29 |
| 1487035796 | Natalie Brown | Physical Therapy Assistant | 145 Grove St, Waterbury, CT 06710-2202 | 2015-06-11 |
| 1194139071 | Margaret Heurich | Occupational Therapist | 145 Grove St, Waterbury, CT 06710-2202 | 2014-06-18 |
| 1023434784 | Michael Martinez | Physical Therapy Assistant | 145 Grove St, Waterbury, CT 06710-2202 | 2014-03-05 |
| 1417386079 | Deborah Parmelee | Occupational Therapist | 145 Grove St, Waterbury, CT 06710-2202 | 2013-11-04 |
| 1063846947 | Kelly Messina | Physical Therapist | 145 Grove St, Waterbury, CT 06710-2202 | 2013-08-27 |
| 1770922197 | Elizabeth Sullivan-well | Occupational Therapist | 145 Grove St, Waterbury, CT 06710-2202 | 2013-06-19 |
| 1639513146 | Susan Devino | Physical Therapy Assistant | 145 Grove St, Waterbury, CT 06710-2202 | 2013-04-26 |
| 1356682876 | Terence Vallely | Physical Therapy Assistant | 145 Grove St, Waterbury, CT 06710-2202 | 2013-03-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417511718 | Michael A Mastroianni | Pharmacist | Stolls Pharmacy Inc, 185 Grove St, Waterbury, CT 06710 | 2019-04-23 |
| 1508127598 | Brenda Mcleod | Technician, Pathology | 150 Manhan St Bldg 8 Unit 5, Waterbury, CT 06710 | 2012-06-06 |
| 1659536936 | Michelle Gomes Ferreira-machado | Social Worker | 34 Murray St., Family Services of Greater Watebury, Waterbury, CT 06710 | 2008-07-25 |
| 1588699557 | Adriane Guerin | Physician Assistant | 179 Roseland Ave, Waterbury, CT 06710 | 2006-07-11 |
| 1013311554 | Chelsey Micciche | Student in an Organized Health Care Education/Training Program | 34 Murray Street, Waterbury, CT 06710 | 2014-10-13 |
| 1972905321 | Carmen Woodcock | Student in an Organized Health Care Education/Training Program | 34 Murray Street, Waterbury, CT 06710 | 2014-09-17 |
| 1841597663 | Avis Foster | Student in an Organized Health Care Education/Training Program | 34 Murray St., Waterbury, CT 06710 | 2011-02-14 |
| 1528364783 | Quiana Scott | Student in an Organized Health Care Education/Training Program | 34 Murray St., Waterbury, CT 06710 | 2011-02-07 |
| 1063716363 | Natalie Luciano | Student in an Organized Health Care Education/Training Program | 34 Murray St., Waterbury, CT 06710 | 2010-12-29 |
| 1134423437 | Mildred Figueroa | Social Worker | 34 Murray St., Waterbury, CT 06710 | 2010-12-29 |
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| 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 |
|---|---|---|---|---|
| 1831720648 | Elizabeth Angelicola | Physical Therapy Assistant | 2154 E Main St, Waterbury, CT 06705-2608 | 2020-01-30 |
| 1184191397 | Michael Montefusco | Physical Therapy Assistant | 22 Tompkins St Ste 2, Waterbury, CT 06708-1458 | 2018-10-25 |
| 1174138358 | Steven Musante | Physical Therapy Assistant | 2154 E Main St, Waterbury, CT 06705-2608 | 2020-09-14 |
| 1538718473 | Stephanie Johnson | Physical Therapy Assistant | 22 Tompkins St, Waterbury, CT 06708-1458 | 2019-09-04 |
| 1053898510 | Dillon Ivan | Physical Therapy Assistant | 22 Tompkins St, Waterbury, CT 06708-1458 | 2018-07-26 |
| 1225567670 | Colleen Fercodini | Physical Therapy Assistant | 22 Tompkins Street, Waterbury, CT 06708-1458 | 2017-06-08 |
| 1821543356 | Sweata Giri | Physical Therapy Assistant | 22 Tompkins St, Waterbury, CT 06708-1458 | 2016-08-25 |
| 1528511730 | Joseph Mabry | Physical Therapy Assistant | 1211 W Main St, Waterbury, CT 06708-3106 | 2016-07-25 |
| 1982055216 | Jonathan Barlow | Physical Therapy Assistant | 22 Tompkins St, Waterbury, CT 06708-1458 | 2016-06-28 |
| 1003273301 | Victoria Rivera | Physical Therapy Assistant | 22 Tompkins St, Waterbury, CT 06708-1458 | 2016-01-19 |
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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.