MISS STEPHANIE JO DRAKE (NPI# 1598053571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598053571 |
| Entity Type | Individual |
| Full Name | MISS STEPHANIE JO DRAKE |
| Credential | PTA |
| Practice Address |
1235 N Mulford Rd Rockford IL 61107-3879 |
| Mailing Address |
4733 Prairie Rose Dr Roscoe IL 61073-6004 |
| Practice Telephone | 8154844202 |
| Mailing Telephone | 5077652426 |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326528092 | Stephanie Renee Drake | Speech-Language Pathologist | 1739 Bull Elk Dr, Stephenville, TX 76401 | 2018-08-21 |
| 1578847885 | Stephanie Anne Drake | Speech-Language Pathologist | 1500 Dayspring Drive, Walworth, NY 14568 | 2011-10-05 |
| 1306444062 | Stephanie Drake | Behavior Technician | 451 S Park Ridge Rd Ste 102, Bloomington, IN 47401-8589 | 2020-10-15 |
| 1790290799 | Stephanie Drake | Behavioral Analyst | 9167 W Flamingo Rd, Las Vegas, NV 89147-6472 | 2017-12-12 |
| 1083899652 | Stephanie Allison Drake | Counselor | 547 Dayton St, Edmonds, WA 98020-3431 | 2008-01-02 |
| Street Address |
1235 N MULFORD RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-3879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821091075 | Susan M Fowell | Ophthalmology | 1235 N Mulford Rd, Suite 100, Rockford, IL 61107-3879 | 2005-05-23 |
| 1164875852 | Bryn Maxine Byers Krause | Nurse Practitioner | 1235 N Mulford Rd, Suite 205, Rockford, IL 61107-3879 | 2016-07-18 |
| 1306211198 | Christine Lenox | Counselor | 1235 N Mulford Rd, Suite 200, Rockford, IL 61107-3879 | 2015-12-06 |
| 1962873919 | Renviva LLC | Clinic/Center | 1235 N Mulford Rd, Rockford, IL 61107-3879 | 2015-10-16 |
| 1578971487 | Northern Illinois Trauma Regional Orthopaedics, LLC | Orthopaedic Surgery | 1235 N Mulford Rd, Suite 103, Rockford, IL 61107-3879 | 2014-07-24 |
| 1932437290 | Surgical Services of Illinois, Sc | Dermatology | 1235 N Mulford Rd, Ste. 205, Rockford, IL 61107-3879 | 2009-11-25 |
| 1154576221 | Tanya J. Munger | Registered Nurse | 1235 N Mulford Rd, Suite 222, Rockford, IL 61107-3879 | 2008-11-17 |
| 1376714600 | Laura Koch | Clinical Nurse Specialist | 1235 N Mulford Rd, Suite 200, Rockford, IL 61107-3879 | 2008-03-14 |
| 1669640504 | Todd D Alexander Md Sc | Neurological Surgery | 1235 N Mulford Rd, Suite 210, Rockford, IL 61107-3879 | 2008-02-13 |
| 1942483664 | Northern Illinois Retina Ltd | Ophthalmology | 1235 N Mulford Rd, Suite 100, Rockford, IL 61107-3879 | 2007-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
| 1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
| 1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
| 1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
| 1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
| 1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
| 1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
| 1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
| Find all providers in zip 61107 | ||||
| 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 |
|---|---|---|---|---|
| 1073129425 | Bradley Theodore Dubey | Physical Therapy Assistant | 6533 Cannon Farms Dr Ne, Rockford, MI 49341-8284 | 2020-09-21 |
| 1134735871 | Weston Curtis Wylie | Physical Therapy Assistant | 3070 13 Mile Rd Ne, Rockford, MI 49341-8070 | 2020-09-18 |
| 1871079053 | Kevin Erbe | Physical Therapy Assistant | 6451 E Riverside Blvd # 103, Rockford, IL 61114-4421 | 2018-07-11 |
| 1427545359 | Melissa Kay Molchan | Physical Therapy Assistant | 8975 Marabella Ct Ne, Rockford, MI 49341-7439 | 2018-04-17 |
| 1396286175 | Addison Ouellette | Physical Therapy Assistant | 9215 Booth Bay Ct. Ne, Rockford, MI 49341-7386 | 2017-03-14 |
| 1548704653 | Jill Marie Polsean | Physical Therapy Assistant | 5820 Allerton Dr, Rockford, IL 61114-6456 | 2016-12-08 |
| 1093165037 | Colin Devary | Physical Therapy Assistant | 110 2nd St Se, Rockford, IA 50468-1251 | 2016-06-21 |
| 1427288729 | Patricia Lynn Woodward | Physical Therapy Assistant | 1455 Collingswood Dr, Rockford, IL 61103-8911 | 2009-07-21 |
| 1184884710 | Brenda Gail Crutcher | Physical Therapy Assistant | 12490 N Weldon Rd, Rockford, IL 61102-9640 | 2008-06-17 |
| 1386244119 | Joseph Flater | Physical Therapy Assistant | 6917 Rex Dr, Rockford, MI 49341-7813 | 2020-10-30 |
| Find all providers in ROCKFORD | ||||
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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.