MR. THOMAS JOHN MAYTUM JR. (NPI# 1598950206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598950206 |
| Entity Type | Individual |
| Full Name | MR. THOMAS JOHN MAYTUM JR. |
| Credential | PTA |
| Practice Address |
1225 Broadrick Dr Dalton GA 30720-2504 |
| Practice Telephone | 7062726199 |
| Practice Fax Number | 7062726291 |
| Mailing Telephone | 7062726199 |
| Mailing Fax Number | 7062726291 |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225200000X | Physical Therapy Assistant | PTA15969 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225200000X | Physical Therapy Assistant | PTA001065 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1225 BROADRICK DR |
| City | DALTON |
| State | GA |
| Zip Code | 30720-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902918584 | Heather Jean Kagan | Occupational Therapist | 1225 Broadrick Dr, Dalton, GA 30720-2504 | 2006-08-31 |
| 1427693654 | Ryan Bonanno | Specialist/Technologist | 1225 Broadrick Dr, Dalton, GA 30720-2504 | 2019-11-12 |
| 1154970218 | Haleigh N Wilson | Occupational Therapist | 1225 Broadrick Dr, Dalton, GA 30720-2504 | 2019-09-10 |
| 1205480159 | Erin Bailey Trentham | Physical Therapist | 1225 Broadrick Dr, Dalton, GA 30720-2504 | 2019-07-30 |
| 1669033056 | Haley Allen | Occupational Therapist | 1225 Broadrick Dr, Dalton, GA 30720-2504 | 2019-06-26 |
| 1356840649 | Stephanie Rynas- Jones | Specialist/Technologist | 1225 Broadrick Dr, Dalton, GA 30720-2504 | 2018-02-01 |
| 1831603265 | Emily Skipper | Specialist/Technologist | 1225 Broadrick Dr, Dalton, GA 30720-2504 | 2017-11-21 |
| 1124540810 | Marsha Katherine Haulcomb | Physical Therapist | 1225 Broadrick Dr, Dalton, GA 30720-2504 | 2017-07-13 |
| 1164979449 | Mary Christine Pope | Acupuncturist | 1225 Broadrick Dr, Dalton, GA 30720-2504 | 2016-09-05 |
| 1841673993 | Emily Smith | Physical Therapist | 1225 Broadrick Dr, Dalton, GA 30720-2504 | 2015-07-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688421 | Nighat Purnima Kabir | Student in an Organized Health Care Education/Training Program | Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 | 2020-04-21 |
| 1720620727 | Elizabeth Nicole Gregory | Behavioral Analyst | 1201 Burleyson Rd., Dalton, GA 30720 | 2019-10-10 |
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1588039077 | Katie Walker | Social Worker | 900 Shugart Road, Dalton, GA 30720 | 2015-12-09 |
| 1215310800 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 98 West Walnut Ave, Dalton, GA 30720 | 2015-07-01 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1821439985 | Chantal Aneka Raheeda Lewis | Internal Medicine | 1109 Burleyson Rd Ste 103, Dalton, GA 30720 | 2013-07-17 |
| 1174960678 | Homestead Hospice of Northwest Georgia, LLC | Hospice Care, Community Based | 1601 Hickory Street, Dalton, GA 30720 | 2013-05-24 |
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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 |
|---|---|---|---|---|
| 1447691233 | Alisca Brooke Massey | Physical Therapy Assistant | 1312 Granada Way, Dalton, GA 30720-5124 | 2013-07-09 |
| 1164076337 | Joseph Ogden | Physical Therapy Assistant | 1300 Cleo Way, Dalton, GA 30720-8442 | 2019-07-26 |
| 1285286955 | Stephanie Jo Scott | Physical Therapy Assistant | 1300 Cleo Way, Dalton, GA 30720-8442 | 2019-07-12 |
| 1376045161 | Steven Eric Ward | Physical Therapy Assistant | 1300 Cleo Way, Dalton, GA 30720-8442 | 2018-03-07 |
| 1366952319 | Kailyn Sullivan | Physical Therapy Assistant | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2017-10-04 |
| 1780971481 | Melissa A Turner | Physical Therapy Assistant | 265 Main St, Dalton, MA 01226-1614 | 2011-07-01 |
| 1336432939 | Kelley Jean Taylor | Physical Therapy Assistant | 265 Main St, Dalton, MA 01226-1614 | 2011-05-16 |
| 1518180637 | Deborah S Pennington | Physical Therapy Assistant | 1225 Broadrick Dr, Dalton, GA 30720-2504 | 2007-04-10 |
| 1063635076 | Lauren Hurst | Physical Therapy Assistant | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2007-04-10 |
| 1154544112 | Dixie Guess | Physical Therapy Assistant | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2007-04-10 |
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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.