LISA A. KRACKOW (NPI# 1609047075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609047075 |
| Entity Type | Individual |
| Full Name | LISA A. KRACKOW |
| Credential | PTA |
| Practice Address |
1421 3rd St Sw Roanoke VA 24016-5204 |
| Practice Telephone | 5409822208 |
| Practice Fax Number | 5409827637 |
| Mailing Telephone | 5409822208 |
| Mailing Fax Number | 5409827637 |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 2306001639 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1421 3RD ST SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24016-5204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982692323 | Professional Therapies of Roanoke, Inc. | Clinic/Center | 1421 3rd St Sw, Roanoke, VA 24016-5204 | 2005-10-10 |
| 1275148983 | Victoria Thomas | Speech-Language Pathologist | 1421 3rd St Sw, Roanoke, VA 24016-5204 | 2020-09-09 |
| 1154939197 | Courtney Alissa Pinkard | Occupational Therapist | 1421 3rd St Sw, Roanoke, VA 24016-5204 | 2020-07-15 |
| 1083170823 | Nicole Frey | Occupational Therapist | 1421 3rd St Sw, Roanoke, VA 24016-5204 | 2019-02-18 |
| 1760959381 | Kelly Marie Athaide | Occupational Therapist | 1421 3rd St Sw, Roanoke, VA 24016-5204 | 2018-11-01 |
| 1760973754 | Jacob Dulski | Physical Therapist | 1421 3rd St Sw, Roanoke, VA 24016-5204 | 2018-05-24 |
| 1568974772 | Anna M. Morales | Occupational Therapy Assistant | 1421 3rd St Sw, Roanoke, VA 24016-5204 | 2017-10-27 |
| 1851800833 | Kelsey A. Yoder | Occupational Therapist | 1421 3rd St Sw, Roanoke, VA 24016-5204 | 2017-09-22 |
| 1013435247 | Neelesh N. Shah | Physical Therapy Assistant | 1421 3rd St Sw, Roanoke, VA 24016-5204 | 2017-09-08 |
| 1336667419 | Tyler R Kelly | Physical Therapy Assistant | 1421 3rd St Sw, Roanoke, VA 24016-5204 | 2017-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758329 | Davis Andrew Sugar | Student in an Organized Health Care Education/Training Program | 1 Riverside Circle, Suite 401, Roanoke, Va, 24016, Suite 401, Roanoke, VA 24016 | 2020-04-08 |
| 1356810659 | Susanne Tribble | Social Worker | 202 Wells Ave Nw, Roanoke, VA 24016 | 2018-11-15 |
| 1801305818 | Rena Lee Daye | Driver | 10 12th St. Sw, Roanoke, VA 24016 | 2017-09-21 |
| 1053841965 | Christin Elledge Clark | Nurse Practitioner | 1234 Franklin Road, Roanoke, VA 24016 | 2017-06-13 |
| 1235685884 | Helen Franck | Physical Therapist | 650 North Jefferson Street, Roanoke, VA 24016 | 2016-09-01 |
| 1457710238 | Frances Marie Gaeta | Social Worker | 360 Campbell Ave, Roanoke, VA 24016 | 2016-02-22 |
| 1982073292 | Sophie Mench Tranmer | Physical Therapist | 1421 Third St. Sw, Roanoke, VA 24016 | 2015-09-16 |
| 1982008181 | National Counseling Group, Inc | Psychiatry & Neurology | 20 Walnut Avenue, Roanoke, VA 24016 | 2014-10-17 |
| 1366858342 | National Counseling Group, Inc | Psychiatry & Neurology | 16 Walnut Avenue, Roanoke, VA 24016 | 2014-07-10 |
| 1427320878 | Kristen L. Jagger | Physical Medicine & Rehabilitation | 1015 First Street Sw Suite 2, Roanoke, VA 24016 | 2012-02-01 |
| Find all providers in zip 24016 | ||||
| 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 |
|---|---|---|---|---|
| 1285182493 | Andrew Potter | Physical Therapy Assistant | 2212 Larchwood St Ne, Roanoke, VA 24012-4914 | 2016-09-16 |
| 1023475597 | Emily Howel; | Physical Therapy Assistant | 345 Bryant Rd, Roanoke, VA 24019 | 2016-01-28 |
| 1386018711 | Michael Schiavoni | Physical Therapy Assistant | 201 Huntington Blvd Ne, Roanoke, VA 24012-3625 | 2015-11-23 |
| 1518342930 | Brooke M Wright | Physical Therapy Assistant | 611 S Jefferson St, #713, Roanoke, VA 24011-2443 | 2015-07-27 |
| 1306224555 | Susan Holt | Physical Therapy Assistant | 4556 Royal Oak Dr Sw, Roanoke, VA 24018-1732 | 2015-05-08 |
| 1447642236 | Katie Havens | Physical Therapy Assistant | 3480 Sterling Rd, Roanoke, VA 24014-6124 | 2015-03-03 |
| 1659772507 | Sara Elisabeth Norder | Physical Therapy Assistant | 131 Summit Way Sw, Roanoke, VA 24014-5155 | 2014-09-10 |
| 1730503327 | Matthew Lee Debolt | Physical Therapy Assistant | 11015 Yalumba Pass, Roanoke, IN 46783-8931 | 2014-02-18 |
| 1578817870 | James Fredrick Hardin II | Physical Therapy Assistant | 7123 Woods Crossing Dr, Roanoke, VA 24018-9058 | 2012-11-08 |
| 1801159348 | Christopher Michael Bowers | Physical Therapy Assistant | 386 Clark St, Roanoke, IN 46783-8810 | 2012-06-20 |
| Find all providers in ROANOKE | ||||
Please comment or provide details below to improve the information on LISA A. KRACKOW.
| 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.