NORTHCENTRAL IN SPORTS MEDICINE (NPI# 1619191210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619191210 |
| Entity Type | Organization |
| Organization Name | NORTHCENTRAL IN SPORTS MEDICINE |
| Practice Address |
1603 Chase Rd Logansport IN 46947-1538 |
| Mailing Address |
80 Heartland Hills Dr Logansport IN 46947-7684 |
| Practice Telephone | 5747377404 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ROBERTA H WEINSTEIN (PTA) |
| Authorized Official Telephone | 5747534063 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 06000392A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1603 CHASE RD |
| City | LOGANSPORT |
| State | IN |
| Zip Code | 46947-1538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194720094 | Todd Alan Reiff | Physical Therapist | 1603 Chase Rd, Logansport, IN 46947-1538 | 2005-06-16 |
| 1427267715 | Northcentral Indiana Sports Medicine Center | Clinic/Center | 1603 Chase Rd, Logansport, IN 46947-1538 | 2007-05-22 |
| 1124245998 | Jerri Lynn Brown | Occupational Therapy Assistant | 1603 Chase Rd, Logansport, IN 46947-1538 | 2007-04-20 |
| 1750506218 | Roberta H Weinstein | Physical Therapy Assistant | 1603 Chase Rd, Logansport, IN 46947-1538 | 2007-04-17 |
| 1568687663 | Marsha Kay Boyd | Physical Therapy Assistant | 1603 Chase Rd, Logansport, IN 46947-1538 | 2007-04-16 |
| 1528283850 | Marife Dante Perez | Physical Therapist | 1603 Chase Rd, Logansport, IN 46947-1538 | 2007-04-13 |
| 1932323383 | Jill L Day | Physical Therapy Assistant | 1603 Chase Rd, Logansport, IN 46947-1538 | 2007-04-13 |
| 1487879896 | Stephanie Lynn Lewellen | Physical Therapist | 1603 Chase Rd, Logansport, IN 46947-1538 | 2007-04-13 |
| 1275757627 | Tom Evanich | Physical Therapy Assistant | 1603 Chase Rd, Logansport, IN 46947-1538 | 2007-04-13 |
| 1346246451 | Michelle Lynn Bryan | Occupational Therapist | 1603 Chase Rd, Logansport, IN 46947-1538 | 2005-06-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578199345 | Stephanie Anne Dill | Family Medicine | 1101 Michigan Address, Logansport, IN 46947 | 2020-03-12 |
| 1023564259 | Wecare Tlc - Lcsc Health and Wellness | Clinic/Center | 2500 Hopper Street, Door C-13, Logansport, IN 46947 | 2016-08-28 |
| 1801266283 | Cheryl Lynn Ulery | Occupational Therapy Assistant | 5105 Northcrest Drive, Logansport, IN 46947 | 2015-09-29 |
| 1346618691 | Jan Hoover | Nurse Practitioner | 1025 Michigan Ave Ste 125, Logansport, IN 46947 | 2015-09-03 |
| 1922431741 | Ourhealth Physician Group, LLC | Clinic/Center | 99 E. Dewey St., Logansport, IN 46947 | 2013-08-15 |
| 1215245816 | Wal-mart Stores East Lp | Technician/Technologist | 240 Mall Road, Logansport, IN 46947 | 2010-09-16 |
| 1770778359 | Assisted Living Concepts Inc | Assisted Living Facility | 3901 High Street Road, Logansport, IN 46947 | 2007-09-07 |
| 1417152943 | Mary A Deinnocentes | Audiologist | 1325 N. 200 E., Logansport, IN 46947 | 2007-06-15 |
| 1396965018 | Elizabeth Dockerty Smith | Dentist | 335 Mall Road, Logansport, IN 46947 | 2007-04-26 |
| 1659599686 | Donna Beck Hermance | Physical Therapist | Northcentral Indiana Sports Center, 1603 Chase Road, Logansport, IN 46947 | 2007-04-23 |
| Find all providers in zip 46947 | ||||
| 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 |
|---|---|---|---|---|
| 1750506218 | Roberta H Weinstein | Physical Therapy Assistant | 1603 Chase Rd, Logansport, IN 46947-1538 | 2007-04-17 |
| 1568687663 | Marsha Kay Boyd | Physical Therapy Assistant | 1603 Chase Rd, Logansport, IN 46947-1538 | 2007-04-16 |
| 1932323383 | Jill L Day | Physical Therapy Assistant | 1603 Chase Rd, Logansport, IN 46947-1538 | 2007-04-13 |
| 1275757627 | Tom Evanich | Physical Therapy Assistant | 1603 Chase Rd, Logansport, IN 46947-1538 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483742 | Rick Gregory Bultinck | Physical Therapy Assistant | 4135 Anchor Dr, Mishawaka, IN 46544-9142 | 2020-09-23 |
| 1457963100 | Brianna Myers | Physical Therapy Assistant | 1914 W Wilno Dr, Marion, IN 46952-1518 | 2020-08-22 |
| 1417568940 | Robin M Palisano-wolfe | Physical Therapy Assistant | 59808 Ironwood Rd, South Bend, IN 46614-9111 | 2020-08-10 |
| 1619588035 | Spencer Cox | Physical Therapy Assistant | 800 N Bell Trace Cir, Bloomington, IN 47408-4405 | 2020-08-10 |
| 1578172060 | Emily Small | Physical Therapy Assistant | 113 N Ashton Ln, Valparaiso, IN 46385-7827 | 2020-07-30 |
| 1528686714 | Chelsea Sayers | Physical Therapy Assistant | 4400 Murphy Rd, Memphis, IN 47143-9132 | 2020-07-14 |
| 1104443738 | Krystal Lafferty | Physical Therapy Assistant | 6047 S Main Street Rd, Vincennes, IN 47591-9178 | 2020-06-30 |
| 1194347773 | Anna Jamison | Physical Therapy Assistant | 11736 Grazing Ln, Indianapolis, IN 46239-7828 | 2020-05-18 |
| 1275155020 | Courtney Nicole Eccles | Physical Therapy Assistant | 5080 N State Road 135 Ste F, Bargersville, IN 46106-8931 | 2020-05-15 |
| 1811525934 | Alexander Milentis | Physical Therapy Assistant | 7125 Hanna St, Fort Wayne, IN 46816-1166 | 2020-04-01 |
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| City | LOGANSPORT |
| Zip Code | 46947 |
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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.