CRYSTAL WALLACE GODDIN (NPI# 1619465481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619465481 |
| Entity Type | Individual |
| Full Name | CRYSTAL WALLACE GODDIN |
| Credential | PTA |
| Practice Address |
1104 N Main St, Bushnell, Fl Bushnell FL 33513 |
| Mailing Address |
391 Cr 549 Bushnell FL 33513 |
| Practice Telephone | 3525688777 |
| Mailing Telephone | 3526031380 |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2018-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 23675 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1104 N MAIN ST, BUSHNELL, FL |
| City | BUSHNELL |
| State | FL |
| Zip Code | 33513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255836920 | Anton Dawson | Behavior Technician | 2310 Cr 615, Bushnell, FL 33513 | 2018-03-26 |
| 1942728431 | Carolyn Sue Guarino | Licensed Practical Nurse | 10306 S.w. 53rd Terr., Bushnell, FL 33513 | 2017-09-05 |
| 1326321258 | Edith Marie Evans | Case Manager/Care Coordinator | 2891 C.r. 615b, Bushnell, FL 33513 | 2011-09-27 |
| 1144478439 | Emma J Ridley | Pharmacist | Sumter Oaks Park, 4602 Couny Rd. 673, #14107, Bushnell, FL 33513 | 2008-08-29 |
| 1205083268 | Diana K Mullin | Day Training, Developmentally Disabled Services | 9325 Cr 622 G, Bushnell, FL 33513 | 2008-08-21 |
| 1467625202 | Amy's Caring Hands | Day Training, Developmentally Disabled Services | 1612 W County Road 476, Bushnell, FL 33513 | 2008-04-11 |
| 1821212952 | Stuart J Kaufman Md & Assoc Pa | Ophthalmology | 1814 West Cr 48, Bushnell, FL 33513 | 2007-04-12 |
| 1740201128 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 1122 N Main St, Bushnell, FL 33513 | 2006-07-21 |
| 1184688947 | Florida Department of Health | Public Health or Welfare | 415 E Noble Ave, Bushnell, FL 33513 | 2006-04-17 |
| 1225112766 | Sumter County School Board | Local Education Agency (LEA) | 2680 W C 476, Bldg #3, Bushnell, FL 33513-3574 | 2006-10-24 |
| Find all providers in zip 33513 | ||||
| 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 |
|---|---|---|---|---|
| 1831687862 | Sheri F Morgan | Physical Therapy Assistant | 1104 N Main St, Bushnell, FL 33513-5045 | 2018-04-25 |
| 1750755575 | Cary Mattos | Physical Therapy Assistant | 1104 N Main St, Bushnell, FL 33513-5045 | 2015-11-17 |
| 1164896973 | Denise Zachary | Physical Therapy Assistant | 1104 N Main St, Bushnell, FL 33513-5045 | 2015-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568914 | Bridget Cramer | Physical Therapy Assistant | 294 N. Main St., Crestview, FL 32536-3510 | 2020-11-03 |
| 1538760046 | Martell Physical Therapy, Corp. | Physical Therapy Assistant | 2501 27th Ave Ste A9s, Vero Beach, FL 32960-1904 | 2020-11-03 |
| 1023619335 | Z& O Rehabilitation LLC | Physical Therapy Assistant | 175 Fontainebleau Blvd Bldg Suite1n6, Miami, FL 33172-7018 | 2020-11-03 |
| 1124628441 | Ana Maria Moreno | Physical Therapy Assistant | 2936 Candela Ct, Apopka, FL 32703-8114 | 2020-10-27 |
| 1821697335 | Julie C Figaro | Physical Therapy Assistant | 7209 Curry Ford Ste E, Orlando, FL 32822 | 2020-10-26 |
| 1922607142 | Aleksandar Beljevic | Physical Therapy Assistant | 20935 Ramita Trl, Boca Raton, FL 33433-1780 | 2020-10-19 |
| 1447859665 | Anthony Parisotti | Physical Therapy Assistant | 8470 Lagos De Campo Blvd, Tamarac, FL 33321-3700 | 2020-10-19 |
| 1831798230 | Erin Cecil | Physical Therapy Assistant | 8234 Key Royal Cir Apt 536, Naples, FL 34119-6811 | 2020-10-19 |
| 1568060457 | Mitchell Forbes Pottinger | Physical Therapy Assistant | 322 E Central Blvd Unit 1905, Orlando, FL 32801-4353 | 2020-10-13 |
| 1891393815 | Colbert Brioche | Physical Therapy Assistant | 5432 Wellcraft Dr, Greenacres, FL 33463-5971 | 2020-10-12 |
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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.