MICHELLE M THEIS-BLACK (NPI# 1679064927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679064927 |
| Entity Type | Individual |
| Full Name | MICHELLE M THEIS-BLACK |
| Credential | PTA |
| Practice Address |
2730 Wilshire Blvd Ste 533 Santa Monica CA 90403-4751 |
| Mailing Address |
9129 National Blvd Apt 5 Los Angeles CA 90034-8534 |
| Practice Telephone | 3108280101 |
| Mailing Telephone | 6143546268 |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 49327 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2730 WILSHIRE BLVD STE 533 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90403-4751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275719197 | Jennifer Marie Krekel | Physical Therapist | 2730 Wilshire Blvd Ste 533, Santa Monica, CA 90403 | 2008-01-10 |
| 1164034476 | Mihal Lakhovsky | Physical Therapist | 2730 Wilshire Blvd Ste 533, Santa Monica, CA 90403-4751 | 2020-08-18 |
| 1902451438 | Lauren Doud | Physical Therapist | 2730 Wilshire Blvd Ste 533, Santa Monica, CA 90403-4751 | 2019-08-01 |
| 1205494622 | Sydney Jamison | Physical Therapist | 2730 Wilshire Blvd Ste 533, Santa Monica, CA 90403-4751 | 2019-05-31 |
| 1467920629 | Katherine Brockert | Physical Therapist | 2730 Wilshire Blvd Ste 533, Santa Monica, CA 90403-4751 | 2018-11-06 |
| 1467932509 | Cary Mendes | Physical Therapist | 2730 Wilshire Blvd Ste 533, Santa Monica, CA 90403-4751 | 2018-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427520972 | Isobel Gardner | Marriage & Family Therapist | 2730 Wilshire Boulevard #650, Santa Monica, CA 90403 | 2018-12-21 |
| 1477030369 | Jennifer Garcia | Dentist | 2901 Wilshire Blvd Ste 255, Santa Monica, CA 90403 | 2018-07-23 |
| 1215435847 | The Balance Lab Physical Therapy and Fitness | Physical Therapist | 2924 Wilshire Blvd, Santa Monica, CA 90403 | 2018-01-29 |
| 1306354634 | Sea Change Santa Monica, Lp | Clinic/Center | 1051 Princeton St, Santa Monica, CA 90403 | 2018-01-22 |
| 1114446226 | Jafary Foot & Ankle Specialists LLC | Podiatrist | 2121 Wilshire Blvd Ste 101, Santa Monica, CA 90403 | 2017-09-11 |
| 1023553906 | Jory Faermark | Speech-Language Pathologist | 1158 26th Street, #417, Santa Monica, CA 90403 | 2016-12-30 |
| 1376095042 | William Michael Thornton | Chiropractor | 2118 Wilshire Blvd, #577, Santa Monica, CA 90403 | 2016-10-28 |
| 1801251723 | Lisa Lavoie | Naturopath | 1-935 Euclid St, Santa Monica, CA 90403 | 2015-12-18 |
| 1376915793 | Lisa Hanes | Marriage & Family Therapist | 1150 Yale Street, Suite 2, Santa Monica, CA 90403 | 2015-10-25 |
| 1386015386 | Natalie Kazarian | Marriage & Family Therapist | 2116 Wilshire Blvd Ste 241, Santa Monica, CA 90403 | 2015-10-15 |
| Find all providers in zip 90403 | ||||
| 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 |
|---|---|---|---|---|
| 1205150273 | Constantine Elisseev | Physical Therapy Assistant | 500 California Ave, Santa Monica, CA 90403-3943 | 2010-03-19 |
| 1184743379 | Michale Bandoy Molinyawe | Physical Therapy Assistant | 2217 20th St, Santa Monica, CA 90405-1703 | 2007-03-28 |
| 1053811109 | Amy Shelton-white | Physical Therapy Assistant | 719 Santa Monica Blvd, Santa Monica, CA 90401 | 2018-02-15 |
| 1366977639 | Forster Physical Therapy | Physical Therapy Assistant | 427 Wilshire Blvd, Santa Monica, CA 90401-1409 | 2017-04-25 |
| 1851826424 | Zachary Hutchens | Physical Therapy Assistant | 427 Wilshire Blvd, Santa Monica, CA 90401-1409 | 2017-04-20 |
| 1558713271 | Evan Pierce Leith | Physical Therapy Assistant | 427 Wilshire Blvd, Santa Monica, CA 90401-1409 | 2016-07-06 |
| 1649697590 | Cassandra White | Physical Therapy Assistant | 427 Wilshire Blvd, Santa Monica, CA 90401-1409 | 2014-03-27 |
| 1821388679 | Brian Edward Ponsness | Physical Therapy Assistant | 427 Wilshire Blvd, Santa Monica, CA 90401-1409 | 2011-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587142 | Phillip A Sainz | Physical Therapy Assistant | 27136 Paseo Espada Ste B1103, San Juan Capistrano, CA 92675-2737 | 2020-10-26 |
| 1932708385 | Alisia Rios | Physical Therapy Assistant | 10445 Mast Blvd Apt 205, Santee, CA 92071-5331 | 2020-10-17 |
| 1376141275 | Andy Fang | Physical Therapy Assistant | 45 Palatine Apt 246, Irvine, CA 92612-7642 | 2020-10-13 |
| 1700484987 | Huy Nguyen | Physical Therapy Assistant | 4133 Mohr Ave Ste H, Pleasanton, CA 94566-4750 | 2020-10-11 |
| 1285231928 | Laura Merrick | Physical Therapy Assistant | 10082 Manzanita Dr, Alta Loma, CA 91737-2918 | 2020-10-06 |
| 1356958839 | Karan Kamdar | Physical Therapy Assistant | 8123 Magnolia Ave Apt 39, Riverside, CA 92504-3463 | 2020-09-28 |
| 1942817978 | Yusuf Hammoud | Physical Therapy Assistant | 2226 W Grayson Ave, Anaheim, CA 92801-1541 | 2020-09-24 |
| 1528673662 | Cinnamon Anjelica Marie San Miguel | Physical Therapy Assistant | 1104 S Gunlock Ave, Compton, CA 90220-4430 | 2020-09-15 |
| 1780299354 | Laura Barker | Physical Therapy Assistant | 255 N White Rd Ste 200c, San Jose, CA 95127-1966 | 2020-09-10 |
| 1598379869 | Fernando Rey Dupa Bosch | Physical Therapy Assistant | 7016 Corvus Cir, Roseville, CA 95747-8765 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
| City | SANTA MONICA |
| Zip Code | 90403 |
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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.