ABC PEDIATRIC REHAB, LLC (NPI# 1679172993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679172993 |
| Entity Type | Organization |
| Organization Name | ABC PEDIATRIC REHAB, LLC |
| Practice Address |
1808 Dorothy Dr Moore OK 73170-1457 |
| Practice Telephone | 4055702672 |
| Mailing Telephone | 4055702672 |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |
| Authorized Official Name | MISS VICTORIA ALVARADO (OWNER/PTA) |
| Authorized Official Telephone | 4058453389 |
| Authorized Official Credential | PTA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| Y | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1808 DOROTHY DR |
| City | MOORE |
| State | OK |
| Zip Code | 73170-1457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847542 | Premier Healthcare, Aprn-cnp | Nurse Practitioner | 12208 South Western Avenue, Suite B, Oklahoma City, OK 73170 | 2020-07-01 |
| 1982233565 | Bethany Ann Arthur | Student in an Organized Health Care Education/Training Program | 661 Waterview Rd, Okc, OK 73170 | 2020-04-06 |
| 1952868929 | Ariana N. Ree | Peer Specialist | 328 Sw 147th St, Oklahoma City, OK 73170 | 2019-02-26 |
| 1780151431 | Looking Up Counseling | Counselor | 709 Sw 119th Ste. B1, Okc, OK 73170 | 2018-10-31 |
| 1902385859 | Danell Marie Rahni | Psychologist | 17300 Serrano Dr, Oklahoma City, OK 73170 | 2018-08-11 |
| 1619468378 | Nhan Nguyen | Student in an Organized Health Care Education/Training Program | 10504 S Miller Ave, Oklahoma City, OK 73170 | 2018-05-29 |
| 1740709906 | Hall Podiatry LLC | Clinic/Center | 20 Sw 132nd Terrace, Moore, OK 73170 | 2017-09-19 |
| 1942727896 | Adelaide V South | Dietitian, Registered | 12216 S Land Ave, Oklahoma City, OH 73170 | 2017-08-22 |
| 1477073609 | Mary Ann Hayden | Nurse Practitioner | 3224 Sw 119th Street, Hennessee & Associates, Oklahoma City, OK 73170 | 2017-06-20 |
| 1245762293 | Michael David Detten | Physical Therapist | 10740 S May Ave Ste 111, Oklahoma City, OK 73170 | 2017-03-29 |
| Find all providers in zip 73170 | ||||
| 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 |
|---|---|---|---|---|
| 1528380201 | Kris A Molskness | Physical Therapy Assistant | 4121 Queens Dr, Moore, OK 73160-7683 | 2010-02-22 |
| 1780298240 | Emily Michelle Leonhardt | Physical Therapy Assistant | 9201 S I 35 Service Rd, Moore, OK 73160-9046 | 2020-09-02 |
| 1801445366 | Staci Barton | Physical Therapy Assistant | 400 N Eastern Ave, Moore, OK 73160-5833 | 2019-09-08 |
| 1750564654 | Anna Elizabeth Rousseau-denton | Physical Therapy Assistant | 2111 Riverwalk Dr, Moore, OK 73160-2700 | 2007-12-13 |
| 1104944495 | Michael Wayne Blomstrom | Physical Therapy Assistant | 2111 Riverwalk Dr, Moore, OK 73160-2700 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456700 | Ashley Aich | Physical Therapy Assistant | 12907 W 81st St S, Sapulpa, OK 74066-8158 | 2020-10-27 |
| 1699382655 | Kelli Renee Coonce | Physical Therapy Assistant | 419 S 276th East Ave, Catoosa, OK 74015-5535 | 2020-09-24 |
| 1942813035 | Dustin Shane Schwartz | Physical Therapy Assistant | 4554 W Main St, Norman, OK 73072-4452 | 2020-08-28 |
| 1811500275 | Holli J Todd | Physical Therapy Assistant | 1212 W Oakridge St, Broken Arrow, OK 74012-5055 | 2020-08-26 |
| 1063039212 | Abigail Faith Hope Morgan | Physical Therapy Assistant | 1907 N Broadway Ave Ste A, Oklahoma City, OK 73103-4407 | 2020-07-02 |
| 1043831423 | Carley Danielle Washington | Physical Therapy Assistant | 5591 S Lewis Ave, Tulsa, OK 74105-7132 | 2020-04-27 |
| 1003464991 | Garrett Lee Field | Physical Therapy Assistant | 3345 S Harvard Ave Ste 101301, Tulsa, OK 74135-1812 | 2019-09-03 |
| 1699329961 | James Stephen Nagy | Physical Therapy Assistant | 9001 S 101st East Ave Ste 170, Tulsa, OK 74133-5799 | 2019-07-25 |
| 1467005348 | Morgan Ashley Morris | Physical Therapy Assistant | 1501 N Florence Ave Ste 330, Claremore, OK 74017-3179 | 2019-07-19 |
| 1225597461 | Rachael Arrington | Physical Therapy Assistant | 2612 S Walnut Ave, Broken Arrow, OK 74012-7561 | 2019-03-18 |
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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.