AMANDA MIX (NPI# 1689108201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689108201 |
| Entity Type | Individual |
| Full Name | AMANDA MIX |
| Practice Address |
711 Avignon Dr Ridgeland MS 39157-5120 |
| Practice Telephone | 6016056777 |
| Practice Fax Number | 6016071362 |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA4285 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
711 AVIGNON DR |
| City | RIDGELAND |
| State | MS |
| Zip Code | 39157-5120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609930965 | Midsouth Rehab Services Inc. | Occupational Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2006-12-21 |
| 1417481037 | Deborah Cunningham | Occupational Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2017-04-20 |
| 1174057798 | Jennifer Hamilton | Occupational Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2017-04-20 |
| 1528592219 | Candice Fairley | Occupational Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2017-04-19 |
| 1528592300 | Jeffery Ross | Physical Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2017-04-18 |
| 1154853653 | Dietrich Rapp | Physical Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2017-04-03 |
| 1619418399 | Taylor Weber Brandon | Occupational Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157 | 2017-03-15 |
| 1861931883 | Teresa Wright | Occupational Therapist | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2017-02-23 |
| 1881133809 | Rohit Soni | Physical Therapist | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2017-02-23 |
| 1124567144 | Mary Parker | Speech-Language Pathologist | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2017-02-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631023 | Mychell Thomas | Licensed Practical Nurse | 199 Charmant Place, Ridgeland, MS 39157 | 2020-08-28 |
| 1225680945 | Verthena Edwards | Home Health | 301 Pinehurst Cir, N/a, Ridgeland, MS 39157 | 2019-07-12 |
| 1730663469 | Essential Touchtones | Psychologist | 210 W. Jackson Street, Ridgeland, MS 39157 | 2018-09-19 |
| 1841786365 | Whitney Paige Crum | Speech-Language Pathologist | Laskin Therapy Group Pa, 207 W Jackson St, Ridgeland, MS 39157 | 2018-07-09 |
| 1811487002 | Camille Brockett | Social Worker | 270 Trace Colony Park Dr Ste B, Ridgeland, MS 39157 | 2018-05-14 |
| 1588171177 | Layson Counseling Group, Pllc | Counselor | 573 Hwy 51 Suite B, Ridgeland, MS 39157 | 2018-01-04 |
| 1407376452 | Mobility Rehab LLC | Clinic/Center | 745 S Pear Orchard Road, Apt 335, Ridgeland, MS 39157 | 2017-06-21 |
| 1184165102 | Sinus and Allergy Institute Pllc | Otolaryngology | 1115 Highland Colony Parkway, Suite C, Ridgeland, MS 39157 | 2017-03-09 |
| 1093263410 | Natural Health Project LLC | General Practice | 555 Highway 51, Ridgeland, MS 39157 | 2016-09-14 |
| 1851755714 | Jerlunda Lynn Dudley | Social Worker | 511 Clark Street, Rosedale, MS 39157 | 2016-04-07 |
| Find all providers in zip 39157 | ||||
| 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 |
|---|---|---|---|---|
| 1265700579 | Nancy Phillips Davis | Physical Therapy Assistant | 524 Lakeview Cv, Ridgeland, MS 39157-1117 | 2011-12-01 |
| 1770781080 | Robert Scott Vaigneur | Physical Therapy Assistant | 5176 Tillman Rd, Ridgeland, SC 29936-6745 | 2007-07-07 |
| 1528592300 | Jeffery Ross | Physical Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2017-04-18 |
| 1154853653 | Dietrich Rapp | Physical Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2017-04-03 |
| 1952603649 | Corey Lamonn Davis | Physical Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2010-12-01 |
| 1215238696 | Constance A Menz | Physical Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2010-11-16 |
| 1952602336 | Joe Charles Dalmut Jr. | Physical Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2010-11-16 |
| 1104127620 | Sheila A Myers | Physical Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2010-11-15 |
| 1912208448 | Laura F Tilghman | Physical Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2010-11-15 |
| 1932400454 | Amanda Marie Solis | Physical Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2010-11-15 |
| Find all providers in RIDGELAND | ||||
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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.