MR. KEVIN WALL (NPI# 1710135199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710135199 |
| Entity Type | Individual |
| Full Name | MR. KEVIN WALL |
| Credential | LPTA |
| Practice Address |
307 N 5th St Maryville TN 37804-2921 |
| Practice Telephone | 8659830261 |
| Mailing Telephone | 8659830261 |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2008-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 2300 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386292357 | Kevin Alan Wall | Nurse Practitioner | 200 Front St Ste C, Vestal, NY 13850-1559 | 2019-09-03 |
| 1730709569 | Kevin M Wall | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2020-04-22 |
| 1376003350 | Kevin Wall | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2019-03-25 |
| 1760515035 | Kevin S Wall | Dentist | 340 Fairfield Ave, Bellevue, KY 41073-1175 | 2007-03-14 |
| 1285673087 | Kevin K Wall | Family Medicine | 4101 Anderson Ave, Manhattan, KS 66503-7588 | 2006-06-06 |
| 1508843335 | Kevin S. Wall | Preventive Medicine | 1661 Saint Anthony Ave, Saint Paul, MN 55104-3733 | 2005-12-22 |
| 1932196367 | Kevin Ray Wall | Chiropractor | 3011 S Lindsay Rd Ste 101, Gilbert, AZ 85295 | 2005-09-30 |
| Street Address |
307 N 5TH ST |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37804-2921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346261435 | Kindred Nursing Centers Limited Partnership | Skilled Nursing Facility | 307 N 5th St, Maryville, TN 37804-2921 | 2006-07-22 |
| 1528627791 | Maryville Fairpark Opco LLC | Respite Care | 307 N 5th St, Maryville, TN 37804-2921 | 2019-06-11 |
| 1962927616 | Eagle Acquisition Viii LLC | Skilled Nursing Facility | 307 N 5th St, Maryville, TN 37804-2921 | 2017-08-03 |
| 1194974352 | Jaroslaw Zabek | Physical Therapist | 307 N 5th St, Maryville, TN 37804-2921 | 2008-09-12 |
| 1952558421 | Tricia Shudan Jenkins | Occupational Therapy Assistant | 307 N 5th St, Maryville, TN 37804-2921 | 2008-08-26 |
| 1790940401 | Melissa Ann Keane | Physical Therapy Assistant | 307 N 5th St, Maryville, TN 37804-2921 | 2008-07-22 |
| 1194989780 | Amanda Jean Leopper | Occupational Therapist | 307 N 5th St, Maryville, TN 37804-2921 | 2008-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659835825 | Matthew David Mallory | Physical Therapist | Morning View Village 2320 E. Lamar Alexander Parway, Maryville, TN 37804 | 2019-01-22 |
| 1063937290 | Rachel Ryan Mcmillan | Counselor | 362 High Street, Maryville, TN 37804 | 2017-08-09 |
| 1316461460 | Steven Casey Boring | Nurse Practitioner | 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 | 2017-07-31 |
| 1851738751 | Robert Kane Mccall | Pathology | 250 E. Broadway, Maryville, TN 37804 | 2013-05-31 |
| 1619242849 | Jennifer Mcclements | Physical Therapy Assistant | 4004 Samuel Circle, Maryville, TN 37804 | 2012-03-21 |
| 1316223886 | Sabrina Nicole Powers | Social Worker | 1704 East Broadway, Maryville, TN 37804 | 2011-10-28 |
| 1407138381 | Russmann, Inc. | Ambulance | 4163 Benny Delozier Drive, Maryville, TN 37804 | 2011-09-15 |
| 1184932485 | Complete Family Care of Maryville, Pllc | Internal Medicine | 2004 E. Broadway, Maryville, TN 37804 | 2010-09-21 |
| 1093975096 | Kristi Clark Correll | Speech-Language Pathologist | 2030 East Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-12 |
| 1134388267 | Barbara Frantz Poulsen | Speech-Language Pathologist | 2030 E Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-04 |
| Find all providers in zip 37804 | ||||
| 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 |
|---|---|---|---|---|
| 1124669452 | Sarah Diana Robbins | Physical Therapy Assistant | 303 Wilson Ave, Maryville, TN 37803-6054 | 2019-10-08 |
| 1205300324 | Amy Marie Peralta | Physical Therapy Assistant | 2304 E Lamar Alexander Pkwy, Maryville, TN 37804-5316 | 2019-01-12 |
| 1669964672 | Mary Kathleen Gravatt | Physical Therapy Assistant | 1750 Linda Ln, Maryville, TN 37803 | 2018-06-05 |
| 1235676925 | Cody Campbell | Physical Therapy Assistant | 324 E Summit Dr Apt B16, Maryville, MO 64468-3648 | 2017-01-19 |
| 1871967455 | Emily Straquadine | Physical Therapy Assistant | 1008 Duward Ct, Maryville, TN 37803-3903 | 2015-11-19 |
| 1619242849 | Jennifer Mcclements | Physical Therapy Assistant | 4004 Samuel Circle, Maryville, TN 37804 | 2012-03-21 |
| 1609164557 | Janice Marie Norfleet | Physical Therapy Assistant | 954 Radnor Rd, Maryville, TN 37804-3421 | 2011-07-13 |
| 1710134598 | Deanna Lynn Coleman | Physical Therapy Assistant | 1032 Summerfield Dr, Maryville, TN 37801-2918 | 2008-08-22 |
| 1053938878 | Erika Lena Dorfi | Physical Therapy Assistant | 2648 Sevierville Rd, Maryville, TN 37804-3643 | 2020-06-27 |
| 1881237774 | Ian Gordon Macleod | Physical Therapy Assistant | 2648 Sevierville Rd, Maryville, TN 37804-3643 | 2019-10-23 |
| Find all providers in MARYVILLE | ||||
Please comment or provide details below to improve the information on MR. KEVIN WALL.
| 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.