MRS. KIMBERLY JEAN EDWARDS (NPI# 1710548268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710548268 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY JEAN EDWARDS |
| Credential | PTA |
| Practice Address |
2116 W South 3rd St Shelbyville IL 62565-9102 |
| Mailing Address |
921 S Madison St Sullivan IL 61951-2323 |
| Practice Telephone | 2177742128 |
| Mailing Telephone | 2172730282 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 160.005186 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649892845 | Kimberly Edwards | Registered Nurse | 4334 Greenwood Ln, Grapevine, TX 76051-6718 | 2020-05-11 |
| 1417331232 | Kimberly Edwards | Behavioral Analyst | 8 Edwards Pl, Ewing, NJ 08628-2009 | 2015-07-10 |
| 1689070666 | Kimberly Edwards | Registered Nurse | 43015 Park Creek Dr, Broadlands, VA 20148-4140 | 2014-11-18 |
| 1447691274 | Kimberly Camille Edwards | Dietitian, Registered | 45040 Promise Rd, Lake Elsinore, CA 92532-1500 | 2013-07-09 |
| 1639444136 | Kimberly Ann Edwards | Physician Assistant | 2730 N Mcmullen Booth Rd Ste 101, Clearwater, FL 33761-3302 | 2012-03-15 |
| 1851623045 | Kimberly Dawn Edwards | Physical Therapy Assistant | 282 Woodberry Rd, Bassett, VA 24055-3722 | 2010-02-12 |
| 1598964983 | Kimberly Funderburk Edwards | Nutritionist | 820 N Thistle Ln, Maitland, FL 32751-3801 | 2007-07-16 |
| 1447333885 | Kimberly A Edwards | Specialist | 1107 Oak St, Milton, WA 98354-9234 | 2006-10-21 |
| 1831140219 | Kimberly A Edwards | Specialist | 2303 N Swan Rd, Tucson, AZ 85712-2716 | 2006-05-12 |
| 1740764752 | Kimberly Edwards | Counselor | 124 Mallard St, Greenville, SC 29601-4046 | 2018-09-17 |
| Street Address |
2116 W SOUTH 3RD ST |
| City | SHELBYVILLE |
| State | IL |
| Zip Code | 62565-9102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629222633 | Petersen Health Operations | Skilled Nursing Facility | 2116 W South 3rd St, Shelbyville, IL 62565-9102 | 2008-11-05 |
| 1912530189 | Shelbyville Hco, LLC | Skilled Nursing Facility | 2116 W South 3rd St, Shelbyville, IL 62565-9102 | 2020-02-17 |
| 1609421627 | Jessica R Schumacher | Occupational Therapist | 2116 W South 3rd St, Shelbyville, IL 62565-9102 | 2019-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003463530 | Ethan Turner | Physical Therapist | 2100 W. South 3rd, Shelbyville, IL 62565 | 2019-08-20 |
| 1467963512 | Marnelle Kathryn Oligschlaeger | Speech-Language Pathologist | 1101 Wn 6th St, Shelbyville, IL 62565 | 2017-10-17 |
| 1326290214 | Brown Dental Care Ltd | Dentist | 101 W N 1st, Shelbyvile, IL 62565 | 2008-10-22 |
| 1639396898 | Aaron Bryce Snyder | Chiropractor | 504 Rt. 128, Shelbyville, IL 62565 | 2007-04-19 |
| 1710042833 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2607 W Main St, Shelbyville, IL 62565 | 2006-12-27 |
| 1891856126 | Jamie Dawn Jefson | Pharmacist | 1603 W. Main Street, Shelbyville, IL 62565 | 2006-12-12 |
| 1790875805 | Brian L Hastings | Dentist | 101 S Vine, Suite 2, Shelbyville, IL 62565 | 2006-10-13 |
| 1598852345 | Dennis Fisher | Massage Therapist | 112 North Broadway Street, Shelbyville, IL 62565 | 2006-10-05 |
| 1255434866 | Katherine Lynn Harley | Chiropractor | 1117 W North First St, Shelbyville, IL 62565 | 2006-09-07 |
| 1013029933 | Renal Therapies LLC | Clinic/Center | 410 S. Heinlein Dr., Shelbyville, IL 62565 | 2006-08-31 |
| Find all providers in zip 62565 | ||||
| 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 |
|---|---|---|---|---|
| 1538704572 | Susan Hopkins | Physical Therapy Assistant | 2442 E 1500 North Rd, Shelbyville, IL 62565-4532 | 2019-11-13 |
| 1467841940 | Diana Agney | Physical Therapy Assistant | 2189 E 1525 North Rd, Shelbyville, IL 62565-4536 | 2015-01-21 |
| 1336757657 | Donna Denise Ramko | Physical Therapy Assistant | 835 Union St, Shelbyville, TN 37160-2607 | 2020-07-22 |
| 1578180527 | Laura Bethany Griffin | Physical Therapy Assistant | 835 Union St, Shelbyville, TN 37160-2607 | 2020-06-25 |
| 1932747003 | Crystal Amyx | Physical Therapy Assistant | 1871 Midland Trl, Shelbyville, KY 40065-9111 | 2019-12-19 |
| 1922665306 | Thomas Shoaff | Physical Therapy Assistant | 1111 W North 12th St, Shelbyville, IL 62565-9554 | 2019-05-21 |
| 1316438963 | Chelsea Renae Storm | Physical Therapy Assistant | 1111 W North 12th St, Shelbyville, IL 62565-9554 | 2018-05-18 |
| 1871081034 | Juanita Nelson | Physical Therapy Assistant | 2216 N Riley Hwy, Shelbyville, IN 46176-9311 | 2018-04-24 |
| 1275033771 | Armenta Fowler | Physical Therapy Assistant | 920 Colloredo Blvd, Shelbyville, TN 37160-2779 | 2018-02-20 |
| 1891202958 | Rachel Massey | Physical Therapy Assistant | 1111 W North 12th St, Shelbyville, IL 62565-9554 | 2018-01-10 |
| Find all providers in SHELBYVILLE | ||||
| City | SHELBYVILLE |
| Zip Code | 62565 |
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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.