MS. REBECCA A. BLACK (NPI# 1720030257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720030257 |
| Entity Type | Individual |
| Full Name | MS. REBECCA A. BLACK |
| Other Name | MS. REBECCA A. PRESNELL |
| Credential | PT |
| Practice Address |
1 Medical Park Blvd Bristol TN 37620-7430 |
| Practice Telephone | 4238444107 |
| Mailing Telephone | 4238444107 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 830 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3652789 | 05 | |
| TN | BLUE CROSS | 85539 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467880666 | Rebecca Sarah Rose Black | Speech-Language Pathologist | 10119 Ne 14th St, Vancouver, WA 98664-3003 | 2013-10-24 |
| 1134344856 | Rebecca Susan Black | Speech-Language Pathologist | 269 Glendale Ct, Avon, IN 46123-7143 | 2007-04-16 |
| 1801414016 | Rebecca Elaine Black | Speech-Language Pathologist | 4722 Riverstone Blvd, Missouri City, TX 77459-4723 | 2020-07-14 |
| 1003381070 | Rebecca Ruth Black | Counselor | 16333 Hafer Rd, Houston, TX 77090-4412 | 2018-10-05 |
| 1619286390 | Rebecca Elizabeth Black | Pharmacist | 3300 Se Dwyer Dr, Suite 304, Milwaukie, OR 97222-6548 | 2010-09-29 |
| 1336387885 | Rebecca Black | Technician | 19401 Northline Rd, Southgate, MI 48195-2277 | 2009-01-21 |
| 1033232657 | Rebecca Black | Speech-Language Pathologist | 901 Somerby Dr, Mobile, AL 36695-3490 | 2007-04-09 |
| 1629134895 | Rebecca Black | Speech-Language Pathologist | 4330 Highway 78 E, Suite 118, Jasper, AL 35501-8905 | 2006-12-29 |
| 1518036763 | Rebecca M Black | Psychologist | 20 West Park St, Suites 416 and 219, Lebanon, NH 03766 | 2006-11-06 |
| 1225131691 | Rebecca E Black | Registered Nurse | 207 Commerce Ave, Chesterfield, SC 29709 | 2006-09-07 |
| Street Address |
1 MEDICAL PARK BLVD |
| City | BRISTOL |
| State | TN |
| Zip Code | 37620-7430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598768699 | Medical Mall Pharmacy Inc | Pharmacy | 1 Medical Park Blvd, Suite 106-e, Bristol, TN 37620-7430 | 2005-05-23 |
| 1225640980 | Amanda Marshall | Registered Nurse | 1 Medical Park Blvd, Bristol, TN 37620-7453 | 2020-08-23 |
| 1336764406 | Maggie Mullins | Registered Nurse | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2020-06-14 |
| 1578188249 | Angela Dawn Owens | Pharmacist | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2020-06-09 |
| 1528683133 | Jessica Dawn Anderson | Registered Nurse | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2020-06-09 |
| 1659904837 | Sarah Elizabeth Smith | Nurse Anesthetist, Certified Registered | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2020-02-17 |
| 1063055762 | Chelsea Newsome | Nurse Practitioner | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2019-10-25 |
| 1750943718 | Sara Anne Mcglothlin | Occupational Therapy Assistant | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2019-06-30 |
| 1801355359 | Aaron Allen Kelley | Respiratory Therapist, Registered | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2019-03-14 |
| 1164922076 | Neha D Naik | Pharmacist | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2018-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
| 1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
| 1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
| 1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
| 1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
| 1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
| 1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
| 1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
| 1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
| 1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
| Find all providers in zip 37620 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) 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 |
|---|---|---|---|---|
| 1033726906 | Carol G Duprey | Physical Therapist | 89 Fair St, Bristol, CT 06010-5531 | 2020-09-25 |
| 1598246068 | Maryann Bishop | Physical Therapist | 7 Creek Lane, Bristol, RI 02809 | 2018-08-23 |
| 1033633193 | Amber Leigh Grundy | Physical Therapist | 100 Green Ln Ste 1, Bristol, PA 19007-5600 | 2017-07-31 |
| 1730630401 | Molly S Poulin | Physical Therapist | 665 Terryville Ave Unit 1, Bristol, CT 06010-4078 | 2016-10-18 |
| 1508214701 | Sarah Scruggs | Physical Therapist | 320 Bristol West Blvd., Suite 2a, Bristol, TN 37620-8773 | 2016-05-27 |
| 1619351301 | Kerri Estrella | Physical Therapist | 5 Christopher Dr, Bristol, RI 02809-4537 | 2015-07-13 |
| 1659765584 | Suzanne Matulis | Physical Therapist | 49 Pierce St, Bristol, CT 06010-5922 | 2015-03-28 |
| 1699186866 | Alexandra Ashley Nelson | Physical Therapist | 1430 Volunteer Pkwy Ste 6, Bristol, TN 37620-6062 | 2014-05-09 |
| 1922421338 | Kaitlyn Burns | Physical Therapist | 48 Hardwick Rd, Bristol, CT 06010-5464 | 2014-01-22 |
| 1245662733 | Megan Louise Becker | Physical Therapist | 1717 Bath Rd, N10, Bristol, PA 19007-2747 | 2013-08-06 |
| Find all providers in BRISTOL | ||||
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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.