KIDIST MEKONNEN (NPI# 1720588635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720588635 |
| Entity Type | Individual |
| Full Name | KIDIST MEKONNEN |
| Credential | PTA |
| Practice Address |
115 E Texas Blvd Dalhart TX 79022-4319 |
| Mailing Address |
15826 Ironside Creek Dr Houston TX 77053-3413 |
| Practice Telephone | 8062440015 |
| Mailing Telephone | 8322772555 |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 2135929 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15826 Ironside Creek Dr, Houston, TX 770533413 | 8322772555 |
| Street Address |
115 E TEXAS BLVD |
| City | DALHART |
| State | TX |
| Zip Code | 79022-4319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093848186 | William Bruce Mannewitz II | Physical Therapist | 115 E Texas Blvd, Dalhart, TX 79022-4319 | 2007-03-14 |
| 1619577814 | Lizbeth Tarango Chavez | Physical Therapy Assistant | 115 E Texas Blvd, Dalhart, TX 79022-4319 | 2020-10-27 |
| 1639729734 | Kelsea Victoria Lopes | Speech-Language Pathologist | 115 E Texas Blvd, Dalhart, TX 79022-4319 | 2019-09-19 |
| 1558918656 | Maegan Rogers | Speech-Language Pathologist | 115 E Texas Blvd, Dalhart, TX 79022-4319 | 2019-08-22 |
| 1063079259 | Mackenzie Nicole Ottinger | Physical Therapist | 115 E Texas Blvd, Dalhart, TX 79022-4319 | 2019-05-22 |
| 1851805113 | David Sisson | Physical Therapy Assistant | 115 E Texas Blvd, Dalhart, TX 79022-4319 | 2017-11-24 |
| 1407300841 | Denise Curtis | Occupational Therapy Assistant | 115 E Texas Blvd, Dalhart, TX 79022-4319 | 2016-08-14 |
| 1417329855 | Dalhart Physical Therapy | General Acute Care Hospital | 115 E Texas Blvd, Dalhart, TX 79022-4319 | 2015-10-26 |
| 1316329410 | Holly Podniesinski | Occupational Therapist | 115 E Texas Blvd, Dalhart, TX 79022-4319 | 2015-06-24 |
| 1760875231 | Lori Mortenson | Occupational Therapy Assistant | 115 E Texas Blvd, Dalhart, TX 79022-4319 | 2015-03-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659827954 | Deann Quint | Physical Therapist | 119 East Texas Blvd, Dalhart, TX 79022 | 2016-08-28 |
| 1750711313 | Valerie Lang | Occupational Therapist | 119 E Texas Blvd, Dalhart, TX 79022 | 2013-11-19 |
| 1174533103 | Dallam-hartley Counties Hospital District | Clinic/Center | 206 E. 16th St, Dalhart, TX 79022 | 2006-08-09 |
| 1720093529 | Dallam Hartley Counties Hospital District | Assisted Living Facility | 301 Texas Blvd, Dalhart, TX 79022 | 2006-07-30 |
| 1467466425 | Dallam-hartley Counties Hospital District | Technician | 210 E Texas Blvd, Dalhart, TX 79022 | 2006-07-27 |
| 1386614964 | Bruce Fred Schubert | Physician Assistant | 201 Texas Blvd, Dalhart, TX 79022 | 2006-01-25 |
| 1639176456 | Dallam-hartley Counties Hospital District | Skilled Nursing Facility | 1411 Denver Ave, Dalhart, TX 79022 | 2005-07-07 |
| 1467799262 | Dallam-hartley Counties Hospital District | Clinic/Center | 320 E Texas Blvd, Dalhart, TX 79022 | 2013-01-14 |
| 1528232014 | Mitra Jafari | Surgery | 206 E 16th St, Dalhart, TX 79022 | 2008-04-16 |
| 1629248943 | Dallam-hartley Counties Hospital District | Durable Medical Equipment & Medical Supplies | 1411 Denver Ave, Dalhart, TX 79022 | 2008-03-03 |
| Find all providers in zip 79022 | ||||
| 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 |
|---|---|---|---|---|
| 1619577814 | Lizbeth Tarango Chavez | Physical Therapy Assistant | 115 E Texas Blvd, Dalhart, TX 79022-4319 | 2020-10-27 |
| 1851805113 | David Sisson | Physical Therapy Assistant | 115 E Texas Blvd, Dalhart, TX 79022-4319 | 2017-11-24 |
| 1982005559 | Amy Pallmeyer | Physical Therapy Assistant | 115 E Texas Blvd, Dalhart, TX 79022-4319 | 2014-09-15 |
| 1942610514 | Katy Ann Sawyer | Physical Therapy Assistant | 1411 Denver Ave, Dalhart, TX 79022-4809 | 2014-05-05 |
| 1235477142 | Katelyn Marie Hosek | Physical Therapy Assistant | 115 E Texas Blvd, Dalhart, TX 79022-4319 | 2013-01-28 |
| 1306130810 | Traleia Wing | Physical Therapy Assistant | 115 E Texas Blvd, Dalhart, TX 79022-4319 | 2011-06-01 |
| 1265766133 | Tanya Smith | Physical Therapy Assistant | 1411 Denver Ave, Dalhart, TX 79022-4809 | 2009-09-25 |
| 1316172604 | Lacy Dawn Copeland | Physical Therapy Assistant | 115 E Texas Blvd, Dalhart, TX 79022-4319 | 2009-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215222 | Caleb Paul Cruz | Physical Therapy Assistant | 98 Briggs Ave, Ste 990, San Antonio, TX 78224 | 2020-11-04 |
| 1801496740 | Iulia Brodsky | Physical Therapy Assistant | 4047 Mt Everest Way, Katy, TX 77449-0140 | 2020-10-29 |
| 1487254363 | Richard Joseph Radomski | Physical Therapy Assistant | 12000 Sawmill Rd Apt 607, Spring, TX 77380-2103 | 2020-10-29 |
| 1063012193 | Tiffany Monique Johnson | Physical Therapy Assistant | 19138 Us Highway 281 N Ste 200, San Antonio, TX 78258-4988 | 2020-10-28 |
| 1245830520 | Anthony Aghaji Felix | Physical Therapy Assistant | 13978 Maximos Dr, Houston, TX 77083-8044 | 2020-10-27 |
| 1013516954 | Laurence Oliver Parker | Physical Therapy Assistant | 7655 Park North Dr Apt 806, Beaumont, TX 77708-2413 | 2020-10-21 |
| 1992303309 | Gamaelle Colas | Physical Therapy Assistant | 2602 White Bluff Ln, Houston, TX 77038-2729 | 2020-10-16 |
| 1811595309 | Marisol Munoz | Physical Therapy Assistant | 5532 Dennis Cavin Ln, El Paso, TX 79934-3281 | 2020-10-15 |
| 1922606862 | Alena Bolshakova | Physical Therapy Assistant | 3120 Sun Drenched Path, Austin, TX 78732-1950 | 2020-10-13 |
| 1245838572 | Ashlee Lynn Bonner | Physical Therapy Assistant | 16601 S Quail Rd, Odessa, TX 79766-1368 | 2020-10-09 |
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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.