MRS. MARY VIVIAN MANTOOTH (NPI# 1780603787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780603787 |
| Entity Type | Individual |
| Full Name | MRS. MARY VIVIAN MANTOOTH |
| Other Name | MARY VIVIAN HAYDEN |
| Credential | PT |
| Practice Address |
358 S Main St Leitchfield KY 42754-1428 |
| Mailing Address |
358 South Main Street Leitchfield KY 42754 |
| Practice Telephone | 2702590551 |
| Practice Fax Number | 2702300009 |
| Mailing Telephone | 2702590551 |
| Mailing Fax Number | 2702300009 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT001004 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | BLUE CROSS BLUE SHIELD | 000000051788 | 01 |
| KY | PASSPORT HEALTH | 1072857 | 01 |
| KY | 8700064200 | 05 |
| Street Address |
358 S MAIN ST |
| City | LEITCHFIELD |
| State | KY |
| Zip Code | 42754-1428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585351 | Kristin Smith | Physical Therapist | 358 S Main St, Leitchfield, KY 42754-1428 | 2020-10-15 |
| 1972029734 | Brittany Marie Phelps | Physical Therapist | 358 S Main St, Leitchfield, KY 42754-1428 | 2017-08-14 |
| 1083094478 | William Tyler Cherry | Physical Therapist | 358 S Main St, Leitchfield, KY 42754-1428 | 2015-06-01 |
| 1306901020 | The P.t. Place, Inc | Clinic/Center | 358 S Main St, Leitchfield, KY 42754-1428 | 2006-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750816849 | April Braun | Occupational Therapy Assistant | 121 Byrtle Grove Rd, Leitchfield, KY 42754 | 2017-04-26 |
| 1124429766 | Scott Anthony Gibson | Counselor | 805 Commerce Dr, Leitchfield, KY 42754 | 2014-09-15 |
| 1013328137 | Sandra M Dennis | Counselor | 505 O Riley St, Leitchfield, KY 42754 | 2014-05-12 |
| 1699071258 | Ellen Renae Pharis | Massage Therapist | 205 Fraim St, Leitchfield, KY 42754 | 2011-01-31 |
| 1184664096 | Joseph Michael Harris Jr. | Physical Therapist | 201 South Main Street, Leitchfield, KY 42754 | 2006-06-08 |
| 1689611469 | Joseph Michael Mulligan | Nurse Anesthetist, Certified Registered | 515 Lake Front Rd., Leitchfield, KY 42754 | 2006-06-01 |
| 1407838030 | Lincoln Trail District Health Dept | Public Health or Welfare | 124 E White Oak St, Leitchfield, KY 42754 | 2005-11-18 |
| 1487646527 | Larry Brett Abney | Optometrist | 31 Bobby Bland Way, Leitchfield, KY 42754 | 2005-08-16 |
| 1336142025 | Ted B Rogers | Orthopaedic Surgery | 908 Wallace Ave, Leitchfield, KY 42754 | 2005-05-27 |
| 1891267290 | Kristen Russell | Nurse Practitioner | 910 Wallace Ave, Leitchfield, KY 42754 | 2018-12-23 |
| Find all providers in zip 42754 | ||||
| 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 |
|---|---|---|---|---|
| 1457860181 | Sean David Beard | Physical Therapist | 505 William Thomason Byu, Leitchfield, KY 42754-1419 | 2017-09-26 |
| 1720220486 | John Lee Collins | Physical Therapist | 115 Sequoia Dr, Leitchfield, KY 42754-1564 | 2009-03-27 |
| 1184776460 | Angela Dawn Mccray | Physical Therapist | 42 Shelton Dr, Leitchfield, KY 42754-7563 | 2007-01-17 |
| 1184664096 | Joseph Michael Harris Jr. | Physical Therapist | 201 South Main Street, Leitchfield, KY 42754 | 2006-06-08 |
| 1710585351 | Kristin Smith | Physical Therapist | 358 S Main St, Leitchfield, KY 42754-1428 | 2020-10-15 |
| 1689297152 | Mantooth Physical Therapy, LLC | Physical Therapist | 301 W Walnut St, Leitchfield, KY 42754-1256 | 2020-05-19 |
| 1104305499 | Spencer Daniel Fuehne | Physical Therapist | 201 S Main St, Leitchfield, KY 42754-1425 | 2018-08-08 |
| 1568941987 | Robert Wayne Fuller | Physical Therapist | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2018-08-07 |
| 1669965802 | Pt Pros, Inc. | Physical Therapist | 201 S Main St, Leitchfield, KY 42754-1425 | 2018-06-12 |
| 1972029734 | Brittany Marie Phelps | Physical Therapist | 358 S Main St, Leitchfield, KY 42754-1428 | 2017-08-14 |
| Find all providers in LEITCHFIELD | ||||
| City | LEITCHFIELD |
| Zip Code | 42754 |
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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.