CRYSTAL CHUDOBA (NPI# 1811304470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811304470 |
| Entity Type | Individual |
| Full Name | CRYSTAL CHUDOBA |
| Credential | PTA |
| Practice Address |
702 3rd Ave Kingston PA 18704-5845 |
| Mailing Address |
64 Brookside St Wilkes Barre PA 18705-2504 |
| Practice Telephone | 5702835848 |
| Mailing Telephone | 5709911945 |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | TE009967 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
702 3RD AVE |
| City | KINGSTON |
| State | PA |
| Zip Code | 18704-5845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811983687 | Kingston Health Care Center LLC | Skilled Nursing Facility | 702 3rd Ave, Kingston, PA 18704-5845 | 2005-09-27 |
| 1457816944 | Jennifer Ruth Lutkowski | Physical Therapist | 702 3rd Ave, Kingston, PA 18704-5845 | 2019-02-08 |
| 1750846390 | Cassie Marie Caldwell | Speech-Language Pathologist | 702 3rd Ave, Kingston, PA 18704-5845 | 2019-02-07 |
| 1013428044 | Ashley Taylor Swanson | Occupational Therapist | 702 3rd Ave, Kingston, PA 18704-5845 | 2017-10-17 |
| 1932516457 | Debra Ann Kearney | Physical Therapy Assistant | 702 3rd Ave, Kingston, PA 18704-5845 | 2014-07-16 |
| 1942617402 | Stacey Ann Johnson | Physical Therapy Assistant | 702 3rd Ave, Kingston, PA 18704-5845 | 2014-07-16 |
| 1194145706 | Kingston Snf Healthcare, LLC | Skilled Nursing Facility | 702 3rd Ave, Kingston, PA 18704-5845 | 2014-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557552 | Millmark Health Inc. | Psychiatry & Neurology | 511 Pierce Street, Kingston, PA 18704 | 2020-01-13 |
| 1427550334 | Michael Anthony Waltich | Military Health Care Provider | 82 Cooper Street, Pringle, PA 18704 | 2018-03-06 |
| 1376088435 | Jae LLC | Massage Therapist | 512 Northhampton Street, Edwardsville, PA 18704 | 2016-12-28 |
| 1306278288 | Mohammad Khaled Tashkandi | Internal Medicine | 490 Northampton St Ste 1, Edwardsville, PA 18704 | 2013-08-02 |
| 1396180014 | Sammie Craven IIi | Pharmacist | 96 1st Avenue, Kingston, PA 18704 | 2013-05-08 |
| 1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
| 1861781403 | Jennifer Ann Richards | Pharmacist | 22 West Side Mall, Edwardsville, PA 18704 | 2011-04-05 |
| 1558512772 | Jolon Theresa Sherin | Speech-Language Pathologist | 1825 Sans Souci Highway, Hanover, PA 18704 | 2008-10-07 |
| 1932361102 | Kari Ann Pietralczyk | Audiologist | 190 Welles Street, Forty-fort, PA 18704 | 2008-06-30 |
| 1467584151 | John Christopher Storti | Chiropractor | 180 United Penn Plaza, Kingston, PA 18704 | 2007-03-09 |
| Find all providers in zip 18704 | ||||
| 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 |
|---|---|---|---|---|
| 1700185428 | Marcia S Bockelmann | Physical Therapy Assistant | 150 W Oreilly St, Kingston, NY 12401-5719 | 2011-03-21 |
| 1336391564 | Sharon E Cirafice | Physical Therapy Assistant | 912 Ulster Ave, Kingston, NY 12401 | 2008-10-21 |
| 1255581476 | Sabrina D. Allen | Physical Therapy Assistant | 107 Greenkill Ave, Kingston, NY 12401-5441 | 2008-09-24 |
| 1629279765 | Jeannie Luscinski | Physical Therapy Assistant | 14 Harborview Dr, Kingston, MA 02364-2290 | 2007-05-29 |
| 1477182137 | Tammie Pierce | Physical Therapy Assistant | 2665 Lawnville Rd, Kingston, TN 37763-4303 | 2020-04-05 |
| 1194353714 | Taylor Adkins | Physical Therapy Assistant | 2665 Lawnville Rd, Kingston, TN 37763-4303 | 2020-03-30 |
| 1972157063 | Bethany Sturgis | Physical Therapy Assistant | 17 Chipman Way, Kingston, MA 02364-1039 | 2019-07-28 |
| 1376195883 | Robert John Collins | Physical Therapy Assistant | 17 Chipman Way, Kingston, MA 02364-1039 | 2019-07-15 |
| 1669943999 | Megan Delancey | Physical Therapy Assistant | 17 Chipman Way, Kingston, MA 02364-1039 | 2018-12-16 |
| 1861963225 | Miranda Radcliff | Physical Therapy Assistant | 99 Golden Hill Dr, Kingston, NY 12401-6442 | 2018-12-11 |
| Find all providers in KINGSTON | ||||
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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.