JUDE ANDREW CARBON (NPI# 1811469612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811469612 |
| Entity Type | Individual |
| Full Name | JUDE ANDREW CARBON |
| Practice Address |
2415 S Western Ave Los Angeles CA 90018-2608 |
| Mailing Address |
5642 Gentry Ave Valley Village CA 91607-1817 |
| Practice Telephone | 3237341101 |
| Mailing Telephone | 8186188920 |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2415 S WESTERN AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90018-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043204324 | Country Villa East L.p. | Skilled Nursing Facility | 2415 S Western Ave, Los Angeles, CA 90018-2608 | 2005-09-01 |
| 1780093393 | East Terrace Rehabilitation & Wellness Centre, Lp | Skilled Nursing Facility | 2415 S Western Ave, Los Angeles, CA 90018-2608 | 2014-08-07 |
| 1083959423 | East Healthcare Center, LLC | Skilled Nursing Facility | 2415 S Western Ave, Los Angeles, CA 90018-2608 | 2012-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548753429 | Gilda Panales | Behavioral Analyst | 2919 1/2 South Bronson Ave, Los Angeles, CA 90018 | 2018-06-14 |
| 1083125603 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3601 2nd Ave, Los Angeles, CA 90018 | 2017-10-23 |
| 1598292351 | Brittney Shanice Hinton | Counselor | 3125 W Adams Blvd, #9, Los Angeles, CA 90018 | 2017-05-11 |
| 1639556632 | Erica Gladden | Radiologic Technologist | 2923 South Dalton Ave, Los Angeles, CA 90018 | 2015-04-29 |
| 1881085942 | Tanisha Merriweather | Counselor | 3521 11th Ave, Los Angeles, CA 90018 | 2015-02-11 |
| 1790088763 | Richard Windom | Counselor | 1361 Exposition Blvd., Los Angeles, CA 90018 | 2010-12-14 |
| 1790095214 | Donielle Spencer | Rehabilitation Practitioner | 1968 W Adams Blvd., Ste 101, Los Angeles, CA 90018 | 2010-10-18 |
| 1780906404 | Earl Cooper | Internal Medicine | 2424 8th Ave., Los Angeles, CA 90018 | 2010-02-22 |
| 1295066207 | Gilda Beatriz Gomez | Rehabilitation Practitioner | 2116 Arlington Ave. Suite 200, Los Angeles, CA 90018 | 2010-01-15 |
| 1922332899 | Roberto Carlos Cisnerso | Counselor | 2357 W. 30th St., Los Angeles, CA 90018 | 2009-09-25 |
| Find all providers in zip 90018 | ||||
| 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 |
|---|---|---|---|---|
| 1245869932 | Sang Kyu Park | Physical Therapy Assistant | 421 S La Fayette Park Pl Apt 515, Los Angeles, CA 90057-1651 | 2020-04-03 |
| 1457905986 | Carmen L Ponce | Physical Therapy Assistant | 4867 Sunset Ave, Los Angeles, CA 90027 | 2019-08-01 |
| 1003469149 | Brian Wohlgemuth | Physical Therapy Assistant | 2929 Waverly Dr Apt 318, Los Angeles, CA 90039-4111 | 2019-07-18 |
| 1043875305 | Jastine Saliva De Guzman | Physical Therapy Assistant | 1242 N Edgemont St Apt 6, Los Angeles, CA 90029-1482 | 2019-05-02 |
| 1114581592 | Cristine Hugo Metiam | Physical Therapy Assistant | 1200 S Citrus Ave Apt 10, Los Angeles, CA 90019-1647 | 2019-05-01 |
| 1861918336 | John Gula | Physical Therapy Assistant | 4407 Francis Ave Unit 206, Los Angeles, CA 90005-3702 | 2017-08-16 |
| 1598286478 | Marvin S Serrano | Physical Therapy Assistant | 11740 San Vicente Boulevard Suite 205, Los Angeles, CA 90049 | 2017-06-30 |
| 1306383328 | Tianne Batiste | Physical Therapy Assistant | 5740 W Centinela Ave, Apt 309, Los Angeles, CA 90045-8826 | 2017-01-28 |
| 1417406018 | Cres Alaina Avendano | Physical Therapy Assistant | 208 S Normandie Ave Apt 11, Los Angeles, CA 90004-5331 | 2016-09-25 |
| 1154790673 | Michelle Vidal | Physical Therapy Assistant | 2265 Glover Pl, Los Angeles, CA 90031-1128 | 2015-09-15 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90018 |
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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.