MISS AMBER MARIE EDMOND (NPI# 1811485261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811485261 |
| Entity Type | Individual |
| Full Name | MISS AMBER MARIE EDMOND |
| Credential | KT, RYT |
| Practice Address |
4100 W 3rd St Dayton OH 45428-9000 |
| Mailing Address |
2205 Myrta Dr Wooster OH 44691-9648 |
| Practice Telephone | 9372686511 |
| Mailing Telephone | 3307499615 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 226300000X | Kinesiotherapist | 1866 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | COUNCIL ON PROFESSIONAL STANDARDS FOR KINESIOTHERAPY | 1866 | 01 |
| OH | YOGA ALLIANCE | 236845 | 01 |
| Street Address |
4100 W 3RD ST |
| City | DAYTON |
| State | OH |
| Zip Code | 45428-9000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861496549 | Andrew T Su | Internal Medicine | 4100 W 3rd St, Dayton, OH 45428-9000 | 2005-06-09 |
| 1578162038 | Olivia Marie Falter | Audiologist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-10-25 |
| 1295334084 | Sarah M Miller | Music Therapist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-10-22 |
| 1366049918 | Chadwick Ryan Watiker | Social Worker | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-10-07 |
| 1174137301 | Danielle Marie Pike | Psychologist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-09-04 |
| 1497368856 | Dinah Callender | Registered Nurse | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-08-26 |
| 1801405352 | Alice Wei Ho | Pharmacist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-07-29 |
| 1801413356 | Sarah Teresa Hierath | Pharmacist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-07-01 |
| 1942823349 | Sloane Rudolf | Optometrist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-05-20 |
| 1720600331 | James Douglas Boodt | Student in an Organized Health Care Education/Training Program | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-05-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407414527 | Punyawat Laohakanjanasiri | Dentist | Dayton Va Medical Center/dental Services, 4100 W Third, Dayton, OH 45428 | 2019-06-04 |
| 1942716303 | John Korea Lee | Pharmacist | 4100 W. 3rd Street, Attn: Pharmacy Call Center 408pcc, Dayton, OH 45428 | 2017-12-21 |
| 1366876138 | Amber J Enterline | Pharmacist | 4100 W 3rd Street, Attn Pharmacy, Dayotn, OH 45428 | 2013-08-28 |
| 1114155793 | Jeffrey Michael Munn | Dentist | 4100 West 3rd St., Dayton V.a. Medical Center, Dayton, OH 45428 | 2009-06-23 |
| 1558516724 | Tawnyell Nikko Culpepper | Social Worker | 4100 Va Medical Center, Social Work Department Suite 122, Trotwood, OH 45428 | 2008-12-01 |
| 1255586376 | Prasad V Venkat | Physical Therapist | 4100 W.third Street, Dayton, OH 45428 | 2008-11-18 |
| 1457435687 | Reba E Crowell | Nurse Practitioner | 4100 West 3rd Street, Dayton, OH 45428 | 2006-10-24 |
| 1386728632 | Alicia Joann Weekes-johnson | Counselor | 4100 W Third St. Mhlc Bldg 302, Veterans Administration Medical Center, Dayton, OH 45428 | 2006-10-24 |
| 1497843049 | Margaret Irene Kruckemeyer | Nurse Practitioner | 4100 West Third Street (117), Va Medical Center, Dayton, OH 45428 | 2006-10-10 |
| 1003902545 | Mohamed Elmouelhi | Internal Medicine | 4100 W.third St., Dayton Vamc (11c), Dayton, OH 45428 | 2006-10-04 |
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| Taxonomy Code | 226300000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Kinesiotherapist |
| A provider trained and educated in the applied science of medically prescribed therapeutic exercise, education and adapted physical activities designed to improve the quality of line and health of adults and children by developing physical fitness, increasing mobility and independence, and improving psychosocial behavior. The kinesiotherapist seeks a coach-player relationship in which he/she helps the patient/client reach the goal of becoming an independent, self-sustaining person. Kinesiotherapists, as compared with physical therapists, put more emphasis on geriatric care, reconditioning and fitness, and psychiatric care. A large percentage of kinesiotherapists practice in Veterans Administration hospitals. |
| Notes: Source: The Kinesiotherapy Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386739241 | Kimmy Kay Bloch | Kinesiotherapist | 4100 West Third St., Dayton, OH 45428 | 2006-10-04 |
| 1811088347 | Ariston Dizon Bautista | Kinesiotherapist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2006-09-28 |
| 1023119401 | Harold Jackson Delotelle Jr. | Kinesiotherapist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2006-09-26 |
| 1740380872 | Mark A. Dechellis | Kinesiotherapist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2006-09-25 |
| 1619077633 | John Paul Walter | Kinesiotherapist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114545407 | Jalecia S Vaughn | Kinesiotherapist | 17273 State Route 104 # 538117kt, Chillicothe, OH 45601-9718 | 2020-07-13 |
| 1043778616 | Paige M Farmer | Kinesiotherapist | 53 Keewaydin Dr, Timberlake, OH 44095-1919 | 2019-03-03 |
| 1457787830 | Jessica Rae Klugh | Kinesiotherapist | 23 University Estates Blvd, Apt. 305, Athens, OH 45701-8087 | 2013-09-17 |
| 1265653075 | Sara Jane Smith | Kinesiotherapist | 54 Chatham Road, Columbus, OH 43214 | 2007-05-01 |
| 1457570905 | Lisa Ann Urban | Kinesiotherapist | 1001 Isaac Streets Dr, Oregon, OH 43616-3205 | 2007-04-24 |
| 1740215813 | Michael Thomas Lacey | Kinesiotherapist | 609 W Liberty St, Hubbard, OH 44425-1750 | 2006-07-11 |
| 1063455038 | Doris A Woods | Kinesiotherapist | 2801 W Bancroft St, Kinesiotherapy Center, Univ of Toledo, M.s. 201, Toledo, OH 43606-3328 | 2006-06-14 |
| 1295133171 | Laurel Lunsford | Kinesiotherapist | 17273 State Route 104, Chillicothe, OH 45601-9718 | 2014-12-09 |
| 1376894295 | Rose Jillian Enomate | Kinesiotherapist | 1060 Eastwind Dr, Westerville, OH 43081-3331 | 2012-10-02 |
| 1821318072 | Abraham R Hancock | Kinesiotherapist | 17273 State Route 104, 205, Chillicothe, OH 45601-9718 | 2010-06-09 |
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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.