DARRA BLACK (NPI# 1821250093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821250093 |
| Entity Type | Individual |
| Full Name | DARRA BLACK |
| Credential | LPTA |
| Practice Address |
17111 Se Bush St Portland OR 97236-1260 |
| Practice Telephone | 5034651031 |
| Mailing Telephone | 5034651031 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 7725 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
17111 SE BUSH ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97236-1260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336650357 | Wondmimu Edao Chako | Registered Nurse | 3708 Se 144th Avenue, Portland, OR 97236 | 2017-10-17 |
| 1881142388 | John Ho | Pharmacist | 14700 Se Division St., Portland, OR 97236 | 2016-09-14 |
| 1306392527 | Lori-ann Lima | Nurse Practitioner | Multnomah County Health Department- Mid Cty Health Ctr, 12710 Se Division St, Portland, OR 97236 | 2016-08-28 |
| 1982096202 | Allan Fitzpatrick Beals-gibson | Adult Companion | 15602 Se Division St., Portland, OR 97236 | 2015-02-24 |
| 1386047132 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 3530 Se 136th Ave. #5, Portland, OR 97236 | 2014-10-07 |
| 1356750319 | Kendra Harding | Counselor | 17214 Se Division Street, Portland, OR 97236 | 2014-08-04 |
| 1659790400 | Nghia Tran | Pharmacist | 8438 Se 138th Dr, Portland, OR 97236 | 2014-04-09 |
| 1942623764 | Laurel Katherine Hallock Koppelman | Nurse Practitioner | 12720 Se Division Street, Portland, OR 97236 | 2014-01-30 |
| 1982046249 | Victoria D Lathrop | Massage Therapist | 17221 Se Divistion St S-21, Portland, OR 97236 | 2013-07-26 |
| 1669819694 | Ariann Von Vaughn | Dental Hygienist | 18011 Se Pershing Ct, Portland, OR 97236 | 2013-05-31 |
| Find all providers in zip 97236 | ||||
| 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 |
|---|---|---|---|---|
| 1679134001 | Arielle Oosten | Physical Therapy Assistant | 22 Bramhall St Rm 4602, Portland, ME 04102-3175 | 2019-06-26 |
| 1063996312 | Maximilian Torres | Physical Therapy Assistant | 4602 Sw 53rd Ave, Portland, OR 97221 | 2018-09-22 |
| 1578099768 | Mary Ferrell | Physical Therapy Assistant | 1675 Sw Marlow Ave Ste 400, Portland, OR 97225-5102 | 2017-05-07 |
| 1982139648 | Ann Marie Mullen | Physical Therapy Assistant | 4001 Ne Halsey St, Ste. 100, Portland, OR 97232-1849 | 2017-05-01 |
| 1134665045 | Cassandra Stephens | Physical Therapy Assistant | 1100 Se 12th Ave, 423, Portland, OR 97214-3792 | 2017-01-17 |
| 1083003537 | Jose Mejia | Physical Therapy Assistant | 1090 Lang Rd, Apt. 4207, Portland, TX 78374-3101 | 2015-01-21 |
| 1427446343 | Desarae Escamilla | Physical Therapy Assistant | 1136 Imperial St, Portland, TX 78374-4225 | 2014-12-30 |
| 1083013262 | Sandra Eberwein | Physical Therapy Assistant | 1736 Se 36th Ave, Portland, OR 97214-5126 | 2014-08-14 |
| 1396167821 | Sara Zimmerman | Physical Therapy Assistant | 1775 Se 139th Ave, Portland, OR 97233-2310 | 2014-01-17 |
| 1386917565 | Leslie Anne Mcintyre | Physical Therapy Assistant | 7325 Se 32nd Ave, Portland, OR 97202-8544 | 2012-02-17 |
| Find all providers in PORTLAND | ||||
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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.