MR. MARK BOOHER (NPI# 1821295361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821295361 |
| Entity Type | Individual |
| Full Name | MR. MARK BOOHER |
| Credential | LPTA |
| Practice Address |
1628 Old Donation Pkwy Virginia Beach VA 23454-3062 |
| Mailing Address |
1716 Five Forks Rd Virginia Beach VA 23455-4324 |
| Practice Telephone | 7574963092 |
| Practice Fax Number | 7574962837 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 2306000856 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750432076 | Mark Ernest Booher | Psychologist | 6 Robin Rd, Westborough, MA 01581-1218 | 2007-01-15 |
| 1023419363 | Mark Booher | Technician, Other | 815 W 5th North St, Morristown, TN 37814-3810 | 2014-09-05 |
| 1447245527 | Mark A. Booher | Family Medicine | 301 Satori Pkwy, Suite 120, Avon, IN 46123-6405 | 2005-09-15 |
| Street Address |
1628 OLD DONATION PKWY |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23454-3062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609235993 | Jennifer Reasor | Physical Therapist | 1628 Old Donation Pkwy, Rehabilitation Department, Virginia Beach, VA 23454-3062 | 2016-02-16 |
| 1538443759 | Michelle Lynn Pereira | Physical Therapy Assistant | 1628 Old Donation Pkwy, Virginia Beach, VA 23454-3062 | 2011-10-06 |
| 1144511023 | Denise Renee Orazi | Physical Therapy Assistant | 1628 Old Donation Pkwy, Virginia Beach, VA 23454-3062 | 2011-04-26 |
| 1952609455 | Abigail L Hawe | Physical Therapy Assistant | 1628 Old Donation Pkwy, Virginia Beach, VA 23454-3062 | 2011-03-07 |
| 1942504899 | Atria Senior Living Group, Inc | Assisted Living Facility | 1628 Old Donation Pkwy, Virginia Beach, VA 23454-3062 | 2011-01-07 |
| 1386948701 | Deborah Laporte | Physical Therapy Assistant | 1628 Old Donation Pkwy, Virginia Beach, VA 23454-3062 | 2010-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356994263 | Agape Consulting | Behavioral Analyst | 1216 Garth Court, Virginia Beach, VA 23454 | 2019-07-19 |
| 1831650266 | Amelia Jo Crutsinger | Physician Assistant | 1644 Kepler Bnd, Virginia Beach, VA 23454 | 2019-03-28 |
| 1538639158 | Bay Psychiatric II Inc | Counselor | 923 First Colonial Rd Suite 1821, Virginia Beach, VA 23454 | 2018-11-26 |
| 1487151759 | Akanksha Mohan | Student in an Organized Health Care Education/Training Program | 100 Mannng Drive, Chapel Hill, Nc 27514, Chapel Hill, NC 23454 | 2018-04-12 |
| 1275038580 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1615 General Booth Blvd, Virginia Beach, VA 23454 | 2018-03-28 |
| 1346783164 | Tracy Chasse | Occupational Therapy Assistant | 1628 Old Donation Parkway, Virginia Beach, VA 23454 | 2016-11-28 |
| 1982066627 | Jennifer Mitchell | Speech-Language Pathologist | 2101 Agecroft Rd., Virginia Beach, VA 23454 | 2016-03-22 |
| 1659730562 | Rebecca Houvener | Psychologist | 1120 First Colonial Rd Ste 202, Virginia Beach, VA 23454 | 2016-02-19 |
| 1932581741 | Monica Jane Bailey | Nurse Practitioner | 2110 N Great Neck Rd, Virginia Beach, VA 23454 | 2015-06-29 |
| 1376930073 | Ashley A Burkholder | Family Medicine | 1024 First Colonial Rd Ste 104, Virginia Beach, VA 23454 | 2015-04-20 |
| Find all providers in zip 23454 | ||||
| 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 |
|---|---|---|---|---|
| 1407327729 | Crystal Michelle Larios | Physical Therapy Assistant | Westminster Canterbury, Virginia Beach, VA 23451 | 2018-12-14 |
| 1912472606 | Julissa Rodriguez | Physical Therapy Assistant | 3557 Faraday Ln, Virginia Beach, VA 23452-4008 | 2018-10-09 |
| 1649768573 | Laurie Marie Smith | Physical Therapy Assistant | 1208 Mozart Dr, Virginia Beach, VA 23454-6624 | 2018-04-26 |
| 1548770001 | Rasidat Taiwo Shoge | Physical Therapy Assistant | 1645 High Plains Dr, Virginia Beach, VA 23464-8508 | 2017-10-10 |
| 1164931788 | Brian Edward Howton | Physical Therapy Assistant | 308 West Palmyra Drive, Virginia Beach, VA 23462-5930 | 2017-09-26 |
| 1447775754 | Ambrosia Matthews | Physical Therapy Assistant | 525 S Independence Blvd Ste 190, Virginia Beach, VA 23452-1189 | 2017-08-08 |
| 1467984328 | James-michael Tayo | Physical Therapy Assistant | 4217 Maxwell Ct, Virginia Beach, VA 23453-1676 | 2017-03-30 |
| 1326493784 | Cynthia Anne Frye | Physical Therapy Assistant | 2001 Ironstone Ct, Virginia Beach, VA 23456-4915 | 2016-05-04 |
| 1518330356 | Yolanda Pretlow | Physical Therapy Assistant | 1733 Chase Pointe Cir, Apt 725, Virginia Beach, VA 23454-7015 | 2015-11-02 |
| 1013395920 | Nick James Sorokos | Physical Therapy Assistant | 332 Laskin Rd, Apt 229, Virginia Beach, VA 23451-3060 | 2015-05-12 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23454 |
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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.