GARY MEDINA (NPI# 1851824353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851824353 |
| Entity Type | Individual |
| Full Name | GARY MEDINA |
| Credential | PTA |
| Practice Address |
80 Health Park Dr Suite 230 Louisville CO 80027-9584 |
| Practice Telephone | 3034566000 |
| Mailing Telephone | 3034566000 |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
80 HEALTH PARK DR SUITE 230 |
| City | LOUISVILLE |
| State | CO |
| Zip Code | 80027-9584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598761298 | Jeffrey R Fulford | Physical Therapist | 80 Health Park Dr, Suite 230, Louisville, CO 80027-9584 | 2005-06-27 |
| 1447785191 | Breanne Sherrin | Physician Assistant | 80 Health Park Dr, Suite 230, Louisville, CO 80027-9584 | 2017-05-01 |
| 1568843423 | Portercare Adventist Health System | Obstetrics & Gynecology | 80 Health Park Dr, Suite 250, Louisville, CO 80027-9584 | 2015-06-16 |
| 1851792097 | Portercare Adventist Health System | Neurological Surgery | 80 Health Park Dr, Suite 50, Louisville, CO 80027-9584 | 2014-09-08 |
| 1598103566 | Trudi K Kulp | Physical Therapist | 80 Health Park Dr, Suite 230, Louisville, CO 80027-9584 | 2013-06-12 |
| 1699050930 | Colorado Orthotic & Prosthetic Services, LLC | Prosthetic/Orthotic Supplier | 80 Health Park Dr, Ste 250, Louisville, CO 80027-9584 | 2011-10-19 |
| 1740561679 | Edward J Bloom | Physical Therapist | 80 Health Park Dr, Suite 230, Louisville, CO 80027-9584 | 2011-09-06 |
| 1780988691 | Portercare Adventist Health System | Internal Medicine | 80 Health Park Dr, Suite 270, Louisville, CO 80027-9584 | 2011-01-06 |
| 1447560065 | Jette Rosholm Hogenmiller | Nurse Practitioner | 80 Health Park Dr, Suite 270, Louisville, CO 80027-9584 | 2010-10-16 |
| 1457669772 | Marissa Erin Moritz-guzik | Physician Assistant | 80 Health Park Dr, Louisville, CO 80027-9584 | 2010-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144849951 | Fullswift Physiotherapy, Pllc | Physical Therapist | 538 W. Laurel Ct., Louisville, CO 80027 | 2020-04-11 |
| 1265097547 | Amanda Nicole Calzolano | Occupational Therapist | 165 S Mccaslin Blvd, Suite B, Louisville, CO 80027 | 2019-05-02 |
| 1891258273 | Lisa Apel | Counselor | 287 Century Circle, Louisville, CO 80027 | 2019-04-11 |
| 1336622570 | Boulder Neurology and Concussion | Psychiatry & Neurology | 400 Mccaslin Blvd, Suite 200, Louisville, CO 80027 | 2018-09-13 |
| 1568942886 | Alessandra Zapiecki | Occupational Therapist | 1107 W Century Dr, Louisville, CO 80027 | 2018-08-16 |
| 1225539935 | Healing Solutions Inc. | Massage Therapist | 362 S. Mccaslin Blvd., Louisville, CO 80027 | 2018-02-27 |
| 1033618632 | Matthew Mandel | Massage Therapist | 1945 Piper St, Superior, CO 80027 | 2018-02-08 |
| 1740794031 | Elise Nicole Brucks | Speech-Language Pathologist | 1007 Century Drive, Louisville, CO 80027 | 2017-11-22 |
| 1043762859 | Options Treatment, LLC | Counselor | 1068 S. 88th Street, Unit A, Louisville, CO 80027 | 2016-10-27 |
| 1225584071 | Trent Sayers Dental PC | Dentist | 1691 Coalton Rd., Superior, CO 80027 | 2016-08-31 |
| Find all providers in zip 80027 | ||||
| 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 |
|---|---|---|---|---|
| 1952922130 | Sagar Surendra Desai | Physical Therapy Assistant | 17045 E Main St, Louisville, MS 39339-2754 | 2020-04-29 |
| 1346752276 | Casey Valentine | Physical Therapy Assistant | 7288 Paris Ave, Louisville, OH 44641-9525 | 2017-11-01 |
| 1457891129 | Daniel Mcintyre | Physical Therapy Assistant | 1920 Herr Ln, Louisville, KY 40222-6565 | 2017-02-28 |
| 1598201733 | Linda Scott | Physical Therapy Assistant | 5915 Trappers Ridge Cir, Louisville, KY 40216-1468 | 2017-01-11 |
| 1477005650 | Ronald Harris Jr. | Physical Therapy Assistant | 9600 Bayberry Green Ln, Louisville, KY 40291-6722 | 2016-11-03 |
| 1033664693 | Melissa Dawn Jenkins | Physical Therapy Assistant | 12601 Saxony Park Cir, 103, Louisville, KY 40299-2784 | 2016-08-23 |
| 1841685666 | Jim Hisle | Physical Therapy Assistant | 9127 Galene Dr Ste 4, Louisville, KY 40299-1586 | 2015-03-30 |
| 1336537125 | Connie Singleton | Physical Therapy Assistant | 8111 Jasmine Ln, Louisville, KY 40228-2208 | 2014-12-31 |
| 1417369901 | Linda Jones | Physical Therapy Assistant | 4506 Dogwood Forest Pl, Louisville, KY 40245-1996 | 2014-06-02 |
| 1144632837 | Tara Jackson | Physical Therapy Assistant | 303 North Hurstbourne Parkway, Suite 200, Louisville, KY 40222 | 2014-05-29 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 80027 |
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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.