TRACY MARIE BLACKSTOCK (NPI# 1932256641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932256641 |
| Entity Type | Individual |
| Full Name | TRACY MARIE BLACKSTOCK |
| Practice Address |
404 Classco Pl Cleveland MS 38732-3000 |
| Practice Telephone | 6628433575 |
| Practice Fax Number | 6628461397 |
| Mailing Telephone | 6628433575 |
| Mailing Fax Number | 6628461397 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT2182 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 03451326 | 05 |
| Street Address |
404 CLASSCO PL |
| City | CLEVELAND |
| State | MS |
| Zip Code | 38732-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
| 1417322587 | United Family Life Center | Clinic/Center | 1101 S Martin Luther King Drive, Cleveland, MS 38732 | 2015-12-01 |
| 1346661584 | Rebecca Winters | Speech-Language Pathologist | 4036 Hwy 8 East, Cleveland, MS 38732 | 2013-12-13 |
| 1982973186 | Delta Home Health Inc | Home Health | 300-b South Street, Cleveland, MS 38732 | 2011-12-19 |
| 1730467382 | Reid Farmer Davis Medico | Clinic/Center | 4080 Highway 8 West, Cleveland, MS 38732 | 2011-08-01 |
| 1700181427 | Sondra Speakes Huerta | Speech-Language Pathologist | 3939 Hwy 61 N. Suite 110, Cleveland, MS 38732 | 2011-01-12 |
| 1386956027 | Delta Soul Medical, LLC | Hospice Care, Community Based | 102 N. Pearman Ave., Ste. 1, Cleveland, MS 38732 | 2010-07-10 |
| 1700029675 | Jlrl, LLC | Dentist | 716 First Street, Cleveland, MS 38732 | 2009-04-08 |
| 1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
| 1902055767 | Word of Deliverance Adult Day Care | Custodial Care Facility | 509 Davis Avenue, Cleveland, MS 38732 | 2008-09-16 |
| Find all providers in zip 38732 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) 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 |
|---|---|---|---|---|
| 1922630870 | Samuel Anthony Pharr | Physical Therapist | 1090 Tasso Lane, Ne, Cleveland, TN 37312 | 2020-02-09 |
| 1902446834 | Sool Lee An | Physical Therapist | 1438 Marview Dr, Cleveland, OH 44145-2340 | 2020-01-08 |
| 1841839644 | Soaring Therapy and Learning Center, Inc. | Physical Therapist | 273 Quillian St, Cleveland, GA 30528-1464 | 2019-12-27 |
| 1932668514 | Crow Therapy, LLC | Physical Therapist | 218 N Bolivar Ave, Cleveland, MS 38732-2624 | 2019-03-13 |
| 1457818304 | Sharon L Flaugher | Physical Therapist | 18915 Muskoka Ave, Cleveland, OH 44119-2158 | 2019-02-27 |
| 1134634744 | Pam Jean Walcott | Physical Therapist | 640a Helen Hwy, Cleveland, GA 30528-1051 | 2017-12-05 |
| 1699212449 | Amy Frances Scelza | Physical Therapist | 3284 Rocky River Dr, Cleveland, OH 44111-1926 | 2017-01-31 |
| 1407301864 | Sruthi Adudodla | Physical Therapist | 1820 Pleasantdale Rd, Apt 5, Cleveland, OH 44109-5738 | 2016-08-15 |
| 1326497819 | Leah Mastrian | Physical Therapist | 9231 Independence Blvd, Cleveland, OH 44130-4780 | 2016-06-06 |
| 1255790606 | Jessica Brown | Physical Therapist | 6314 Bradley Ave, Cleveland, OH 44129-2222 | 2016-02-14 |
| Find all providers in CLEVELAND | ||||
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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.