MS. TIFFANY RENEE GODBOLT (NPI# 1952747107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952747107 |
| Entity Type | Individual |
| Full Name | MS. TIFFANY RENEE GODBOLT |
| Credential | P.T.A. |
| Practice Address |
318 E Main St Lake City SC 29560-2116 |
| Mailing Address |
1057 Kinney Ct Sellers SC 29592-8001 |
| Practice Telephone | 8433743353 |
| Practice Fax Number | 8433747245 |
| Mailing Telephone | 8437584738 |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 1980 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
318 E MAIN ST |
| City | LAKE CITY |
| State | SC |
| Zip Code | 29560-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619408820 | Christa Danielle Saldivar Mims | Speech-Language Pathologist | 318 E Main St, Lake City, SC 29560-2116 | 2017-03-21 |
| 1417395922 | Jan Downer Kight | Psychologist | 318 E Main St, Lake City, SC 29560-2116 | 2013-06-06 |
| 1720426422 | Jill Rogers Tisdale | Psychologist | 318 E Main St, Lake City, SC 29560-2116 | 2013-06-05 |
| 1275971970 | Melissa Askins | Psychologist | 318 E Main St, Lake City, SC 29560-2116 | 2013-06-05 |
| 1336586197 | Sandra Helen Arthur | Speech-Language Pathologist | 318 E Main St, Lake City, SC 29560-2116 | 2013-06-03 |
| 1831535822 | Tanya Webster | Registered Nurse | 318 E Main St, Lake City, SC 29560-2116 | 2013-05-16 |
| 1669719985 | Valeriya Torosian | Occupational Therapist | 318 E Main St, Lake City, SC 29560-2116 | 2013-01-07 |
| 1124140819 | Crystal Alcorn | Occupational Therapy Assistant | 318 E Main St, Lake City, SC 29560-2116 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457830366 | Patty Fulmore | In Home Supportive Care | 141 Bulldog Lane, Lake City, SC 29560 | 2018-08-10 |
| 1558875211 | Msk Transportation | Non-emergency Medical Transport (VAN) | 226 Lake Dale Ave, Lake City, SC 29560 | 2017-11-16 |
| 1861867566 | Denita Alison Pleasant | Pharmacist | 301 West Thomas Street, Lake City, SC 29560 | 2015-12-07 |
| 1821474115 | Pro-motion Physical Therapy of Florence, Sc, LLC | Occupational Therapist | 148 B Sauls Street, Lake City, SC 29560 | 2015-08-10 |
| 1023412335 | Motivations-unlimited | Speech-Language Pathologist | 318 A Moore Street, Lake City, SC 29560 | 2014-10-15 |
| 1700297652 | Sharon Lewis | Pharmacist | 900 Us Highway 52, Lake City, SC 29560 | 2014-05-14 |
| 1376954305 | Sergio Montes | Pharmacist | 900 Us Hwy 52, Lake City, SC 29560 | 2014-05-13 |
| 1992122857 | Paula Moses | Pharmacist | 900 U.s Hwy. 52, Lake City, SC 29560 | 2014-03-27 |
| 1063762763 | Dawn Mcelveen Floyd | Pharmacist | 301 W Thomas Street, Lake City, SC 29560 | 2012-09-11 |
| 1548519507 | Robert Bruce Page | Pharmacist | 401 West Thomas St, Lake City, SC 29560 | 2012-09-06 |
| Find all providers in zip 29560 | ||||
| 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 |
|---|---|---|---|---|
| 1437717683 | Kendra Dowd | Physical Therapy Assistant | 801 N Morey Rd, Lake City, MI 49651-9323 | 2019-06-03 |
| 1538637541 | Taylor N Ostendorf | Physical Therapy Assistant | 984 Se Rossi Dr, Lake City, FL 32025-3202 | 2018-11-07 |
| 1205302395 | Domonique L Hardman | Physical Therapy Assistant | 2076 Sw Fallon Ln, Lake City, FL 32025-1314 | 2018-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1225434566 | Todd Green | Physical Therapy Assistant | 493 Sw Mill Ln, Lake City, FL 32024-0432 | 2014-11-14 |
| 1396016101 | Joan B Allen | Physical Therapy Assistant | 197 Segolf Club Avenue, Lake City, FL 32025 | 2012-01-25 |
| 1760633689 | Cynthia Suzanne Davis | Physical Therapy Assistant | 146 Sw Orthopaedic Ct, Lake City, FL 32024-0671 | 2008-10-09 |
| 1508014630 | Stephen Lewis O'steen | Physical Therapy Assistant | 146 Sw Orthopaedic Court, Lake City, FL 32024 | 2008-09-03 |
| 1760655682 | Oswaldo Rodriguez | Physical Therapy Assistant | 1229sw. Yorktown Glen, Lake City, FL 32025-0481 | 2008-04-11 |
| 1699891655 | Dwight T. Sweat | Physical Therapy Assistant | 1394 Nw Labonte Ln, Lake City, FL 32055-2578 | 2007-03-21 |
| Find all providers in LAKE CITY | ||||
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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.