JADE JOHNSON (NPI# 1962058008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962058008 |
| Entity Type | Individual |
| Full Name | JADE JOHNSON |
| Credential | PTA |
| Practice Address |
3050 Woodmont Ave Winter Haven FL 33884-3800 |
| Mailing Address |
260 1st Ave S Ste 200 Saint Petersburg FL 33701-4364 |
| Practice Telephone | 7278031102 |
| Mailing Telephone | 7278031102 |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA29010 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138291 | Jade A Johnson | Counselor | 8100 Three Chopt Rd Rm 143, Henrico, VA 23229-4833 | 2020-09-15 |
| 1528615606 | Jade Adriana Johnson | Dentist | 312 E Renfro St Ste 204, Burleson, TX 76028-3949 | 2019-08-22 |
| 1295291458 | Jade Johnson | Behavior Technician | 12222 S 1000 E Ste 3, Draper, UT 84020-3203 | 2019-02-13 |
| 1073083457 | Jade Taylir Johnson | Physical Medicine & Rehabilitation | 1111 Main St, Wayne, NE 68787-1181 | 2018-11-28 |
| 1518478064 | Jade D Johnson | Social Worker | 6701 Highway 67, Benton, AR 72015-8909 | 2017-10-23 |
| 1356753305 | Jade Alexandria Johnson | Counselor | 348 13th St, Suite 503, Brooklyn, NY 11215-6177 | 2014-05-27 |
| 1053626077 | Jade Johnson | Counselor | 607 E 200 S, Salt Lake City, UT 84102-2110 | 2010-08-13 |
| Street Address |
3050 WOODMONT AVE |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33884-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528373669 | Jennifer L Nesbit | Speech-Language Pathologist | 3050 Woodmont Ave, Winter Haven, FL 33884-3800 | 2010-08-12 |
| 1740825165 | Stephanie Taylor Treadwell | Occupational Therapist | 3050 Woodmont Ave, Winter Haven, FL 33884-3800 | 2019-11-08 |
| 1235644022 | Grace Marie Banquicio | Occupational Therapy Assistant | 3050 Woodmont Ave, Winter Haven, FL 33884-3800 | 2017-12-03 |
| 1528501178 | Legacy Healhcare Services, Inc. | Clinic/Center | 3050 Woodmont Ave, Winter Haven, FL 33884-3800 | 2016-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154956480 | Kristin Helen Kiddy | Occupational Therapy Assistant | 101 Overlook Drive, Suite 103, Winter Haven, FL 33884 | 2020-03-06 |
| 1871990143 | William Santo | Specialist/Technologist | 9269 Kliber Dr., Winter Haven, FL 33884 | 2014-12-02 |
| 1346656345 | Integrative Physical Medicine of Winter Haven LLC | Specialist | 7494 Cypress Gardens Blvd, Winter Haven, FL 33884 | 2014-07-10 |
| 1568808921 | Donald Lurton Arey Jr. | Surgery | 800 Island Way, Winter Haven, FL 33884 | 2013-05-13 |
| 1407195324 | Shena R. Ranon | Nurse Practitioner | 1820 Woodpointe Dr, Winter Haven, FL 33884 | 2013-02-13 |
| 1952654543 | Mpn Medical Center of Dundee | Family Medicine | 1023 Dundee Road, Winter Haven, FL 33884 | 2012-10-19 |
| 1588941736 | Cody Gernatt | Occupational Therapist | 1120 Cypress Gardens Blvd., Winter Haven, FL 33884 | 2011-11-15 |
| 1851611677 | Paulene T Jasurek | Pharmacist | 4454 Cypress Gardens Rd, Winter Haven, FL 33884 | 2010-06-03 |
| 1306169867 | John David Butters | Speech-Language Pathologist | 208 Escambia Dr., Winter Haven, FL 33884 | 2010-03-11 |
| 1710162813 | Humphrey Chiropractic Center, P.a. | Chiropractor | 605 Overlook Drive, Suite 1, Winter Haven, FL 33884 | 2008-01-08 |
| Find all providers in zip 33884 | ||||
| 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 |
|---|---|---|---|---|
| 1770192007 | Jonathan Davis | Physical Therapy Assistant | 2000 Buckeye Loop Rd, Winter Haven, FL 33881-2767 | 2020-07-22 |
| 1851896955 | Cheryl Gonzalez | Physical Therapy Assistant | 1601 6th Street Swe, Winter Haven, FL 33880 | 2018-03-29 |
| 1699218362 | Tashna Cassandra Whyte | Physical Therapy Assistant | 525 Avenue H Nw Apt 4405, Winter Haven, FL 33881-4042 | 2016-11-29 |
| 1851777601 | Heather Brown | Physical Therapy Assistant | 139 Lake Thomas Dr, Winter Haven, FL 33880-7112 | 2015-08-04 |
| 1770999195 | Candee Higgins | Physical Therapy Assistant | 1300 Granada Way, Winter Haven, FL 33884-1687 | 2014-07-07 |
| 1548509318 | Jeannette Smith | Physical Therapy Assistant | 200 Avenue K Se Apt 228, Winter Haven, FL 33880-4054 | 2013-02-13 |
| 1013254309 | Joseph F Ciarlante | Physical Therapy Assistant | 4453 Glenns Lndg, Winter Haven, FL 33884-2442 | 2013-01-07 |
| 1306134390 | Pantaleon Delrosario | Physical Therapy Assistant | 1201 Eagle Pond Dr, Winter Haven, FL 33884-1296 | 2011-07-12 |
| 1104119064 | Michelle Santiago | Physical Therapy Assistant | 1857 Woodpointe Dr, Winter Haven, FL 33884-2876 | 2011-05-25 |
| 1720318090 | Cheryl Lynette Robinson | Physical Therapy Assistant | 360 24th St Nw Apt 1038, Winter Haven, FL 33880-2294 | 2010-01-07 |
| Find all providers in WINTER HAVEN | ||||
| City | WINTER HAVEN |
| Zip Code | 33884 |
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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.