NICOLE SUMMERLIN (NPI# 1043473648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043473648 |
| Entity Type | Individual |
| Full Name | NICOLE SUMMERLIN |
| Credential | PTA |
| Practice Address |
225 White St Jacksonville NC 28546-6351 |
| Mailing Address |
387 Stokes Gooding Road Kenansville NC 28349 |
| Practice Telephone | 9103537222 |
| Mailing Telephone | 9102960834 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 2919 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285640953 | Nicole Leah Summerlin | Physical Therapist | 3033 N 44th St Ste 100, Phoenix, AZ 85018-7227 | 2006-08-01 |
| Street Address |
225 WHITE ST |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28546-6351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962447565 | Redwood Ltc Group, LLC | Skilled Nursing Facility | 225 White St, Jacksonville, NC 28546-6351 | 2006-06-18 |
| 1639722077 | Caylene Tripp | Occupational Therapist | 225 White St, Jacksonville, NC 28546-6351 | 2019-07-23 |
| 1831752294 | Angela L Aluise | Speech-Language Pathologist | 225 White St, Jacksonville, NC 28546-6351 | 2019-04-20 |
| 1386111722 | Lakasha Akisha Wright | Nurse Practitioner | 225 White St, Jacksonville, NC 28546-6351 | 2018-10-24 |
| 1235610437 | Rosa Grayer | Physical Therapist | 225 White St, Jacksonville, NC 28546-6351 | 2018-08-25 |
| 1821578519 | Alex Slominski | Physical Therapist | 225 White St, Jacksonville, NC 28546-6351 | 2018-08-21 |
| 1811476443 | Kerri Elizabeth Wright | Occupational Therapist | 225 White St, Jacksonville, NC 28546-6351 | 2018-08-14 |
| 1205315256 | Sarah Burnett | Speech-Language Pathologist | 225 White St, Jacksonville, NC 28546-6351 | 2018-08-10 |
| 1437638855 | Angela Macumber | Speech-Language Pathologist | 225 White St, Jacksonville, NC 28546-6351 | 2018-08-07 |
| 1942457213 | Gleny Grace Martinez | Physical Therapist | 225 White St, Jacksonville, NC 28546-6351 | 2008-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
| 1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
| 1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
| 1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
| 1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
| 1023500212 | Josip Ninrodriguez | Military Health Care Provider | 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 | 2018-06-04 |
| 1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
| 1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
| 1578080271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 380 Western Blvd, Jacksonville, NC 28546 | 2017-08-24 |
| 1144757493 | Darin Lee Peterson | Specialist/Technologist | G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 | 2017-05-17 |
| Find all providers in zip 28546 | ||||
| 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 |
|---|---|---|---|---|
| 1104439546 | Dylan Michael Hanna | Physical Therapy Assistant | 6170 County Road 1405, Jacksonville, TX 75766-7601 | 2020-08-25 |
| 1447860515 | Callen Logan | Physical Therapy Assistant | 7365 Steventon Way, Jacksonville, FL 32244-8179 | 2020-08-04 |
| 1346863016 | Mary Maegan Smith | Physical Therapy Assistant | 4545 State Highway 135 N, Jacksonville, TX 75766-6971 | 2020-05-28 |
| 1518513944 | Tiffany Ann Dodson | Physical Therapy Assistant | 806 Palestine St, Jacksonville, TX 75766-3128 | 2019-08-12 |
| 1427618826 | Alen Islamovic | Physical Therapy Assistant | 9745 Touchton Rd Unit 225, Jacksonville, FL 32246-4489 | 2019-06-18 |
| 1962069260 | Douglas Wade | Physical Therapy Assistant | 38 Betty Ct, Jacksonville, AL 36265-8814 | 2019-05-22 |
| 1548825219 | Mikhail Yatsishin | Physical Therapy Assistant | 13990 Bartram Park Blvd Unit 422, Jacksonville, FL 32258-5546 | 2019-05-07 |
| 1861057994 | Leonardo Sanchez | Physical Therapy Assistant | 3165 Old Acosta Rd, Jacksonville, FL 32223-4902 | 2019-05-03 |
| 1801356696 | Iuliia Vartanov | Physical Therapy Assistant | 6138 Kennerly Rd Unit 150, Jacksonville, FL 32216-4395 | 2019-03-20 |
| 1366932634 | Casey Michael Mcneill | Physical Therapy Assistant | 2054 Park St, Jacksonville, FL 32204-3810 | 2018-05-13 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28546 |
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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.