PATRICK DAUGHERTY (NPI# 1073623963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073623963 |
| Entity Type | Individual |
| Full Name | PATRICK DAUGHERTY |
| Practice Address |
2301 S State Route 291 Independence MO 64057-1201 |
| Mailing Address |
3808 S Howell Rd Oak Grove MO 64075-7177 |
| Practice Telephone | 8163739328 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | LICENSE # | 116482 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508872375 | Patrick Wayne Daugherty | Pharmacist | 611 Campus Dr Ste 500, Abingdon, VA 24210-9701 | 2006-07-31 |
| Street Address |
2301 S STATE ROUTE 291 |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64057-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699880948 | Sandra Bachmann | Occupational Therapist | 2301 S State Route 291, Independence, MO 64057-1201 | 2006-08-19 |
| 1053743633 | Jennifer Jo Kempf | Physical Therapist | 2301 S State Route 291, Independence, MO 64057-1201 | 2013-08-06 |
| 1619106556 | Daniel Smith | Physical Therapist | 2301 S State Route 291, Independence, MO 64057-1201 | 2009-07-14 |
| 1124283247 | Kelly Harris | Physical Therapist | 2301 S State Route 291, Independence, MO 64057-1201 | 2008-07-29 |
| 1841455961 | Lynsey Fugate | Physical Therapist | 2301 S State Route 291, Independence, MO 64057-1201 | 2008-07-29 |
| 1295844488 | Julie Jimerson-williams | Physical Therapist | 2301 S State Route 291, Independence, MO 64057-1201 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174002364 | Justine Barye Bolton | Physical Therapist | 2301 South 291 Highway, Independence, MO 64057 | 2018-08-09 |
| 1194230136 | Brantley Vincent Niendick | Occupational Therapist | 2301 S M 291 Hwy, Independence, MO 64057 | 2017-12-13 |
| 1437693561 | Derek Faulkner | Counselor | 2400 Little Blue Pkwy, Independence, MO 64057 | 2016-12-08 |
| 1578916136 | Jared Donald Gerstenkorn | Physical Therapist | 2301 South Highway 291, Independence, MO 64057 | 2016-07-19 |
| 1295198182 | Jennifer J Allen | Nurse Practitioner | 2310 Castle Drive, Independence, MO 64057 | 2016-03-30 |
| 1750750808 | Lisa Louise Freeman | Physical Therapy Assistant | 3980 S Jackson Dr, Independence, MO 64057 | 2015-09-18 |
| 1437543592 | Harold Epps | Specialist/Technologist | 2301 South Mo 291 Highway, Independence, MO 64057 | 2015-03-26 |
| 1245620426 | Holly Morgan | Occupational Therapist | 3980 S Jackson Dr., Independence, MO 64057 | 2015-01-27 |
| 1093128159 | Jennifer Falk Crumbaugh | Dentist | 3151 S. M-291 Highway, Suite A, Independence Mo, MO 64057 | 2014-06-06 |
| 1952711954 | Judy Bray | Occupational Therapy Assistant | 3980 East Jackson Drive, Independence, MO 64057 | 2014-04-30 |
| Find all providers in zip 64057 | ||||
| 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 |
|---|---|---|---|---|
| 1003447178 | Haylee Rathbun | Physical Therapy Assistant | 1208 6th St Ne, Independence, IA 50644-2138 | 2020-01-28 |
| 1265998892 | Rachel Lyn Revels | Physical Therapy Assistant | 809 S Huttig Ave, Independence, MO 64053-1833 | 2019-02-19 |
| 1538610068 | Tracie Janeann Krysa | Physical Therapy Assistant | 1917 N Colony Ln, Independence, MO 64058-1311 | 2016-10-19 |
| 1326591405 | Lorena Bartlett | Physical Therapy Assistant | 1196 S. 8th St., Independence, OR 97351-1540 | 2016-07-26 |
| 1265887004 | Hayden Mikel Danielle Seifert | Physical Therapy Assistant | 2125 N Penn Ave, Suite B, Independence, KS 67301-2142 | 2016-04-29 |
| 1750750808 | Lisa Louise Freeman | Physical Therapy Assistant | 3980 S Jackson Dr, Independence, MO 64057 | 2015-09-18 |
| 1578961850 | Julie Hohensinner | Physical Therapy Assistant | 4141 S Bryant Dr, Independence, MO 64055-5420 | 2014-12-18 |
| 1629498134 | Diana Gallagher | Physical Therapy Assistant | 3980 S. Jackson Dr, Independence, MO 64057 | 2014-04-23 |
| 1912327610 | Marcia Clapp | Physical Therapy Assistant | 3980 South Jackson Drive, Independence, MO 64057 | 2014-04-21 |
| 1629498563 | Kelli Hedgpeth | Physical Therapy Assistant | 3980 South Jackson Dr, Independence, MO 64068 | 2014-04-18 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64057 |
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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.