THOMAS ELLEDGE JR. (NPI# 1124651922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124651922 |
| Entity Type | Individual |
| Full Name | THOMAS ELLEDGE JR. |
| Credential | PTA |
| Practice Address |
1701 Park Ave Orange Park FL 32073-4900 |
| Mailing Address |
8477 S Suncoast Blvd Homosassa FL 34446-5028 |
| Practice Telephone | 9042781200 |
| Mailing Telephone | 3523827214 |
| Mailing Fax Number | 3523827781 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA28999 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1701 PARK AVE |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073-4900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346219607 | Robert Eugene Allen Sr. | Pharmacist | 1701 Park Ave, Orange Park, FL 32073-4946 | 2006-03-17 |
| 1407021066 | Joann C Denemark | Speech-Language Pathologist | 1701 Park Ave, Orange Park, FL 32073-4946 | 2008-04-24 |
| 1518148444 | Anne R. Hejmanowski | Physical Therapist | 1701 Park Ave, Orange Park, FL 32073-4946 | 2007-11-20 |
| 1508055716 | Gala Pierre-louis | Occupational Therapy Assistant | 1701 Park Ave, Orange Park, FL 32073-4946 | 2007-10-24 |
| 1922294958 | Rebecca Matos | Physical Therapy Assistant | 1701 Park Ave, Orange Park, FL 32073-4946 | 2007-09-24 |
| 1922132745 | Ador Tuazon | Physical Therapist | 1701 Park Ave, Orange Park, FL 32073-4946 | 2007-03-15 |
| 1861591893 | Tara Quinton | Physical Therapist | 1701 Park Ave, Orange Park, FL 32073-4946 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| 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 |
|---|---|---|---|---|
| 1750947875 | Travis R Grimes | Physical Therapy Assistant | 2079 Trailing Pines Way, Orange Park, FL 32003-4921 | 2019-05-14 |
| 1578031480 | Alysha Marie Polk | Physical Therapy Assistant | 1274 Bee St N, Orange Park, FL 32065-7375 | 2018-11-08 |
| 1861990657 | Anthony J Russo | Physical Therapy Assistant | 2300 Park Ave Ste 203, Orange Park, FL 32073-5573 | 2018-01-26 |
| 1306366703 | Victoria Raynel Tomlin | Physical Therapy Assistant | 2140 Kingsley Ave Ste 5, Orange Park, FL 32073-5129 | 2017-06-27 |
| 1356680847 | Anthony Robert Preta | Physical Therapy Assistant | 240 Arora Blvd, Orange Park, FL 32073-3212 | 2013-02-04 |
| 1619294725 | Melvin Mallari | Physical Therapy Assistant | 3816 Waterside Dr, Orange Park, FL 32073 | 2010-04-28 |
| 1518294388 | Luther Scott Foley | Physical Therapy Assistant | 296 Auriga Dr, Orange Park, FL 32073-2406 | 2009-11-15 |
| 1851951495 | Maria Fernanda Serrado | Physical Therapy Assistant | 1215 Kingsley Ave, Orange Park, FL 32073-4631 | 2019-06-17 |
| 1427504471 | Jennifer Barrientos | Physical Therapy Assistant | 1215 Kingsley Ave, Orange Park, FL 32073-4631 | 2016-08-30 |
| 1326459082 | Theresa Marie Rohrer | Physical Therapy Assistant | 1215 Kingsley Ave, Orange Park, FL 32073-4631 | 2014-05-15 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32073 |
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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.