SIDNEY BRADDOCK (NPI# 1144836891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144836891 |
Entity Type | Individual |
Full Name | SIDNEY BRADDOCK |
Credential | PHYSICAL THERAPIST |
Practice Address |
2760 N Grandview Ave Ste A Odessa TX 79762-6953 |
Practice Telephone | 4325527034 |
Practice Fax Number | 4325527165 |
Mailing Telephone | 4325527034 |
Mailing Fax Number | 4325527165 |
Enumeration Date | 2020-09-18 |
Last Update Date | 2020-09-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225100000X | Physical Therapist | 1105591 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
2760 N GRANDVIEW AVE STE A |
City | ODESSA |
State | TX |
Zip Code | 79762-6953 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710593520 | Bobby Don Wilkerson | Physical Therapy Assistant | 2760 N Grandview Ave Ste A, Odessa, TX 79762-6953 | 2020-09-17 |
1164038683 | Krystal Hillis | Physical Therapy Assistant | 2760 N Grandview Ave Ste A, Odessa, TX 79762-6953 | 2020-09-21 |
1306452792 | Emily Tollin | Physical Therapy Assistant | 2760 N Grandview Ave Ste A, Odessa, TX 79762-6953 | 2020-09-21 |
1922614833 | Hailey Ashlyn Simpkins | Physical Therapy Assistant | 2760 N Grandview Ave Ste A, Odessa, TX 79762-6953 | 2020-09-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982256798 | Winwood Dental and Orthodontics Pllc | Dentist | 3913 E 42nd Street, Odessa, TX 79762 | 2019-07-11 |
1265995716 | Ryan Daniels | Specialist/Technologist | 4901 E University, Gym 111, Odessa, TX 79762 | 2019-04-11 |
1215429592 | Michael Wayne Samp | Respiratory Therapist, Registered | 2807 Windsor Dr, Odessa, TX 79762 | 2018-06-03 |
1972003663 | Kristi Young | Registered Nurse | 3800 E. 42nd St., Suite 203 Attn: Pediatric Dept, Odessa, TX 79762 | 2018-02-19 |
1427508902 | Whitney Diakur | Optometrist | 5011 E. 42nd St, Odessa, TX 79762 | 2016-10-10 |
1295184927 | Farqad Kamal Abuoudeh | Dentist | 6109 Tx-191 Frontage, Odessa, TX 79762 | 2016-06-03 |
1457714180 | Daniel & Max, LLC | Optometrist | 5011 E. 42nd Street, Odessa, TX 79762 | 2016-03-31 |
1407225774 | Neri Campos-gardea | Massage Therapist | 3952 E 42d, Odessa, TX 79762 | 2015-09-17 |
1508255886 | Permian Er IIi | Clinic/Center | 6131 East Highway 191, Odessa, TX 79762 | 2015-01-09 |
1548675861 | Tina Desai | Dentist | 6109 Texas 191, Odessa, TX 79762 | 2014-06-25 |
Find all providers in zip 79762 |
Taxonomy Code | 225100000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
(1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) 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 |
---|---|---|---|---|
1750844486 | Francis Espinola | Physical Therapist | 2711 N Grandview Ave, Odessa, TX 79762-6952 | 2019-04-10 |
1184189938 | Lindsey Coulter | Physical Therapist | 6130 E. 56th St, Odessa, TX 79762-1752 | 2019-02-06 |
1588163596 | Recover Home Therapy Inc | Physical Therapist | 2904 San Saba Ct, Odessa, TX 79765-5001 | 2018-02-05 |
1801309232 | Melissa Kuhling Masone | Physical Therapist | 8111 Lutz Lake Fern Rd, Odessa, FL 33556-4113 | 2017-11-07 |
1164807467 | Ryan Carpenter | Physical Therapist | 502 E Amende Dr, Odessa, WA 99159-7003 | 2015-07-28 |
1427481662 | William C. Paranto Jr. | Physical Therapist | 16312 Muirfield Dr, Odessa, FL 33556-5423 | 2013-08-12 |
1740533603 | Robert Churchill | Physical Therapist | 1120 Rolling Stone Run, Odessa, FL 33556-6033 | 2012-10-17 |
1437426319 | Asusena Guzman | Physical Therapist | 8050 Dr Emmt Headlee St, Odessa, TX 79765-8016 | 2011-11-21 |
1750522108 | Alfonso S Garcia | Physical Therapist | 4555 E University Blvd Ste C7, Odessa, TX 79762-8137 | 2009-03-16 |
1982843454 | Phytex Rehabilitation, LLC | Physical Therapist | 1365 W University Blvd, Odessa, TX 79764-7121 | 2009-02-06 |
Find all providers in ODESSA |
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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.