ILA CARRASCO (NPI# 1164903191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164903191 |
| Entity Type | Individual |
| Full Name | ILA CARRASCO |
| Practice Address |
5001 Office Park Odessa TX 79762-4843 |
| Mailing Address |
3412 Seguin Odessa TX 79765-8967 |
| Practice Telephone | 4323621800 |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225200000X | Physical Therapy Assistant | 2048317 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225200000X | Physical Therapy Assistant | 2048371 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5001 OFFICE PARK |
| City | ODESSA |
| State | TX |
| Zip Code | 79762-4843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104269448 | Uptown Fs, LLC | Skilled Nursing Facility | 5001 Office Park, Odessa, TX 79762 | 2013-04-16 |
| 1851939516 | Brandy Devonne Castillo | Physical Therapy Assistant | 5001 Office Park, Odessa, TX 79762-4843 | 2019-12-12 |
| 1417423807 | Aaron Nevarez | Physical Therapy Assistant | 5001 Office Park, Odessa, TX 79762-4843 | 2018-10-23 |
| 1184108508 | Elena Quintero | Physical Therapy Assistant | 5001 Office Park, Odessa, TX 79762-4843 | 2018-09-21 |
| 1548743818 | Jennifer Morrison | Occupational Therapist | 5001 Office Park, Odessa, TX 79762-4843 | 2018-09-12 |
| 1619459211 | Elizabeth Rodriquez | Physical Therapy Assistant | 5001 Office Park, Odessa, TX 79762-4843 | 2018-08-30 |
| 1588145478 | Memoucheka Pierre | Occupational Therapy Assistant | 5001 Office Park, Odessa, TX 79762-4843 | 2018-08-28 |
| 1174004055 | Sheila L Wiedeman | Physical Therapy Assistant | 5001 Office Park, Odessa, TX 79762-4843 | 2018-08-28 |
| 1982185815 | Desiree Yvonne Vander Meulen | Occupational Therapy Assistant | 5001 Office Park, Odessa, TX 79762-4843 | 2018-08-28 |
| 1912488917 | Chad Brady | Speech-Language Pathologist | 5001 Office Park, Odessa, TX 79762-4843 | 2018-08-27 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1245838572 | Ashlee Lynn Bonner | Physical Therapy Assistant | 16601 S Quail Rd, Odessa, TX 79766-1368 | 2020-10-09 |
| 1710593520 | Bobby Don Wilkerson | Physical Therapy Assistant | 2760 N Grandview Ave Ste A, Odessa, TX 79762-6953 | 2020-09-17 |
| 1679136097 | Nadeen Ezell | Physical Therapy Assistant | 15103 Virginia Sta Apt 217, Odessa, FL 33556-3579 | 2019-04-22 |
| 1013311372 | Brittany Vaughan | Physical Therapy Assistant | 1129 Avenida De Mexico, Odessa, TX 79761-7169 | 2014-10-15 |
| 1528346020 | Stephanie Gonzalez | Physical Therapy Assistant | 1444 Inwood Dr, Odessa, TX 79761-3414 | 2011-08-01 |
| 1437398757 | Kenneth M Snodgrass | Physical Therapy Assistant | 8631 Gunn Hwy, Odessa, FL 33556-3209 | 2009-02-10 |
| 1295958924 | Christina Ruth Solley | Physical Therapy Assistant | 818 Maple Ave, Odessa, TX 79761-2808 | 2007-04-11 |
| 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 |
| 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.