CHARLES WAYNE ROBERTSON (NPI# 1174772495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174772495 |
| Entity Type | Individual |
| Full Name | CHARLES WAYNE ROBERTSON |
| Credential | PTA |
| Practice Address |
2725 N Westwood Blvd Poplar Bluff MO 63901-2346 |
| Practice Telephone | 5737789348 |
| Practice Fax Number | 5737783463 |
| Mailing Telephone | 5737789348 |
| Mailing Fax Number | 5737783463 |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2008-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 2000161109 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467534479 | Charles Donald Robertson II | Chiropractor | 2258 Sutton Ln, Sutton, WV 26601-9717 | 2006-10-19 |
| 1144756099 | Charles Leonard Robertson Jr. | Dentist | 1690 S Ohio St, Martinsville, IN 46151-3317 | 2017-05-11 |
| 1477977056 | Charles Robertson | Occupational Therapist | 382 S Main St, Cheshire, CT 06410-3115 | 2014-02-18 |
| 1558797084 | Charles E Robertson II | Pharmacist | 5950 State Bridge Rd, Duluth, GA 30097-6438 | 2013-09-16 |
| 1982729679 | Charles Henry Robertson | Internal Medicine | 4299 San Felipe St, Suite 300, Houston, TX 77027-2921 | 2007-03-20 |
| 1508901380 | Charles A Robertson IIi | Dentist | 4822 Holly Rd, Suite C, Corpus Christi, TX 78411-4734 | 2007-02-20 |
| 1003966458 | Charles Craig Robertson | Technician, Other | 2250 Robins Dr, Layton, UT 84041-1140 | 2007-01-10 |
| 1841355054 | Charles Robertson | Optometrist | 26 City Hall Mall, Medford, MA 02155-4754 | 2006-12-27 |
| 1003998303 | Charles M Robertson | Anesthesiology | 2500 N State St, Jackson, MS 39216-4500 | 2006-10-19 |
| 1619073103 | Charles R Robertson | Pediatrics | 1573 Medical Park Cir, Tupelo, MS 38801-6580 | 2006-09-15 |
| Street Address |
2725 N WESTWOOD BLVD |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901-2346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770555674 | Cardio Pulmonary Rehab | Dietitian, Registered | 2725 N Westwood Blvd, Poplar Bluff, MO 63901 | 2006-02-03 |
| 1588199442 | Shanna Vanderburg | Registered Nurse | 2725 N Westwood Blvd, Poplar Bluff, MO 63901-2346 | 2017-04-27 |
| 1255866208 | Jamie Deken | Registered Nurse | 2725 N Westwood Blvd, Ste 16, Poplar Bluff, MO 63901-2346 | 2017-04-27 |
| 1790193506 | Living Better Behavioral Health, LLC | Community/Behavioral Health | 2725 N Westwood Blvd, Suite 8, Poplar Bluff, MO 63901-2346 | 2014-07-24 |
| 1326466590 | Chelsea Hoggard | Physical Medicine & Rehabilitation | 2725 N Westwood Blvd, Poplar Bluff, MO 63901-2346 | 2014-04-03 |
| 1427341510 | Solid Rock Christian Counseling, Inc | Social Worker | 2725 N Westwood Blvd, Suite 5a, Poplar Bluff, MO 63901-2346 | 2011-05-23 |
| 1982997599 | Darrell Dewayne Robertson | Social Worker | 2725 N Westwood Blvd, Ste.5a, Poplar Bluff, MO 63901-2346 | 2011-05-16 |
| 1114177607 | Zuleika Danielle Matlock | Physical Therapy Assistant | 2725 N Westwood Blvd, Poplar Bluff, MO 63901-2346 | 2008-09-22 |
| 1831348150 | Leigh Ann Johnson | Physical Therapy Assistant | 2725 N Westwood Blvd, Poplar Bluff, MO 63901-2346 | 2008-09-10 |
| 1790934016 | Stefanie Janell Tinsley | Physical Therapy Assistant | 2725 N Westwood Blvd, Poplar Bluff, MO 63901-2346 | 2008-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
| 1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
| 1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| Find all providers in zip 63901 | ||||
| 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 |
|---|---|---|---|---|
| 1215313697 | Jessica Rhodes | Physical Therapy Assistant | 2036 Iron Bridge Rd, Poplar Bluff, MO 63901-3066 | 2015-08-07 |
| 1013142892 | Midwest Therapy Services | Physical Therapy Assistant | 2725 N Westwood Blvd Ste 17, Poplar Bluff, MO 63901-2367 | 2009-05-21 |
| 1114177607 | Zuleika Danielle Matlock | Physical Therapy Assistant | 2725 N Westwood Blvd, Poplar Bluff, MO 63901-2346 | 2008-09-22 |
| 1831348150 | Leigh Ann Johnson | Physical Therapy Assistant | 2725 N Westwood Blvd, Poplar Bluff, MO 63901-2346 | 2008-09-10 |
| 1790934016 | Stefanie Janell Tinsley | Physical Therapy Assistant | 2725 N Westwood Blvd, Poplar Bluff, MO 63901-2346 | 2008-09-10 |
| 1548419864 | Stacy Jo Campbell | Physical Therapy Assistant | 2725 N Westwood Blvd, Poplar Bluff, MO 63901-2346 | 2008-09-10 |
| 1255580577 | Angela L. Gregory | Physical Therapy Assistant | 2350 Kanell Blvd, Poplar Bluff, MO 63901-4036 | 2008-09-10 |
| 1437234150 | John Michael Gariepy | Physical Therapy Assistant | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134264 | Stephanie Suzanne Worth | Physical Therapy Assistant | 135 Meyers Lake Ct, Benton, MO 63736-9201 | 2020-11-05 |
| 1235738485 | Christina Flanagan | Physical Therapy Assistant | 1045 Roseridge Cir, Jefferson City, MO 65101-3639 | 2020-10-20 |
| 1619587441 | Caitlyn Chapman | Physical Therapy Assistant | 1739 Elm Ct # 4303, Jefferson City, MO 65101-4303 | 2020-08-06 |
| 1962012286 | Angel Michelle Stoner | Physical Therapy Assistant | 2126 Broadway St, Cape Girardeau, MO 63701-4411 | 2020-08-01 |
| 1619597697 | Ashley Danielle Berry | Physical Therapy Assistant | 8660 Grant Rd, Saint Louis, MO 63123-1044 | 2020-04-20 |
| 1841819356 | Emily Conover | Physical Therapy Assistant | 3342 S Valley View Dr, Springfield, MO 65807-8504 | 2020-04-14 |
| 1689201105 | Bryan Hathcock | Physical Therapy Assistant | 100 Medical Dr., Alton, MO 65606 | 2020-03-25 |
| 1992330559 | Sara Doty | Physical Therapy Assistant | 1701 Independence Dr, Jefferson City, MO 65109-5641 | 2020-03-04 |
| 1841821634 | Regina Kloepple | Physical Therapy Assistant | 9838 Grantview Forest Dr, Saint Louis, MO 63123-3954 | 2020-01-30 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| Find all providers with the same taxonomy | ||||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
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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.