MICHELLE THERESA MEDINA (NPI# 1205959780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205959780 |
| Entity Type | Individual |
| Full Name | MICHELLE THERESA MEDINA |
| Credential | PTA |
| Practice Address |
Gracedale Ave Nazareth PA 18064 |
| Mailing Address |
2413 Forest St Frnt Easton PA 18042-5367 |
| Practice Telephone | 6107461909 |
| Mailing Telephone | 6107517558 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | TE001495 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255821708 | Michelle Medina | Assistant Behavior Analyst | 660 W 56th St, Hialeah, FL 33012-6501 | 2018-05-10 |
| 1376142679 | Michelle M Medina | Case Manager/Care Coordinator | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2020-10-19 |
| 1285243139 | Michelle Kay Medina | Social Worker | 412 S Palmetto Ave, Daytona Beach, FL 32114-4922 | 2020-07-27 |
| 1922627660 | Michelle Marie Medina | Social Worker | 1500 S Mcdonnell Ave, Commerce, CA 90040-5623 | 2020-04-13 |
| 1023588126 | Michelle Lynn Medina | Student in an Organized Health Care Education/Training Program | 38400 Bob Wilson Dr, San Diego, CA 92134-0001 | 2018-11-30 |
| 1962979898 | Michelle Natalie Medina | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2018-10-29 |
| 1154837557 | Michelle Medina | Acupuncturist | 729 El Cerrito Plz, El Cerrito, CA 94530-4022 | 2017-12-20 |
| 1659800423 | Michelle Medina | Counselor | 2 Coulter Rd, Clifton Springs, NY 14432-1122 | 2017-06-06 |
| 1699227165 | Michelle Medina | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2016-10-31 |
| 1790175107 | Michelle Marie Medina | Chiropractor | 272 Calle Marginal, Suite 2, Hatillo, PR 00659-2421 | 2015-01-23 |
| Street Address |
GRACEDALE AVE |
| City | NAZARETH |
| State | PA |
| Zip Code | 18064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588668214 | County of Northampton | Skilled Nursing Facility | Gracedale Ave, Nazareth, PA 18064-9213 | 2005-06-10 |
| 1316167810 | Joan Webb | Occupational Therapy Assistant | Gracedale Ave, Gracedale Nursing Home, Nazareth, PA 18064 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700373362 | Eric Scott Klein | Social Worker | 299 Industrial Drive, Nazareth, PA 18064 | 2018-04-19 |
| 1649798067 | Keith Anthony Vanic | Specialist/Technologist | 5992 Kesslersville Road, Nazareth, PA 18064 | 2017-09-06 |
| 1609289206 | Timothy Hicks | Pharmacist | 2155 Oak Rd., Nazareth, PA 18064 | 2014-06-11 |
| 1427200443 | Lois Ann Steward | Occupational Therapist | 5695 Sullivan Trail, Nazareth, PA 18064 | 2008-10-22 |
| 1013137686 | Nadene Serano | Physical Therapy Assistant | Gracedale Nursing, Gracedale Avenue, Nazareth, PA 18064 | 2007-04-26 |
| 1780701896 | Loreley D Stewart | Physical Therapy Assistant | Gracedale Nursing Home, Gracedale Ave, Nazareth, PA 18064 | 2007-03-23 |
| 1548387780 | Shyla Ananda Bhat | Physical Therapy Assistant | Gracedale, Gracedale Ave, Nazareth, PA 18064 | 2007-03-23 |
| 1992820005 | Novie Sol Soluta | Physical Therapist | Gracedale Ave., Gracedale Northampton County Nursing Home, Nazareth, PA 18064 | 2007-03-20 |
| 1336272582 | Danielle Nichole Berg | Occupational Therapist | 2 Gracedale Ave, Gracedale Skilled Nursing Facility, Nazareth, PA 18064 | 2007-03-14 |
| 1083784532 | Barry Merchant | Chiropractor | 106 South Main Street, Nazareth, PA 18064 | 2006-11-09 |
| Find all providers in zip 18064 | ||||
| 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 |
|---|---|---|---|---|
| 1013137686 | Nadene Serano | Physical Therapy Assistant | Gracedale Nursing, Gracedale Avenue, Nazareth, PA 18064 | 2007-04-26 |
| 1780701896 | Loreley D Stewart | Physical Therapy Assistant | Gracedale Nursing Home, Gracedale Ave, Nazareth, PA 18064 | 2007-03-23 |
| 1548387780 | Shyla Ananda Bhat | Physical Therapy Assistant | Gracedale, Gracedale Ave, Nazareth, PA 18064 | 2007-03-23 |
| 1982165841 | Eric Heck | Physical Therapy Assistant | 2 Gracedale Ave, Nazareth, PA 18064-8785 | 2019-03-25 |
| 1841750684 | John Charles Hoysan | Physical Therapy Assistant | 2 Gracedale Ave, Nazareth, PA 18064-8785 | 2019-03-20 |
| 1154880300 | Alison Rapine Parker | Physical Therapy Assistant | 2 Gracedale Ave, Nazareth, PA 18064-8785 | 2019-03-18 |
| 1487113502 | Thaddeus Dziedzic | Physical Therapy Assistant | 2 Gracedale Ave, Nazareth, PA 18064-8785 | 2019-03-18 |
| 1932668522 | Kenneth Rossi Jr. | Physical Therapy Assistant | 2 Gracedale Ave, Nazareth, PA 18064-8785 | 2019-03-14 |
| 1336619170 | Ariane Hilborn | Physical Therapy Assistant | 2 Gracedale Ave, Nazareth, PA 18064-8785 | 2018-12-04 |
| 1447767660 | Nora Louiz Peischl | Physical Therapy Assistant | 2 Gracedale Ave, Nazareth, PA 18064-8785 | 2018-01-09 |
| Find all providers in NAZARETH | ||||
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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.