AUTUMN CORTIVO (NPI# 1215047188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215047188 |
| Entity Type | Individual |
| Full Name | AUTUMN CORTIVO |
| Practice Address |
1001 S Kirkwood Rd Ste 140 Saint Louis MO 63122-7250 |
| Mailing Address |
936 Smithshire Ave Ferguson MO 63135-1767 |
| Practice Telephone | 3148215300 |
| Mailing Telephone | 3145244504 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | LICENSE # | 116682 | 01 |
| Street Address |
1001 S KIRKWOOD RD STE 140 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63122-7250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629185137 | Carl Brandow | Physical Therapist | 1001 S Kirkwood Rd Ste 140, Saint Louis, MO 63122-7250 | 2006-08-23 |
| 1669902920 | Kathleen Kujawa | Physical Therapist | 1001 S Kirkwood Rd Ste 140, Saint Louis, MO 63122-7250 | 2017-06-19 |
| 1497979850 | Angela Burgess | Physical Therapist | 1001 S Kirkwood Rd Ste 140, Saint Louis, MO 63122-7250 | 2007-04-13 |
| 1902916836 | Christine Mcgauley | Physical Therapist | 1001 S Kirkwood Rd Ste 140, Saint Louis, MO 63122-7250 | 2006-08-30 |
| 1912017633 | Kathleen Moulder | Physical Therapist | 1001 S Kirkwood Rd Ste 140, Saint Louis, MO 63122-7250 | 2006-08-30 |
| 1760592570 | Susan Polson | Physical Therapist | 1001 S Kirkwood Rd Ste 140, Saint Louis, MO 63122-7250 | 2006-08-30 |
| 1093823478 | Peggy Heisel | Physical Therapist | 1001 S Kirkwood Rd Ste 140, Saint Louis, MO 63122-7250 | 2006-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933174 | Keela Rushing | Physical Therapist | 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 | 2019-07-04 |
| 1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
| 1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
| 1760933469 | Missouri Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 10820 Manchester Rd, Kirkwood, MO 63122 | 2016-10-18 |
| 1518321041 | M. Kathleen Blanchard | Counselor | 11042 Manchester Rd., Kirkwood, MO 63122 | 2016-04-11 |
| 1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
| 1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
| 1467843094 | Mary Elizabeth Boomgarden | Physical Therapist | 9645 Big Bend Boulevard, Saint Louis, MO 63122 | 2015-02-18 |
| 1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
| 1427309954 | Anne Marie Delaplain | Dentist | 725 Laclede Station Road, Webster Groves, MO 63122 | 2012-09-24 |
| Find all providers in zip 63122 | ||||
| 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 |
|---|---|---|---|---|
| 1619597697 | Ashley Danielle Berry | Physical Therapy Assistant | 8660 Grant Rd, Saint Louis, MO 63123-1044 | 2020-04-20 |
| 1841821634 | Regina Kloepple | Physical Therapy Assistant | 9838 Grantview Forest Dr, Saint Louis, MO 63123-3954 | 2020-01-30 |
| 1679115109 | Tyler I Edgerton | Physical Therapy Assistant | 2836 Watson Rd, Saint Louis, MO 63139-2621 | 2019-10-16 |
| 1447817192 | Theresa Cannes Miller | Physical Therapy Assistant | 4444 Forest Park Ave Ste 120, Saint Louis, MO 63108-2212 | 2019-05-28 |
| 1144883893 | Tylians T Smith | Physical Therapy Assistant | 12544 Fee Fee Rd, Saint Louis, MO 63146 | 2019-04-18 |
| 1588122295 | Brianne Stemmler | Physical Therapy Assistant | 6017 S Kingshighway Blvd, Saint Louis, MO 63109-3559 | 2019-03-12 |
| 1023581162 | Lisa Beno | Physical Therapy Assistant | 3809 Lemay Ferry Rd, Saint Louis, MO 63125-4535 | 2019-01-10 |
| 1619445673 | Heather Renee Rapp | Physical Therapy Assistant | 1996 Bellevue Ave, Saint Louis, MO 63143-1309 | 2018-11-07 |
| 1730654799 | Leanne Marie Sellman | Physical Therapy Assistant | 11960 Westline Industrial Dr # 210, Saint Louis, MO 63146-3228 | 2018-10-05 |
| 1669967022 | Jacqueline Denise Lay | Physical Therapy Assistant | 400 Washington Ave Unit 514, Saint Louis, MO 63102-2149 | 2018-06-28 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63122 |
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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.