SELF (NPI# 1215333901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215333901 |
| Entity Type | Organization |
| Organization Name | SELF |
| Practice Address |
410 Jason Dr Richmond KY 40475-2291 |
| Practice Telephone | 2707752790 |
| Mailing Telephone | 2707752790 |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2014-11-07 |
| Authorized Official Name | MS. JESSICA RENEE BICKWERMERT (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 2707752790 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 006497 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508319666 | Self | Community/Behavioral Health | 117 Valley St, Glenwood, IA 51534-1024 | 2016-07-25 |
| 1568814390 | Self | Clinic/Center | 19 Merrick Ave Apt 1, Springfield, MA 01109-4324 | 2016-07-05 |
| 1740655471 | Self | Clinic/Center | 7627 Key West Dr, Parma, OH 44134-6624 | 2015-12-07 |
| 1659789915 | Self | Home Health | 33803 Electric Blvd, E4, Avonlake, OH 44012 | 2014-07-30 |
| 1811334758 | Self | Skilled Nursing Facility | 4 Spruce Rd, Amityville, NY 11701-1019 | 2013-06-02 |
| 1699019786 | Self | Health Maintenance Organization | 10136 Amigo Ave, Northridge, CA 91324-1301 | 2012-11-15 |
| 1861781759 | Self | Licensed Practical Nurse | 29 Heberton Rd, Rochester, NY 14622-2405 | 2011-03-31 |
| 1649599135 | Self | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1965 Lafayette Ave, Apt. 1g, Bronx, NY 10473-2502 | 2010-05-23 |
| 1912372822 | Self | Community/Behavioral Health | 5010 E Shea Blvd Ste D202, Scottsdale, AZ 85254-4570 | 2015-12-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SELF | 214 Ceret Ct Sw, Vienna, VA 22180-6210 |
| Colorado Business Entities | Self !mprovment, LLC | 3416 White Oak Ln, Highlands Ranch, CO 80129 |
| System for Award Management (SAM) Entities | SELF & SELF GENERAL CONTRACTORS | 494 Grv St N, Dahlonega, GA 30533-0432 |
| System for Award Management (SAM) Entities | SELF --- SUPPORT FOR EARLY LEARNING & FAMILIES | 12214 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684-6019 |
| Washington State Corporations | SELF ACCESS STORAGE, LLC | 102 Myers St, Rainier, WA 98576 |
| Colorado Business Entities | Self Aerial Spraying, LLC | 762 W. 5th Ave., Springfield, CO 81073 |
| Oregon Corporations, Companies and Business Names | SELF ALIGNMENT YOGA LLC | 9554 N Buchanan Ave, Portland, OR 97203 |
| Colorado Business Entities | Self and Associates, LLC | 0705 Nogal Rd, Unit A9, Eagle, CO 81631 |
| Oregon Corporations, Companies and Business Names | SELF AND SOUL CENTER | 9820 Wagner Crk Rd, Talent, OR 97540 |
| Colorado Business Entities | Self Asset Management LLC | 9770 W Frost Pl, Littleton, CO 80128 |
| Street Address |
410 JASON DR |
| City | RICHMOND |
| State | KY |
| Zip Code | 40475-2291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611300 | Christina Panter | Social Worker | 370 Highland Drive, Ste 1a, Richmond, KY 40475 | 2020-08-26 |
| 1952875387 | Visionary Therapy Center, LLC | Speech-Language Pathologist | 100 Ky Hwy 15 South, Suite 136, Jackson, KY 40475 | 2019-01-18 |
| 1639656911 | Brian Kettler | Physical Therapy Assistant | 2025 Corporate Dr Ste 2, Richmond, KY 40475 | 2018-07-19 |
| 1376063198 | Erin Danielle Burt | Developmental Therapist | 100 Eastern Hills Drive, Richmond, KY 40475 | 2017-06-22 |
| 1477088730 | Paul Henley Jr. | Student in an Organized Health Care Education/Training Program | 157 Shelby Court, Richmond, KY 40475 | 2017-04-25 |
| 1700310455 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1018 Ival Jame Bvld, Suite C, Richmond, KY 40475 | 2017-04-19 |
| 1790221000 | Darisha Jenkins | Counselor | 435 Gibson Lane, Richmond, KY 40475 | 2017-01-10 |
| 1992259402 | Kendra Gross | Counselor | 451 Big Hill Ave Ste 5, Richmond, KY 40475 | 2016-08-12 |
| 1386095032 | Shantila Nicole Wolford | Case Manager/Care Coordinator | 411 Gibson Lane, Richmond, KY 40475 | 2016-06-23 |
| 1154776540 | Jessica Conley | Social Worker | 105 Masters Court, Richmond, KY 40475 | 2016-05-04 |
| Find all providers in zip 40475 | ||||
| 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 |
|---|---|---|---|---|
| 1003422965 | Chandler Hagan Mcpherson | Physical Therapist | 1400 Gibson Bay Dr, Richmond, KY 40475-3800 | 2020-09-16 |
| 1518589902 | Pelvic Prana, LLC | Physical Therapist | 8 N Robinson St, Richmond, VA 23220-4430 | 2020-05-08 |
| 1407480882 | Stephen V Teng | Physical Therapist | 1500 Jackson St Ste 400, Richmond, TX 77469-3250 | 2020-02-25 |
| 1548804958 | Industrial Health, LLC | Physical Therapist | 9019 W Broad St, Richmond, VA 23294-5809 | 2019-10-30 |
| 1508426164 | Matthew Tyler Ward | Physical Therapist | 5899 Bremo Rd Ste 100b, Richmond, VA 23226-1935 | 2019-06-17 |
| 1255998837 | Kavitha Parasumanna Janarthanaa | Physical Therapist | 16806 Lessels Ln, Richmond, TX 77407-2258 | 2019-05-20 |
| 1467018101 | Chelsea Mannion | Physical Therapist | 20 S Boulevard Apt 4, Richmond, VA 23220-5797 | 2019-05-17 |
| 1578020111 | Aloysius Cabatingan | Physical Therapist | 22607 Duncan Brush Trce, Richmond, TX 77469-4766 | 2019-03-01 |
| 1952867509 | Confident Living Home Therapy Consulting LLC | Physical Therapist | 1276 Concord Ave, Richmond, VA 23228-6518 | 2019-02-19 |
| 1962968115 | Daily Touch LLC | Physical Therapist | 8900 Three Chopt Rd Ste D, Richmond, VA 23229-4615 | 2019-02-13 |
| Find all providers in RICHMOND | ||||
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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.