IAN BACON (NPI# 1215476890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215476890 |
| Entity Type | Individual |
| Full Name | IAN BACON |
| Practice Address |
4510 27th St Lubbock TX 79410-1709 |
| Practice Telephone | 8067954368 |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 2125070 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4510 27TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083836191 | Lisa Jenkins | Occupational Therapy Assistant | 4510 27th St, Lubbock, TX 79410-1709 | 2007-05-02 |
| 1407480429 | Lubbock Retirement and Rehabilitation Center | Skilled Nursing Facility | 4510 27th St, Lubbock, TX 79410-1709 | 2020-02-28 |
| 1457879124 | Mpd Bender Terrace of Lubbock LLC | Skilled Nursing Facility | 4510 27th St, Lubbock, TX 79410-1709 | 2017-09-01 |
| 1033652961 | Moses Ogutu | Physical Therapist | 4510 27th St, Lubbock, TX 79410-1709 | 2016-11-25 |
| 1306221247 | Mtr Management Group LLC | Skilled Nursing Facility | 4510 27th St, Lubbock, TX 79410-1709 | 2015-07-21 |
| 1649454323 | Elizabeth Sarah Rainbolt | Occupational Therapist | 4510 27th St, Lubbock, TX 79410-1709 | 2007-12-18 |
| 1669668778 | Megan Christy Copeland | Occupational Therapist | 4510 27th St, Bender Terrace, Lubbock, TX 79410-1709 | 2007-09-21 |
| 1851591903 | Robert Holton | Speech-Language Pathologist | 4510 27th St, Lubbock, TX 79410-1709 | 2007-07-18 |
| 1053527069 | Jennifer Jynn Westall | Occupational Therapy Assistant | 4510 27th St, Lubbock, TX 79410-1709 | 2007-05-15 |
| 1790998292 | Albert Martinez | Physical Therapist | 4510 27th St, Lubbock, TX 79410-1709 | 2007-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878267 | Covenant Medical Center | Clinic/Center | 3615 19th, Lifestyle Centre-east Parking Garage, Lubbock, TX 79410 | 2020-07-20 |
| 1669038626 | Hub City Anesthesia | Nurse Anesthetist, Certified Registered | 3416 22nd Street, Lubbock, TX 79410 | 2019-05-15 |
| 1912447418 | Lubbock Surgery Center, LLC | Clinic/Center | 3416 22nd St, Lubbock, TX 79410 | 2017-03-02 |
| 1871032698 | Lezlee Berry | Pharmacist | 3615 19th Street, Lubbock, TX 79410 | 2017-02-13 |
| 1376914101 | Matthew Cotton | Nurse Practitioner | 2424 Quaker Ave, Lubbock, TX 79410 | 2015-10-20 |
| 1841534864 | Frank Nwabugwu | Pharmacist | 4120 34th Street, Lubbock, TX 79410 | 2012-11-15 |
| 1689954794 | Dharmendra Kumar | Pediatrics | Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 | 2011-08-19 |
| 1518277177 | T.r.m. Rao, M.d., P.a. | Colon & Rectal Surgery | 3809 22nd Street, Suite C, Lubbock, TX 79410 | 2010-10-18 |
| 1700196672 | Hanford Consultations P.a. | Family Medicine | 4000 22nd Place Suite 100, Lubbock, TX 79410 | 2010-10-13 |
| 1336452598 | Amanda Collins | Specialist | 4801 34th Street, Lubbock, TX 79410 | 2010-07-16 |
| Find all providers in zip 79410 | ||||
| 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 |
|---|---|---|---|---|
| 1679036685 | Cory Guy | Physical Therapy Assistant | 7414 Elgin Ave Apt 6a, Lubbock, TX 79423-1401 | 2019-04-08 |
| 1184191348 | Myra Sol Todd | Physical Therapy Assistant | 6309 78th St, Lubbock, TX 79424-8706 | 2018-10-25 |
| 1912481458 | Amanda Jonci King | Physical Therapy Assistant | 2519 43rd St, Lubbock, TX 79413-3225 | 2018-09-20 |
| 1093296659 | Kassandra Dawn Bradberry | Physical Therapy Assistant | 7208 Primrose Ave, Lubbock, TX 79424-7723 | 2018-08-22 |
| 1730667825 | Mark Abesamis | Physical Therapy Assistant | 4507 48th St, Lubbock, TX 79414-3603 | 2018-08-01 |
| 1689082356 | Camie Miranda | Physical Therapy Assistant | 4413 82nd St Ste 107, Lubbock, TX 79424-3366 | 2014-07-25 |
| 1831511385 | Justin Masters | Physical Therapy Assistant | 3806 96th St, Lubbock, TX 79423-3920 | 2014-01-16 |
| 1902128986 | Paige Cleveland | Physical Therapy Assistant | 4623 E County Road 5640, Lubbock, TX 79403-6955 | 2010-02-18 |
| 1649425851 | Sue C Craig | Physical Therapy Assistant | 208 Country Club Dr, Lubbock, TX 79403-1010 | 2008-12-02 |
| 1487856969 | Brittany Reagan Dyal | Physical Therapy Assistant | 3223 S Loop 289 Ste 101, Lubbock, TX 79423-8312 | 2007-06-05 |
| Find all providers in LUBBOCK | ||||
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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.