MR. MARK DAVID PICOU (NPI# 1255385209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255385209 |
| Entity Type | Individual |
| Full Name | MR. MARK DAVID PICOU |
| Credential | PT |
| Practice Address |
3909 Ne Stallings Dr Nacogdoches TX 75965 |
| Mailing Address |
3909 Ne Stallings Dr Nacogdoches TX 75965-2169 |
| Practice Telephone | 9365647780 |
| Practice Fax Number | 9365640745 |
| Mailing Telephone | 9365647780 |
| Mailing Fax Number | 9365640745 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2011-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 1071991 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 021252401 | 05 | |
| TX | TX BOARD OF PT EXAMINERS | 1071991 | 01 |
| Street Address |
3909 NE STALLINGS DR |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346294394 | Max Hamilton Mitchell | Physical Therapist | 3909 Ne Stallings Dr, Nacogdoches, TX 75965 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649839135 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3824 N University Drive, Suite 103, Nacogdoches, TX 75965 | 2019-06-10 |
| 1518520493 | Billy Jobe | Pharmacist | 917 East Austin, Nacogdoches, TX 75965 | 2019-04-17 |
| 1295217610 | Sarah Ponder | Registered Nurse | 625 Woodway Lane, Nacogdoches, TX 75965 | 2018-09-01 |
| 1083107684 | Aakash Deep Gupta | Dentist | 4610 North St Ste 101b, Nacogdoches, TX 75965 | 2018-06-08 |
| 1679097455 | Emily Morris Taravella | Counselor | 3524 Ne Stallings Drive, Nacogdoches, TX 75965 | 2017-08-02 |
| 1457809949 | Kassey Osborn | Nurse Practitioner | 4920 Ne Stallings Dr., Nacogdoches Medical Center, Nacogdoches, TX 75965 | 2016-09-14 |
| 1629426747 | Lisa Greathouse | Technician, Other | 500 Chincapin, Westville, OK 75965 | 2016-05-31 |
| 1457741704 | Nuch of Texas | Pediatrics | 1305 North Street, Nacogdoches, TX 75965 | 2015-01-26 |
| 1730506031 | Benjamin Patrick Thompson | Obstetrics & Gynecology | 4800 Ne Stallings Dr Ste 106, Nacogdoches, TX 75965 | 2014-03-25 |
| 1255761813 | Kallie Krawietz | Counselor | 2214 N Pecan Street, Nacogdoches, TX 75965 | 2013-11-19 |
| Find all providers in zip 75965 | ||||
| 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 |
|---|---|---|---|---|
| 1679985899 | Renato Agcanas Maulion Jr. | Physical Therapist | 4920 Ne Stallings Dr Ste 201, Nacogdoches, TX 75965-1254 | 2014-05-22 |
| 1508102781 | Vanessa Anne Caron | Physical Therapist | 627 County Road 200, Nacogdoches, TX 75965-6807 | 2012-12-17 |
| 1205020047 | Jeffrey C Cuevas | Physical Therapist | 838 N University, Suite 100, Nacogdoches, TX 75961-4898 | 2007-09-05 |
| 1952477952 | James Steven Proctor | Physical Therapist | 721 Scarlet Oak St, Nacogdoches, TX 75964-7140 | 2006-11-28 |
| 1295756997 | Maria Bella Rita G Cuevas | Physical Therapist | 3205 N University Dr Ste M, Nacogdoches, TX 75965-2683 | 2006-07-21 |
| 1346294394 | Max Hamilton Mitchell | Physical Therapist | 3909 Ne Stallings Dr, Nacogdoches, TX 75965 | 2006-05-22 |
| 1104898998 | Shannon Marie Lutz | Physical Therapist | 3704 Raguet St, Nacogdoches, TX 75965-2510 | 2006-02-06 |
| 1124007547 | Marcy Franks Davis | Physical Therapist | 4632 Ne Stallings Dr, Nacogdoches, TX 75965-1608 | 2006-01-13 |
| 1174005805 | Janice Lynn Waggoner | Physical Therapist | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2018-08-29 |
| 1689155210 | Laurie Ann Cartwright | Physical Therapist | 4616 Ne Stallings Dr, Nacogdoches, TX 75965-1608 | 2018-08-22 |
| Find all providers in NACOGDOCHES | ||||
| City | NACOGDOCHES |
| Zip Code | 75965 |
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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.