DUSTIN C MOORE (NPI# 1265717912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265717912 |
| Entity Type | Individual |
| Full Name | DUSTIN C MOORE |
| Credential | PTA |
| Practice Address |
404 Nw Hall of Fame Dr Lake City FL 32055-4833 |
| Practice Telephone | 3867553164 |
| Practice Fax Number | 3867553165 |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2011-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 21966 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811533102 | Dustin Moore | Peer Specialist | 125 S Main Cross St, Louisa, KY 41230-1065 | 2019-11-21 |
| 1639674823 | Dustin Moore | Counselor | 511 E 20th St, Farmington, NM 87401-2105 | 2018-03-28 |
| 1417325275 | Dustin Moore | Physical Therapist | 12500 South Fwy, Suite 201, Burleson, TX 76028-7130 | 2015-09-10 |
| 1942593272 | Dustin Graham Moore | Orthopaedic Surgery | 13830 Sawyer Ranch Rd Ste 302, Dripping Springs, TX 78620-5514 | 2011-05-19 |
| Street Address |
404 NW HALL OF FAME DR |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32055-4833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194713727 | Pamela Nichols Robinson | Nurse Anesthetist, Certified Registered | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 | 2005-10-07 |
| 1902466881 | Samantha Andersen Smythe | Nurse Practitioner | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 | 2019-06-13 |
| 1063975175 | Cardiovascular Center of America | Surgery | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 | 2019-04-08 |
| 1851808224 | Cassie Ebert | Internal Medicine | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 | 2018-01-06 |
| 1053851451 | Elaina Williamson | Nurse Practitioner | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 | 2017-03-03 |
| 1457899577 | Jordan Cunningham | Nurse Practitioner | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 | 2017-02-09 |
| 1013303254 | Therapycare Home Health LLC | Home Health | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 | 2015-04-14 |
| 1437553161 | Bryce Catarelli | Nurse Practitioner | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 | 2014-10-09 |
| 1477982882 | Brandon Johnson | Physical Therapy Assistant | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 | 2013-11-06 |
| 1568890663 | Brian Sganga | Physical Therapy Assistant | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 | 2013-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114439510 | Melissa Fay Peters | Nurse Practitioner | 5085 West Us Highway 90, Lake City, FL 32055 | 2017-10-26 |
| 1851801765 | Stephanie Jo Nogle | Occupational Therapist | Brooks Americare: 4251 Nw American Ln, #103, Lake City, FL 32055 | 2017-10-05 |
| 1831617273 | Erica Mayo | Pharmacist | 4846 Nw Lake Jeffery Rd., Lake City, FL 32055 | 2017-09-06 |
| 1144759333 | Jerry Hamilton Cheesman | Dentist | 217 Ne Franklin Sreet, Lake City, FL 32055 | 2017-06-09 |
| 1487183745 | Joshua Allore | Dentist | 2970 W Us Highway 90., Lake City, FL 32055 | 2017-06-08 |
| 1497298418 | Careing Hands | Preferred Provider Organization | 1471nw Queen Rd, Lakecity, FL 32055 | 2016-11-22 |
| 1881148278 | Corniqueca Stewart-simmons | Nurse Practitioner | 340 Nw Commerce Drive, Lake City, FL 32055 | 2016-08-15 |
| 1164809141 | Latasha Harten-jones | Licensed Practical Nurse | 443 Ne Sims Dr, Lake City, FL 32055 | 2015-04-29 |
| 1154716447 | Lindsey Morton | Counselor | 219 Se Baya Avenue, Lake City, FL 32055 | 2015-04-02 |
| 1124439351 | Tynette Jordan | Counselor | 708 N.w Wilson St., Lake City, FL 32055 | 2014-05-09 |
| Find all providers in zip 32055 | ||||
| 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 |
|---|---|---|---|---|
| 1437717683 | Kendra Dowd | Physical Therapy Assistant | 801 N Morey Rd, Lake City, MI 49651-9323 | 2019-06-03 |
| 1538637541 | Taylor N Ostendorf | Physical Therapy Assistant | 984 Se Rossi Dr, Lake City, FL 32025-3202 | 2018-11-07 |
| 1205302395 | Domonique L Hardman | Physical Therapy Assistant | 2076 Sw Fallon Ln, Lake City, FL 32025-1314 | 2018-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1225434566 | Todd Green | Physical Therapy Assistant | 493 Sw Mill Ln, Lake City, FL 32024-0432 | 2014-11-14 |
| 1396016101 | Joan B Allen | Physical Therapy Assistant | 197 Segolf Club Avenue, Lake City, FL 32025 | 2012-01-25 |
| 1760633689 | Cynthia Suzanne Davis | Physical Therapy Assistant | 146 Sw Orthopaedic Ct, Lake City, FL 32024-0671 | 2008-10-09 |
| 1508014630 | Stephen Lewis O'steen | Physical Therapy Assistant | 146 Sw Orthopaedic Court, Lake City, FL 32024 | 2008-09-03 |
| 1760655682 | Oswaldo Rodriguez | Physical Therapy Assistant | 1229sw. Yorktown Glen, Lake City, FL 32025-0481 | 2008-04-11 |
| 1699891655 | Dwight T. Sweat | Physical Therapy Assistant | 1394 Nw Labonte Ln, Lake City, FL 32055-2578 | 2007-03-21 |
| Find all providers in LAKE CITY | ||||
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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.