DYNAMIC THERAPY CONCEPTS PLLC (NPI# 1306039334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306039334 |
| Entity Type | Organization |
| Organization Name | DYNAMIC THERAPY CONCEPTS PLLC |
| Practice Address |
245 Jennifer Lynn Dr Paducah KY 42001-4861 |
| Practice Telephone | 2707055898 |
| Mailing Telephone | 2707055898 |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2018-04-26 |
| Authorized Official Name | DR. MARY LISA HALL (DOCTOR OF PHYSICAL THERAPY) |
| Authorized Official Telephone | 2707055898 |
| Authorized Official Credential | PT, DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 002256 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM BC & BS | 000000551156 | 01 |
| CAQH | 11856022 | 01 | |
| KY | MEDICARE GROUP | 00454 | 01 |
| KY | 7100057690 | 05 | |
| KY | MEDICARE RR - PTAN | P00435045 | 01 |
| KY | INDIVIDUAL NPI | 1033121868 | 01 |
| KY | MEDICARE RR - GROUP | DG4266 | 01 |
| Street Address |
245 JENNIFER LYNN DR |
| City | PADUCAH |
| State | KY |
| Zip Code | 42001-4861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512957 | Kelsey Brooks Powell | Dentist | 467 Jordan Drive, Suite A, Paducah, KY 42001 | 2020-06-15 |
| 1689236473 | Heath Bryan Coleman Dds of Kentucky Pllc | Dentist | 467 Jordan Dr, Ste 105, Paducah, KY 42001 | 2019-07-02 |
| 1477079333 | Ellen Louise Erwin | Speech-Language Pathologist | 5050b Village Square Drive, Paducah, KY 42001 | 2017-08-22 |
| 1225571391 | Jackie Powers | Counselor | 725 Broadway, Paducah, KY 42001 | 2016-11-22 |
| 1730544388 | Jackie Doublin | Counselor | 4625 Falconcrest Dr., Suite A, Paducah, KY 42001 | 2015-12-28 |
| 1861876997 | Adio Chiropractic Inc | Chiropractor | 2405 Lone Oak Rd, Suite B, Paducah, KY 42001 | 2015-07-18 |
| 1134530546 | Katherine Williamson | Obstetrics & Gynecology | 3927 Primrose Place, Paducah, KY 42001 | 2014-05-20 |
| 1679991061 | Kimberly Faith Wiggins | Social Worker | 425 Broadawy, Paducah, KY 42001 | 2014-04-02 |
| 1013251131 | Rxk Pharmacy | Pharmacy | 3526 Park Plaza Road, Paducah, KY 42001 | 2012-11-15 |
| 1134480098 | William Devin Hinson | Chiropractor | 2405 Lone Oak Road, Suite B, Paducah, KY 42001 | 2012-06-06 |
| Find all providers in zip 42001 | ||||
| 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 |
|---|---|---|---|---|
| 1194233221 | Trisha Counce | Physical Therapist | 815 Monroe St Apt G, Paducah, KY 42001-1806 | 2018-01-10 |
| 1023555018 | Penelope Diane Cockrel | Physical Therapist | 4102 Minnich Ave, Paducah, KY 42001-4642 | 2017-01-27 |
| 1144619727 | Heather Hantak | Physical Therapist | 4016 Primrose Pl, Paducah, KY 42001-4674 | 2015-01-20 |
| 1689838260 | Greg M Adler | Physical Therapist | 221 Wellsley Way, Paducah, KY 42003 | 2008-07-14 |
| 1942462403 | Jeremy Dustin Woodward | Physical Therapist | 127 Alben Barkley Dr, Suite C, Paducah, KY 42001-4402 | 2008-06-26 |
| 1366629354 | Jani L Brewer | Physical Therapist | 100 Kiana Court Suite A, Paducah, KY 42001 | 2008-01-22 |
| 1053510800 | Mary Jo Campbell | Physical Therapist | 2855 Jackson St, Paducah, KY 42003-7602 | 2007-07-12 |
| 1174725147 | Jennifer Sue Wylie | Physical Therapist | 121 Byron Dr, Paducah, KY 42003-0963 | 2007-06-01 |
| 1164633350 | Gabriel Ae Smith | Physical Therapist | 4813 Alben Barkley Dr, Paducah, KY 42001-6774 | 2007-05-27 |
| 1205956588 | Brown Physical Therapy Services | Physical Therapist | 5524 Reidland Rd, Paducah, KY 42003-0955 | 2007-03-30 |
| Find all providers in PADUCAH | ||||
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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.