MIKAELA MANTELE (NPI# 1326515610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326515610 |
| Entity Type | Individual |
| Full Name | MIKAELA MANTELE |
| Credential | PTA |
| Practice Address |
101 Fairview Park Dr Dublin GA 31021-2501 |
| Mailing Address |
305 Rainbow Rd Ellabell GA 31308-8587 |
| Practice Telephone | 4782727494 |
| Mailing Telephone | 3037170551 |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA004126 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
101 FAIRVIEW PARK DR |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021-2501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952383093 | Bass Physical Therapy and Rehabilitation Center, Inc. | Clinic/Center | 101 Fairview Park Dr, Dublin, GA 31021-2501 | 2005-11-15 |
| 1891313409 | Chelsea Kaye Hodges | Physical Therapy Assistant | 101 Fairview Park Dr, Dublin, GA 31021-2501 | 2020-07-09 |
| 1699201368 | Kayla L Murdaugh | Physical Therapy Assistant | 101 Fairview Park Dr, Dublin, GA 31021-2501 | 2017-05-02 |
| 1578943346 | Leah S Bethea | Occupational Therapy Assistant | 101 Fairview Park Dr, Dublin, GA 31021-2501 | 2015-06-05 |
| 1275935603 | Leanna M Mckenzie | Specialist/Technologist | 101 Fairview Park Dr, Dublin, GA 31021-2501 | 2014-09-17 |
| 1659791127 | Emilie Dianne Moss | Physical Therapy Assistant | 101 Fairview Park Dr, Dublin, GA 31021-2501 | 2014-04-23 |
| 1396183117 | Oscar Kenny Tanner IIi | Specialist/Technologist | 101 Fairview Park Dr, Dublin, GA 31021-2501 | 2013-06-14 |
| 1376839373 | Whitney Bass Hobbs | Physical Therapist | 101 Fairview Park Dr, Dublin, GA 31021-2501 | 2011-06-28 |
| 1255653671 | Janice K Adams | Occupational Therapy Assistant | 101 Fairview Park Dr, Dublin, GA 31021-2501 | 2010-02-26 |
| 1518178573 | Lisa Williamson Byers | Speech-Language Pathologist | 101 Fairview Park Dr, Dublin, GA 31021-2501 | 2007-05-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
| Find all providers in zip 31021 | ||||
| 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 |
|---|---|---|---|---|
| 1073129342 | Monique Allen | Physical Therapy Assistant | 203 S Lancaster St, Dublin, GA 31021-3423 | 2020-09-21 |
| 1346436318 | Tony Y. Lo | Physical Therapy Assistant | 8814 Oliver Pl., Dublin, CA 94569 | 2007-09-24 |
| 1588863955 | Charles Eric Berry | Physical Therapy Assistant | 5286 Alexander Road, Heartland Rehabilitation Services of Virginia Inc, Dublin, VA 24084 | 2007-07-16 |
| 1891313409 | Chelsea Kaye Hodges | Physical Therapy Assistant | 101 Fairview Park Dr, Dublin, GA 31021-2501 | 2020-07-09 |
| 1699201368 | Kayla L Murdaugh | Physical Therapy Assistant | 101 Fairview Park Dr, Dublin, GA 31021-2501 | 2017-05-02 |
| 1659791127 | Emilie Dianne Moss | Physical Therapy Assistant | 101 Fairview Park Dr, Dublin, GA 31021-2501 | 2014-04-23 |
| 1255633749 | Whitney Holmes | Physical Therapy Assistant | 101 Fairview Park Drive, Dublin, GA 31021-2501 | 2010-12-03 |
| 1619110699 | Michelle G Woodson | Physical Therapy Assistant | 5286 Alexander Road, Heartland Rehabilitation Services of Virginia, Inc., Dublin, VA 24084 | 2009-04-07 |
| 1205076924 | Jeremy L Howell | Physical Therapy Assistant | 4351 Dale Dr, Dublin, OH 43017-5403 | 2009-02-21 |
| 1043459456 | Ashley Pollock Williams | Physical Therapy Assistant | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2009-02-09 |
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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.