VICTORIA FAITH GOUGH (NPI# 1356950620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356950620 |
| Entity Type | Individual |
| Full Name | VICTORIA FAITH GOUGH |
| Practice Address |
1395 N Courtenay Pkwy Merritt Island FL 32953-4400 |
| Practice Telephone | 3219868812 |
| Mailing Telephone | 3219868812 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 30339 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1395 N COURTENAY PKWY |
| City | MERRITT ISLAND |
| State | FL |
| Zip Code | 32953-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114918380 | Diane Luciani | Internal Medicine | 1395 N Courtenay Pkwy, Suite 107, Merritt Island, FL 32953-4400 | 2005-11-04 |
| 1073124236 | Sky Knott | Physical Therapist | 1395 N Courtenay Pkwy, Merritt Island, FL 32953-4400 | 2020-08-12 |
| 1295343606 | Brandon Livingston | Physical Therapy Assistant | 1395 N Courtenay Pkwy, Merritt Island, FL 32953-4400 | 2020-07-22 |
| 1669080024 | Samantha Erisman | Physical Therapy Assistant | 1395 N Courtenay Pkwy, Merritt Island, FL 32953-4400 | 2020-07-21 |
| 1790163582 | Ryan Stoltzfus | Physical Therapist | 1395 N Courtenay Pkwy, Merritt Island, FL 32953-4400 | 2015-05-12 |
| 1346509049 | Central Florida Holistic Health and Wellness Consultants LLC | Acupuncturist | 1395 N Courtenay Pkwy, Suite 202, Merritt Island, FL 32953-4400 | 2012-05-15 |
| 1780942268 | Michelle Rene Connell | Acupuncturist | 1395 N Courtenay Pkwy, Suite 202, Merritt Island, FL 32953-4400 | 2012-05-02 |
| 1487956777 | Lauren Lynch | Occupational Therapist | 1395 N Courtenay Pkwy, 102, Merritt Island, FL 32953-4400 | 2010-11-19 |
| 1285950188 | Scott Michael Smith | Physician Assistant | 1395 N Courtenay Pkwy, Suite 208, Merritt Island, FL 32953-4400 | 2010-04-16 |
| 1619101573 | Milarn Corporation | Clinic/Center | 1395 N Courtenay Pkwy, Suite 207, Merritt Island, FL 32953-4400 | 2009-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235617432 | Medfast Urgent Care Centers, LLC | Clinic/Center | 390 N. Courtenay Pkwy, Merritt Island, FL 32953 | 2018-07-31 |
| 1801277652 | Karen Kinchin | Marriage & Family Therapist | 2460 N Courtenay Pkwy #114, Merritt Island, FL 32953 | 2015-06-17 |
| 1033528716 | Love Seniors Home Inc | Residential Treatment Facility, Physical Disabilities | 460 Sail Lane, Merritt Island, FL 32953 | 2014-08-07 |
| 1861835738 | All One Family Senior Day Program Inc | Clinic/Center | 585 N . Courtenay Pkwy Suite #101, Merritt Island, FL 32953 | 2013-04-10 |
| 1649517848 | Joanna Knopf | Counselor | 2460 N Courtenay Pkwy Ste 114, Merritt Island, FL 32953 | 2013-01-08 |
| 1518211788 | Todd Bradley Pearcy | Speech-Language Pathologist | 1200 South Courtenay Pkwy, Merritt Island, FL 32953 | 2012-11-09 |
| 1881946630 | David Bhola | Family Medicine | 2404 N Courtenay Pkwy Ste D, Merritt Island, FL 32953 | 2012-10-03 |
| 1417240003 | Kimberly Anderson | Community Health Worker | 900 North Courtenay Parkway, Suite 1, Merritt Island, FL 32953 | 2011-05-16 |
| 1972815835 | Ali Correa | Dentist | 229 Crocket Blvd, Merritt Island, FL 32953 | 2010-07-08 |
| 1699972521 | Shandy M. Monborne | Specialist | 237 N. Grove St, Merritt Island, FL 32953 | 2007-07-03 |
| Find all providers in zip 32953 | ||||
| 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 |
|---|---|---|---|---|
| 1053747477 | Megan Anne Bald | Physical Therapy Assistant | 750 Oak Park Cir, Merritt Island, FL 32953-4158 | 2013-09-17 |
| 1295343606 | Brandon Livingston | Physical Therapy Assistant | 1395 N Courtenay Pkwy, Merritt Island, FL 32953-4400 | 2020-07-22 |
| 1669080024 | Samantha Erisman | Physical Therapy Assistant | 1395 N Courtenay Pkwy, Merritt Island, FL 32953-4400 | 2020-07-21 |
| 1497363048 | Marilyn A Arnold | Physical Therapy Assistant | 1395 N Courtenay Pkwy Ste 102, Merritt Island, FL 32953-4474 | 2020-07-20 |
| 1659905255 | Gabriel Martinez | Physical Therapy Assistant | 1100 S Courtenay Pkwy, Merritt Island, FL 32952-3804 | 2020-02-24 |
| 1033743646 | Michael Timothy Canestrari | Physical Therapy Assistant | 1100 S Courtenay Pkwy, Merritt Island, FL 32952-3804 | 2020-02-24 |
| 1558841882 | David Louis Genest Jr. | Physical Therapy Assistant | 125 Alma Blvd, Merritt Island, FL 32953-4345 | 2018-08-16 |
| 1518458348 | Michelle Weyant | Physical Therapy Assistant | 125 Alma Blvd, Merritt Island, FL 32953-4345 | 2018-05-29 |
| 1467969964 | Sophia Marvel | Physical Therapy Assistant | 125 Alma Blvd, Merritt Island, FL 32953-4345 | 2018-01-05 |
| 1316469364 | Christina Waller | Physical Therapy Assistant | 125 Alma Blvd, Merritt Island, FL 32953-4345 | 2017-07-12 |
| Find all providers in MERRITT ISLAND | ||||
| City | MERRITT ISLAND |
| Zip Code | 32953 |
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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.