SUSAN TYSON (NPI# 1396897690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396897690 |
| Entity Type | Individual |
| Full Name | SUSAN TYSON |
| Credential | PT ASSISTANT |
| Practice Address |
1050 Mcdonough Rd Jackson GA 30233-1524 |
| Practice Telephone | 7707757861 |
| Practice Fax Number | 7707756263 |
| Mailing Telephone | 7707757861 |
| Mailing Fax Number | 7707756263 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA001389 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1050 MCDONOUGH RD |
| City | JACKSON |
| State | GA |
| Zip Code | 30233-1524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144260878 | John Sanford Evans | Emergency Medicine | 1050 Mcdonough Rd, Jackson, GA 30233-1524 | 2006-06-08 |
| 1992350607 | Adam Edenfield | Physical Therapist | 1050 Mcdonough Rd, Jackson, GA 30233-1524 | 2019-08-08 |
| 1477030971 | Michele A Lucien | Physical Therapy Assistant | 1050 Mcdonough Rd, Jackson, GA 30233-1524 | 2018-07-26 |
| 1629555826 | Tejal Janak Patel I | Physical Therapist | 1050 Mcdonough Rd, Jackson, GA 30233-1599 | 2018-07-20 |
| 1831329663 | Serah Iyabode Ayoola | Physical Therapist | 1050 Mcdonough Rd, Jackson, GA 30233-1524 | 2009-07-14 |
| 1881862431 | Maja N. Lee | Registered Nurse | 1050 Mcdonough Rd, Jackson, GA 30233-1524 | 2008-02-18 |
| 1912031550 | Hannah Whitfield | Speech-Language Pathologist | 1050 Mcdonough Rd, Jackson, GA 30233-1524 | 2007-03-15 |
| 1669513966 | Erin Downing | Speech-Language Pathologist | 1050 Mcdonough Rd, Jackson, GA 30233-1524 | 2007-02-09 |
| 1053466151 | Jessica Rosser | Physical Therapy Assistant | 1050 Mcdonough Rd, Jackson, GA 30233-1524 | 2007-01-25 |
| 1992857320 | Amanda Keese | Physical Therapy Assistant | 1050 Mcdonough Rd, Jackson, GA 30233-1524 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366800914 | Georgia Ophthalmologists LLC | Durable Medical Equipment & Medical Supplies | 860 W 3rd St, Jackson, GA 30233 | 2016-02-10 |
| 1306225057 | Young Dreaden | Nurse Practitioner | 2978 Hwy 36w, Jackson, GA 30233 | 2015-05-28 |
| 1609255520 | Neta J Roby | Nurse Practitioner | Hwy 36, Georgia Diagnostic Classification Prison, Jackson, GA 30233 | 2015-05-26 |
| 1033546098 | Henrietta Lindsay | Social Worker | 463-b Ernest Biles Dr, Jackson, GA 30233 | 2013-10-04 |
| 1255776993 | Gareth Gene Walker | Technician | 514 Covinton Street, Jackson, GA 30233 | 2013-05-08 |
| 1730489592 | Mary L. Melton | Licensed Practical Nurse | 463 Ernest Biles Dr., Jackson, GA 30233 | 2010-10-27 |
| 1083864250 | Chastity Moore Brown | Dentist | 1520 Lucky Street, Griffin, GA 30233 | 2008-09-24 |
| 1568661320 | Joseph Fowlkes | Internal Medicine | 2978 Highway 36 W, Jackson, GA 30233 | 2007-07-12 |
| 1942386289 | Butts County Board of Commissioners | Ambulance | 154 Sylvan Drive, Jackson, GA 30233 | 2006-10-30 |
| 1841238300 | Jackson Pharmacy Services | Pharmacy | 22 Mulberry St., Jackson, GA 30233 | 2006-06-04 |
| Find all providers in zip 30233 | ||||
| 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 |
|---|---|---|---|---|
| 1023641446 | Andreanna Gibbs | Physical Therapy Assistant | 100 Hwy 15, Jackson, KY 41339 | 2020-02-13 |
| 1568094811 | Michelle Lynn Dominick-dreyer | Physical Therapy Assistant | 4431 Bonnymede St, Jackson, MI 49201-8511 | 2020-02-05 |
| 1548810682 | Morgan E. Martin | Physical Therapy Assistant | 2142 Horton Rd, Jackson, MI 49203-5524 | 2019-09-19 |
| 1720638968 | Tara Jo Beebe | Physical Therapy Assistant | 3076 Hendee Rd, Jackson, MI 49201-9001 | 2019-09-19 |
| 1376190488 | Srilatha Mittapelli | Physical Therapy Assistant | 4605 Eagle Dr, Jackson, MI 49201-9747 | 2019-08-22 |
| 1831667864 | Kylie B Seyer | Physical Therapy Assistant | 121 Pinecrest, Jackson, MO 63755-8465 | 2018-11-07 |
| 1528558392 | Darlene Childers | Physical Therapy Assistant | 2700 Canoe Rd, Jackson, KY 41339-8458 | 2018-05-16 |
| 1154863454 | Gavin Blackwell | Physical Therapy Assistant | 115 Quail Rdg, Jackson, TN 38305-5420 | 2016-11-17 |
| 1881077436 | Natalie Stephens | Physical Therapy Assistant | 768 Miller Ave, Jackson, NJ 08527-3546 | 2015-07-01 |
| 1366856924 | Levella Kelly | Physical Therapy Assistant | 3856 Noble St, Apt 811, Jackson, MS 39209-4954 | 2014-06-11 |
| Find all providers in JACKSON | ||||
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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.