TINA WILSON (NPI# 1417262205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417262205 |
| Entity Type | Individual |
| Full Name | TINA WILSON |
| Credential | LMT, CLT |
| Practice Address |
15019 Nw 5th Ave Newberry FL 32669-2828 |
| Practice Telephone | 3524944372 |
| Mailing Telephone | 3524944372 |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172M00000X | Mechanotherapist | MA31099 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BC/BS | C1960 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497295067 | Tina Wilson | Counselor | 591 State Route 244, Alfred Station, NY 14803 | 2017-03-02 |
| 1033653720 | Tina Wilson | Community Based Residential Treatment Facility, Mental Illness | 139 Whippoorwill Ln, Mt Holly, NC 28120-9761 | 2016-12-14 |
| 1003442690 | Tina Wilson | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 | 2020-03-16 |
| 1548696388 | Tina Andrea Wilson | Counselor | 8430 University Exec Park Dr, Ste. 655, Charlotte, NC 28262-1350 | 2013-09-25 |
| 1902158348 | Tina Wilson | Hearing Instrument Specialist | 1801 S State Road 57, Washington, IN 47501-4326 | 2012-10-10 |
| 1376579854 | Tina Wilson | Internal Medicine | 620 Skyline Dr, Jackson, TN 38301 | 2006-06-25 |
| 1770551319 | Tina L Wilson | Registered Nurse | 580 Westport Rd, Elizabethtown, KY 42701-2949 | 2006-03-09 |
| 1548262058 | Tina Louise Wilson | Pharmacist | 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | 2005-08-15 |
| Street Address |
15019 NW 5TH AVE |
| City | NEWBERRY |
| State | FL |
| Zip Code | 32669-2828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427695741 | Jonesville Family Dentistry Pa | Dentist | 175 Nw 138th Terrace, Suite 200, Jonesville, FL 32669 | 2019-12-05 |
| 1952889206 | Guan Physical Therapy and Acupuncture, LLC | Acupuncturist | 13577 Nw 2nd Ln, Suite 1, Newberry, FL 32669 | 2018-07-30 |
| 1538611462 | Avery Partners, Inc | Clinic/Center | 105 Sw 140th Terrace, Jonesville, FL 32669 | 2016-10-26 |
| 1760891758 | Fremont Peak Emergency Physicians LLC | Physician Assistant | 12311 W Newberry Road, Newberry, FL 32669 | 2014-08-05 |
| 1962816231 | Advanced Pain Medicine of North Florida LLC | Anesthesiology | 194 Nw 137th Drive, Suite 100, Newberry, FL 32669 | 2014-06-16 |
| 1336571611 | Martin Kids Dental Health Team | Dentist | 13820 W Newberry Rd Ste 100, Jonesville, FL 32669 | 2013-08-08 |
| 1760825699 | 1st Choice Urgent Care Center LLC | Clinic/Center | 128 Nw 137th Drive, Newberry, FL 32669 | 2013-04-10 |
| 1396088068 | Elsie Laguerre | Occupational Therapist | 105 S.w 140th Terrace, Jonesville, FL 32669 | 2013-04-01 |
| 1144530171 | Dana Smith Haase | Speech-Language Pathologist | 105 S.w. 140th Terrace, Jonesville, FL 32669 | 2010-10-08 |
| 1487853271 | Amanda H Mayberry | Massage Therapist | 25355 West Newberry Rd, Newberry, FL 32669 | 2007-07-12 |
| Find all providers in zip 32669 | ||||
| Taxonomy Code | 172M00000X |
| Grouping | Other Service Providers |
| Classification | Mechanotherapist |
| A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy. |
| Notes: Source: Summarized from Ohio Revised Code 4731.15 [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689913899 | Amanda Dolores Moo I | Mechanotherapist | 330 Sw 165th St, Newberry, FL 32669-3116 | 2013-02-07 |
| 1336465749 | Stephanie Jo Metzler | Mechanotherapist | 7931 State Highway M123, Newberry, MI 49868-8133 | 2010-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750994471 | The Educated Body, LLC | Mechanotherapist | 3542 Franklin Ave, Miami, FL 33133-5716 | 2020-08-24 |
| 1093363442 | Shannon Waid | Mechanotherapist | 9020 58th Dr E Ste 101, Bradenton, FL 34202-6107 | 2019-08-29 |
| 1427406628 | His & Her Body Treats | Mechanotherapist | 3870 Dairy Rd Ste 101, Melbourne, FL 32904-7605 | 2016-05-27 |
| 1972999274 | Steven Robert-vincent Mcdaniels | Mechanotherapist | 718 S Grand Hwy, Clermont, FL 34711-3231 | 2015-04-13 |
| 1437549524 | Massage Therapy LLC | Mechanotherapist | 500 Ne Spanish River Blvd Ste 35, Boca Raton, FL 33431-4517 | 2015-01-28 |
| 1396149944 | Ryan Esley Sullivan | Mechanotherapist | 325 John Knox Rd Bldg T Ste 1, Tallahassee, FL 32303-4166 | 2014-10-10 |
| 1790186229 | Jill Kathleen Mabry | Mechanotherapist | 11211 Prosperity Farms Rd Ste D325, Palm Beach Gardens, FL 33410-3472 | 2014-09-16 |
| 1184032401 | Kimberly Kobacker | Mechanotherapist | 2401 Langley Ave, Pensacola, FL 32504-8922 | 2014-07-30 |
| 1093122541 | Richard Veale | Mechanotherapist | 158 Alabama St, Crestview, FL 32536-2544 | 2014-07-16 |
| 1487068714 | Kim Ann Gilland | Mechanotherapist | 4010 Napoli Rd, Panama City, FL 32405-3213 | 2014-06-14 |
| Find all providers with the same taxonomy | ||||
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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.