MS. TRACIE LYNN KING (NPI# 1457853962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457853962 |
| Entity Type | Individual |
| Full Name | MS. TRACIE LYNN KING |
| Credential | PTA |
| Practice Address |
500 N Capitol Ave Unit A Indianapolis IN 46204 |
| Mailing Address |
892 London Lane Apt 653 Greenwood IN 46142 |
| Practice Telephone | 3179835400 |
| Mailing Telephone | 5749932415 |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 06005656A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225200000X | Physical Therapy Assistant | 06005656A | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558775338 | Tracie King | Nurse's Aide | 2584 Sheffield Rd, Jefferson, OH 44047-9748 | 2014-06-19 |
| 1003801077 | Tracie M King | Optometrist | 7310 Esquire Ct Ste 3, Bay Family Eye Care, Elkridge, MD 21075-5440 | 2005-09-15 |
| Street Address |
500 N CAPITOL AVE UNIT A |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245593 | Melvin Jay Prince | Internal Medicine | Gennesaret Free Clinic 615 N Alabama St, Suite 136, Indianapolis, IN 46204 | 2019-10-04 |
| 1487203139 | Elizabeth Ann Wilson | Behavior Technician | 120 N East St Ste 1233, Indianapolis, IN 46204 | 2019-09-05 |
| 1225691207 | Kawthar Mohamed | Student in an Organized Health Care Education/Training Program | 120 W Michigan St # Cl630, Indianapolis, IN 46204 | 2019-04-16 |
| 1013436831 | Kayla Michelle Jackson | Social Worker | 1099 North Meridian Street, Suite 900, Indianapolis, IN 46204 | 2017-09-13 |
| 1912434010 | Latrice N Baxter | Counselor | 201 N. Illinois Street, 16th Floor, South Tower, Indianpolis, IN 46204 | 2017-05-19 |
| 1750820643 | Jcpl, LLC | Optometrist | 751 Massachusetts Ave, Indianapolis, IN 46204 | 2017-02-13 |
| 1922546969 | Makenzie Brinker | Specialist/Technologist | 800 N. Capital Ave, 420, Indianapolis, IN 46204 | 2017-02-10 |
| 1598118572 | Jennifer Clark | Internal Medicine | 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 | 2016-07-14 |
| 1194176263 | Bradley Cox | Dentist | 451 E Market St Apt 448, Indianapolis, IN 46204 | 2016-06-29 |
| 1760846877 | Catherine Gambale Trigonis | Family Medicine | 404 E Washington St Ste A, Indianapolis, IN 46204 | 2016-04-06 |
| Find all providers in zip 46204 | ||||
| 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 |
|---|---|---|---|---|
| 1194347773 | Anna Jamison | Physical Therapy Assistant | 11736 Grazing Ln, Indianapolis, IN 46239-7828 | 2020-05-18 |
| 1376192096 | Maya Alexandra Leblanc Skaggs | Physical Therapy Assistant | 500 N Capitol Ave Ste A, Indianapolis, IN 46204-1204 | 2019-09-05 |
| 1386102267 | Tanea Renee Spanton | Physical Therapy Assistant | 10431 Lookout Ln, Indianapolis, IN 46234-9856 | 2019-03-09 |
| 1518466960 | Debra Cottongim | Physical Therapy Assistant | 6329 South East St, Ste A, Indianapolis, IN 46227 | 2018-02-12 |
| 1740792084 | Jamey Kleva | Physical Therapy Assistant | 2647 Waterfront Parkway East Dr Ste Wf3-185, Indianapolis, IN 46214-2061 | 2017-10-26 |
| 1922542471 | Hailey Janson | Physical Therapy Assistant | 6821 Creek Vale Way Apt 1a, Indianapolis, IN 46237-9526 | 2016-12-16 |
| 1982156196 | Ayushi Sharma | Physical Therapy Assistant | 7345 Woodland Drive, Suite B, Indianapolis, IN 46278 | 2016-11-04 |
| 1194181404 | Dennis Tyler Riker Iv | Physical Therapy Assistant | 6017 Westlake South Dr Apt F, Indianapolis, IN 46224-7669 | 2016-01-04 |
| 1962871939 | Dylan Bowker | Physical Therapy Assistant | 500 N Capitol Ave, Indianapolis, IN 46204-1204 | 2015-09-21 |
| 1053733444 | Courtney Hertel | Physical Therapy Assistant | 2040 N Shadeland Ave Ste 100, Indianapolis, IN 46219-1712 | 2014-01-20 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46204 |
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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.