BLAKE A. BALLARD (NPI# 1487255535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487255535 |
| Entity Type | Individual |
| Full Name | BLAKE A. BALLARD |
| Credential | PTA |
| Practice Address |
314 Main St Ste C Monticello MS 39654-3702 |
| Mailing Address |
Po Box 457 Monticello MS 39654-0457 |
| Practice Telephone | 6015872563 |
| Practice Fax Number | 6015870472 |
| Mailing Telephone | 6015872563 |
| Mailing Fax Number | 6015870472 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA6757 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MS STATE BOARD OF PHYSICAL THERAPY | PTA6757 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 509 Brookway Blvd, Brookhaven, MS 396013266 | 6018337317 | |
| 101 W Marion Ave, Crystal Springs, MS 390592660 | 6018928707 | |
| 335 E Bay St, Magnolia, MS 396522815 | 6017830220 | |
| 312 Kendall Ave, Mccomb, MS 396482806 | 6012505517 |
| Street Address |
314 MAIN ST STE C |
| City | MONTICELLO |
| State | MS |
| Zip Code | 39654-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346431566 | Amy Eaton Broome | Physical Therapy Assistant | 314 Main St Ste C, Monticello, MS 39654 | 2007-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013558824 | Downhome Pharmacy, Inc. | Pharmacy | 606 W. Broad St, Monticello, MS 39654 | 2019-10-02 |
| 1700344066 | Southwest Mississippi Regional Medical Center | Surgery | 1065 E Broad St., Monticello, MS 39654 | 2019-03-06 |
| 1457862229 | Susan Nevels | Pharmacist | 1509 Highway 84 West, Monticello, MS 39654 | 2017-10-19 |
| 1326565417 | David Warren Ready | Pharmacist | 1509 Hwy 84 West, Monticello, MS 39654 | 2017-08-29 |
| 1861664575 | James Mikel Griffith II | Physical Therapy Assistant | 314 Main St, Ste C, Monticello, MS 39654 | 2008-04-02 |
| 1811169840 | Southwest Mississippi Planning and Development District | Clinic/Center | 1477 Fe Sellers Highway, Monticello, MS 39654 | 2008-03-31 |
| 1447429089 | Foot and Wound Institute of The South | Clinic/Center | 157 Fe Sellers Highway, Monticello, MS 39654 | 2008-02-28 |
| 1881804532 | Chris Gilbert Boyd | Dentist | 716 Brookhaven Street, Monticello, MS 39654 | 2007-05-23 |
| 1851463707 | Brantley B. Pace | Family Medicine | 713 Watts St., Monticello, MS 39654 | 2006-11-15 |
| 1295818045 | Brenco | Podiatrist | 157 F E Sellers Hwy, Monticello, MS 39654 | 2006-10-23 |
| Find all providers in zip 39654 | ||||
| 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 |
|---|---|---|---|---|
| 1285285312 | Roxana Ward | Physical Therapy Assistant | 2804 Whitehouse Rd, Monticello, FL 32344-8603 | 2019-09-20 |
| 1871863522 | James P Sullivan | Physical Therapy Assistant | 507 Benmosche Rd, Monticello, NY 12701 | 2012-01-11 |
| 1093004301 | Teresa L Nayden | Physical Therapy Assistant | 318 E Washington St # B, Monticello, IL 61856-1645 | 2011-04-07 |
| 1184948903 | Heidi L Van Meter | Physical Therapy Assistant | 7176 E 1000 N, Monticello, IN 47960-7002 | 2010-03-23 |
| 1811145501 | Teresa Johnson | Physical Therapy Assistant | Rr 1 Box 385b, Monticello, KY 42633-9737 | 2008-09-05 |
| 1821253998 | Stephanie Dick | Physical Therapy Assistant | 1801 W Highway 90 Byp, Monticello, KY 42633-2412 | 2008-07-28 |
| 1861664575 | James Mikel Griffith II | Physical Therapy Assistant | 314 Main St, Ste C, Monticello, MS 39654 | 2008-04-02 |
| 1346431566 | Amy Eaton Broome | Physical Therapy Assistant | 314 Main St Ste C, Monticello, MS 39654 | 2007-08-05 |
| 1831716216 | Twila Massengale | Physical Therapy Assistant | 153 High St, Monticello, KY 42633-1213 | 2020-07-01 |
| 1235760562 | Hunter J Darby | Physical Therapy Assistant | 1200 Old Warren Rd, Monticello, AR 71655-9723 | 2020-01-27 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 39654 |
Please comment or provide details below to improve the information on BLAKE A. BALLARD.
| 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.