MRS. CLARICE DEWITT MARTY (NPI# 1508031550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508031550 |
| Entity Type | Individual |
| Full Name | MRS. CLARICE DEWITT MARTY |
| Credential | LPTA |
| Practice Address |
300 W Hospital Road Eisenhower Army Medical Center Attn Credentials Fort Gordon GA 30905-5650 |
| Practice Telephone | 7067872720 |
| Practice Fax Number | 7067878176 |
| Mailing Telephone | 7067872720 |
| Mailing Fax Number | 7067878176 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | GA 799 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
300 W HOSPITAL ROAD EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS |
| City | FORT GORDON |
| State | GA |
| Zip Code | 30905-5650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790733517 | Shima Shaikh Syed | Internal Medicine | 300 W Hospital Road, Attn Credentials, Fort Gordon, GA 30905-5650 | 2006-05-04 |
| 1831365865 | Gregory Bryant Coleman | Physical Therapy Assistant | 300 W Hospital Road, Eisenhower Army Medical Center Attn Credentials, Fort Gordon, GA 30905-5650 | 2008-04-30 |
| 1629243118 | Catherine Denise Ferguson | Licensed Practical Nurse | 300 W Hospital Road, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5650 | 2008-04-25 |
| 1548302573 | Yvonne Lovenia Tucker-harris | Social Worker | 300 W Hospital Road, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5650 | 2007-02-13 |
| 1225184088 | Eisenhower Army Medical Center | Military Hospital | 300 W Hospital Road, Eisenhower Army Medical Center Credentials, Fort Gordon, GA 30905-5650 | 2007-01-26 |
| 1760534408 | Jennifer A Welder | Registered Nurse | 300 W Hospital Road, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5650 | 2007-01-16 |
| 1659428423 | Signe Alexis Erne | Physician Assistant | 300 W Hospital Road, Od Eisenhower Army Medical Center, Fort Gordon, GA 30905-5650 | 2007-01-04 |
| 1669539094 | Vivian A. Kelley | Nurse Practitioner | 300 W Hospital Road, Eisenhower Army Medical Center Attn Credentials, Fort Gordon, GA 30905-5650 | 2007-01-03 |
| 1003978529 | Eric Larson Doane | Family Medicine | 300 W Hospital Road, Eisenhower Army Medical Center, Attn Credentials, Fort Gordon, GA 30905-5650 | 2006-12-14 |
| 1427117100 | Robert Joseph Kazragis Jr. | Internal Medicine | 300 W Hospital Road, Eisenhower Army Medical Center, Attn- Credentials, Fort Gordon, GA 30905-5650 | 2006-12-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417508995 | Priscilla Denise Brown | Prosthetic/Orthotic Supplier | 38200 3rd Ave, Fort Gordon, GA 30905 | 2019-09-25 |
| 1740754308 | Patricia Lynn Blevins | Nurse Practitioner | 300 E Hospital Dr, Augusta, GA 30905 | 2019-01-17 |
| 1861971335 | Isabella Anderson | Dentist | Usa Dental Activity, Hospital Dental Clinic, Bldg 38801 Academic, Ste B&c, Ft Gordon, GA 30905 | 2018-08-07 |
| 1972097426 | Cortney Wolfley | Student in an Organized Health Care Education/Training Program | Orthopaedics Ddeamc, 300 East Hospital Road, Fort Gordon, GA 30905 | 2018-06-19 |
| 1003337536 | David Jonathon Sabovich | Dentist | 38801 Academic Dr Ste B&cactivity, Suite B & C, Ft Gordon, GA 30905 | 2017-07-06 |
| 1437689411 | Marcos Aranda | Student in an Organized Health Care Education/Training Program | General Surgery, Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2017-06-13 |
| 1659809846 | Brian Kevin Burke | Student in an Organized Health Care Education/Training Program | 300 East Hosptial Road, Fort Gordon, GA 30905 | 2017-06-01 |
| 1902334469 | Jacqueline Renee Mulhall | Student in an Organized Health Care Education/Training Program | Ddeamc, 300 E Hospital Rd, General Surgery, Fort Gordon, GA 30905 | 2017-05-30 |
| 1750837456 | Amanda R Bailey | Internal Medicine | 300 E. Hospital Dr., Fort Gordon, GA 30905 | 2016-09-01 |
| 1689120016 | Thomas S Moffitt | Internal Medicine | Im, Dwight D Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2016-08-26 |
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| 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 |
|---|---|---|---|---|
| 1164672390 | Trinita Denise Hall | Physical Therapy Assistant | 300 W. Hospital Road, Fort Gordon, GA 30905-5650 | 2008-09-24 |
| 1952563090 | Shawna Latrell Dryden | Physical Therapy Assistant | 300 W Hospital Rd, Fort Gordon, GA 30905-5650 | 2008-06-30 |
| 1174799738 | Eric Christopher Byron | Physical Therapy Assistant | 300 W Hospital Road Eisenhower Army Medical Center, Attn: Credentals, Fort Gordon, GA 30905-5650 | 2008-05-05 |
| 1831365865 | Gregory Bryant Coleman | Physical Therapy Assistant | 300 W Hospital Road, Eisenhower Army Medical Center Attn Credentials, Fort Gordon, GA 30905-5650 | 2008-04-30 |
| 1528233558 | Bernadette Francoise Hudson | Physical Therapy Assistant | 300 W Hospital Rd, Attn Credentials, Fort Gordon, GA 30905-5650 | 2008-04-30 |
| 1720253776 | Theodore A Artis Jr. | Physical Therapy Assistant | 300 Hospital Road, Eisenhower Army Medical Center, Attn :credentials, Fort Gordon, GA 30905-5650 | 2008-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787078 | Karen Welch | Physical Therapy Assistant | 7730 Wallace Tatum Rd, Cumming, GA 30028-7917 | 2020-10-09 |
| 1346857554 | Kaylea Kerr | Physical Therapy Assistant | 4450 Straight Gut Rd, La Fayette, GA 30728-6752 | 2020-09-30 |
| 1821605551 | Hannah Joy Hopkins | Physical Therapy Assistant | 600 Redmond Rd Nw Apt B6, Rome, GA 30165-1434 | 2020-09-27 |
| 1073129342 | Monique Allen | Physical Therapy Assistant | 203 S Lancaster St, Dublin, GA 31021-3423 | 2020-09-21 |
| 1376156117 | Melissa Massingale | Physical Therapy Assistant | 965 Piedmont Rd Ne Ste 200, Marietta, GA 30066-5493 | 2020-08-30 |
| 1821609835 | Shonta Monique Houston | Physical Therapy Assistant | 110 Link St Apt 3l, Hinesville, GA 31313-4430 | 2020-08-13 |
| 1376154740 | Marina Montgomery | Physical Therapy Assistant | 8930 River Landing Way, Sandy Springs, GA 30350-1620 | 2020-08-11 |
| 1780292557 | Jennifer Lynne Cicora | Physical Therapy Assistant | 775 Epps Bridge Pkwy, Athens, GA 30606-3350 | 2020-07-17 |
| 1184244907 | Chelsea Dick | Physical Therapy Assistant | 6659 Peachtree Industrial Blvd Ste I, Norcross, GA 30092-4300 | 2020-04-22 |
| 1467072769 | Jason Cardillo | Physical Therapy Assistant | 906 Grier St, Woodstock, GA 30189-7811 | 2020-04-16 |
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| City | FORT GORDON |
| Zip Code | 30905 |
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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.