STACIE MICHELLE WILLOUGHBY (NPI# 1528132347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528132347 |
| Entity Type | Individual |
| Full Name | STACIE MICHELLE WILLOUGHBY |
| Practice Address |
2880 Tricom St Ste B North Charleston SC 29406-9171 |
| Mailing Address |
182 Antebellum Way Summerville SC 29483-8147 |
| Practice Telephone | 8435536343 |
| Practice Fax Number | 8435536404 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 1922 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2880 TRICOM ST STE B |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29406-9171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801047766 | Vicki Cheng | Physical Therapist | 2880 Tricom St Ste B, North Charleston, SC 29406-9171 | 2008-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622289 | Sara Desmarais | Physical Therapist | 2760 Tricom St, North Charleston, SC 29406 | 2020-09-04 |
| 1669036448 | Pink Elephant Autism Project | In Home Supportive Care | 8738 Red Oak Drive, Charleston, SC 29406 | 2019-04-26 |
| 1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
| 1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
| 1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
| 1982148490 | Trident Medical Center | Psychiatric Hospital | 9225 C Medical Plaza Drive, Charleston, SC 29406 | 2016-12-19 |
| 1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
| 1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
| 1174984645 | Ashia George | Developmental Therapist | 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 | 2016-03-11 |
| 1023488582 | Etta Smith | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406 | 2015-09-28 |
| Find all providers in zip 29406 | ||||
| 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 |
|---|---|---|---|---|
| 1689191538 | Lauren Bowden | Physical Therapy Assistant | 8780 Rivers Ave Ste 124, North Charleston, SC 29406-9257 | 2017-08-22 |
| 1710385356 | Shawn Kelly | Physical Therapy Assistant | 1204 South Blvd, North Charleston, SC 29405-5228 | 2014-12-14 |
| 1962805143 | Christina Marcus | Physical Therapy Assistant | 2060 Northbrook Blvd Ste 101, North Charleston, SC 29406-9811 | 2014-10-02 |
| 1205067014 | Daryl Voce | Physical Therapy Assistant | 4390 Belle Oaks Dr Ste 120, North Charleston, SC 29405-8561 | 2009-07-29 |
| 1831377613 | Sonya Hagler | Physical Therapy Assistant | 4390 Belle Oaks Dr, Suite 120, North Charleston, SC 29405-8559 | 2008-02-05 |
| 1245282391 | Eastern Rehab Services LLC | Physical Therapy Assistant | 1273 Remount Rd, North Charleston, SC 29406-3439 | 2006-05-17 |
| 1841776135 | Martina Seifert | Physical Therapy Assistant | 4401 Belle Oaks Dr, North Charleston, SC 29405-8537 | 2018-07-19 |
| 1003208927 | Rachel Marozzi | Physical Therapy Assistant | 2891 Tricom St Ste B, North Charleston, SC 29406-7110 | 2015-03-02 |
| 1255735676 | David Hughes | Physical Therapy Assistant | 4401 Belle Oaks Dr, North Charleston, SC 29405-8537 | 2014-10-14 |
| 1609289271 | Therese Day | Physical Therapy Assistant | 4401 Belle Oaks Dr, Suite 280, North Charleston, SC 29405-8537 | 2014-06-11 |
| Find all providers in NORTH CHARLESTON | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29406 |
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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.