SHELLY MOORE (NPI# 1558520353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558520353 |
| Entity Type | Individual |
| Full Name | SHELLY MOORE |
| Practice Address |
2641 S C St Oxnard CA 93033-4502 |
| Practice Telephone | 8054877840 |
| Mailing Telephone | 8054877840 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 2044956 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750715926 | Shelly M Moore | Midwife | 696 Roy Grider Rd, Summer Shade, KY 42166-7631 | 2013-08-23 |
| 1487657037 | Shelly L. Moore | Nurse Practitioner | 1263 Elk St, Franklin, PA 16323-1312 | 2005-05-27 |
| 1487137485 | Shelly Moore | Developmental Therapist | 5532 Jfk Blvd, North Little Rock, AR 72116-6708 | 2018-09-14 |
| 1730535022 | Shelly Moore | Occupational Therapy Assistant | 18504 Bothell Way Ne, Bothell, WA 98011-1927 | 2016-05-05 |
| 1205176039 | Shelly Ann Moore | Specialist | 34 Margaret Dr, Queensbury, NY 12804-9164 | 2013-02-14 |
| Street Address |
2641 S C ST |
| City | OXNARD |
| State | CA |
| Zip Code | 93033-4502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891996377 | Hueneme Healthcare, Inc. | Skilled Nursing Facility | 2641 S C St, Oxnard, CA 93033-4502 | 2007-05-30 |
| 1386804011 | Jasmin Bangao Eslao | Occupational Therapist | 2641 S C St, Oxnard, CA 93033-4502 | 2008-06-16 |
| 1922268721 | Holly Dyan Gustavson | Speech-Language Pathologist | 2641 S C St, Oxnard, CA 93033-4502 | 2008-06-15 |
| 1841450764 | Paul M Russo | Physical Therapy Assistant | 2641 S C St, Oxnard, CA 93033-4502 | 2008-06-13 |
| 1992964605 | Kathleen R Rod | Physical Therapist | 2641 S C St, Oxnard, CA 93033-4502 | 2008-06-06 |
| 1497941595 | Milwood Healthcare, Inc | Skilled Nursing Facility | 2641 S C St, Oxnard, CA 93033-4502 | 2007-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104462332 | Andy Luu | Physical Therapist | Two Trees 2051 Statham Blvd, Oxnard, CA 93033 | 2019-11-22 |
| 1568004661 | Martha Hughes | Technician | 615 East Juniper St, Oxnard, CA 93033 | 2019-10-10 |
| 1093232985 | Elena Martinez | Student in an Organized Health Care Education/Training Program | 226 E Fir Ave, Oxnard, CA 93033 | 2017-08-23 |
| 1083140248 | Mara Andrea Sibucao | Licensed Vocational Nurse | 4201 Justin Way, Oxnard, CA 93033 | 2017-05-10 |
| 1477915023 | Maria Guadalupe Castro | Counselor | 1710 San Marino St., Oxnard, CA 93033 | 2016-03-23 |
| 1356709760 | Guadalupe Cervantes-ortiz | Marriage & Family Therapist | 401 Mary Herrera Ln. Apt. B, Oxnard, CA 93033 | 2016-02-01 |
| 1457718850 | Jeff Segovia | Community Health Worker | 4651 Telephone Rd, Suite 300, Ventura, CA 93033 | 2016-01-15 |
| 1083079867 | Reynaldo Concepcion | Registered Nurse | 200 Hillmont Avenue, Ventura, CA 93033 | 2015-12-22 |
| 1235548892 | Daisy V Kerr | Counselor | 135 Lark St, Oxnard, CA 93033 | 2014-08-07 |
| 1508187329 | County of Ventura | Clinic/Center | 325 W. Channel Islands Blvd., Oxnard, CA 93033 | 2010-06-16 |
| Find all providers in zip 93033 | ||||
| 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 |
|---|---|---|---|---|
| 1063911394 | Andreyna Perez | Physical Therapy Assistant | 2100 Solar Dr Ste 204, Oxnard, CA 93036-2602 | 2018-02-01 |
| 1336681964 | Walter Mabalot | Physical Therapy Assistant | 1235 Fuente Dr, Oxnard, CA 93030-0409 | 2016-11-14 |
| 1609264530 | Frank John Silva | Physical Therapy Assistant | 1400 West Gonzales Road, Oxnard, CA 93036 | 2014-12-30 |
| 1841450764 | Paul M Russo | Physical Therapy Assistant | 2641 S C St, Oxnard, CA 93033-4502 | 2008-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587142 | Phillip A Sainz | Physical Therapy Assistant | 27136 Paseo Espada Ste B1103, San Juan Capistrano, CA 92675-2737 | 2020-10-26 |
| 1932708385 | Alisia Rios | Physical Therapy Assistant | 10445 Mast Blvd Apt 205, Santee, CA 92071-5331 | 2020-10-17 |
| 1376141275 | Andy Fang | Physical Therapy Assistant | 45 Palatine Apt 246, Irvine, CA 92612-7642 | 2020-10-13 |
| 1700484987 | Huy Nguyen | Physical Therapy Assistant | 4133 Mohr Ave Ste H, Pleasanton, CA 94566-4750 | 2020-10-11 |
| 1285231928 | Laura Merrick | Physical Therapy Assistant | 10082 Manzanita Dr, Alta Loma, CA 91737-2918 | 2020-10-06 |
| 1356958839 | Karan Kamdar | Physical Therapy Assistant | 8123 Magnolia Ave Apt 39, Riverside, CA 92504-3463 | 2020-09-28 |
| 1942817978 | Yusuf Hammoud | Physical Therapy Assistant | 2226 W Grayson Ave, Anaheim, CA 92801-1541 | 2020-09-24 |
| 1528673662 | Cinnamon Anjelica Marie San Miguel | Physical Therapy Assistant | 1104 S Gunlock Ave, Compton, CA 90220-4430 | 2020-09-15 |
| 1780299354 | Laura Barker | Physical Therapy Assistant | 255 N White Rd Ste 200c, San Jose, CA 95127-1966 | 2020-09-10 |
| 1598379869 | Fernando Rey Dupa Bosch | Physical Therapy Assistant | 7016 Corvus Cir, Roseville, CA 95747-8765 | 2020-09-03 |
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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.