ETHAN MCCOY BROCK (NPI# 1568940948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568940948 |
| Entity Type | Individual |
| Full Name | ETHAN MCCOY BROCK |
| Practice Address |
214 Lanefield Rd Warsaw NC 28398-8719 |
| Mailing Address |
113 Maysville School Rd Mount Olive NC 28365-6541 |
| Practice Telephone | 9102933144 |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 6671 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
214 LANEFIELD RD |
| City | WARSAW |
| State | NC |
| Zip Code | 28398-8719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629136197 | Kornegay Healthcare, Inc. | Skilled Nursing Facility | 214 Lanefield Rd, Warsaw, NC 28398-8719 | 2006-12-05 |
| 1467947044 | Mary Elizabeth Ellis | Speech-Language Pathologist | 214 Lanefield Rd, Warsaw, NC 28398-8719 | 2018-06-26 |
| 1255825998 | Kendra Rae Chapman | Occupational Therapy Assistant | 214 Lanefield Rd, Warsaw, NC 28398-8719 | 2018-06-17 |
| 1134645096 | Jessica Elko | Speech-Language Pathologist | 214 Lanefield Rd, Warsaw, NC 28398-8719 | 2017-08-22 |
| 1205195492 | Sovran Senior Living LLC | Assisted Living Facility | 214 Lanefield Rd, Warsaw, NC 28398 | 2012-05-09 |
| 1477684736 | Kornegay Healthcaredba Glencare | Assisted Living Facility | 214 Lanefield Rd, Warsaw, NC 28398-8719 | 2007-03-08 |
| 1578602454 | Kornegay Healthcare Inc. | Assisted Living Facility | 214 Lanefield Rd, Warsaw, NC 28398-8719 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659895985 | Jessica Lanier Gillen | Physical Therapy Assistant | 214 Lane Field Rd, Warsaw, NC 28398 | 2017-07-28 |
| 1023386190 | Afs of Warsaw, Inc. | Skilled Nursing Facility | 214 Lanefield Road, Warsaw, NC 28398 | 2011-12-05 |
| 1588736458 | William J Stoppelbein | Dentist | 121 Duplin Professional Court, Warsaw, NC 28398-0424 | 2006-11-15 |
| 1972650059 | Stoppelbein & Hardison, Dds Pa | Dentist | 121 Duplin Professional Court, Warsaw, NC 28398-0424 | 2007-01-04 |
| 1922170802 | Christopher D Hardison | Dentist | 121 Duplin Professional Court, Warsaw, NC 28398-0424 | 2006-11-15 |
| 1851423610 | Unified Nursing Care Service | Home Health | 103 W Chelly St, Warsaw, NC 28398-1332 | 2007-03-09 |
| 1467781898 | Omega Home Care Agency | Home Health | 213 E North St, Warsaw, NC 28398-1432 | 2009-12-14 |
| 1134669633 | Smarter Companion Care | Respite Care | 105 Clark Plz, Warsaw, NC 28398-1800 | 2017-03-02 |
| 1376552331 | Rai Care Centers of North Carolina II, LLC | Clinic/Center | 213 West College Street, Warsaw, NC 28398-1811 | 2006-08-07 |
| 1952443996 | Universal Mhddsas | Community/Behavioral Health | 102 W Hill St, Warsaw, NC 28398-1816 | 2007-02-13 |
| Find all providers in zip 28398 | ||||
| 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 |
|---|---|---|---|---|
| 1346803772 | Amber Rae Parker | Physical Therapy Assistant | 2695 Shelden St., Warsaw, IN 46580 | 2019-04-22 |
| 1659895985 | Jessica Lanier Gillen | Physical Therapy Assistant | 214 Lane Field Rd, Warsaw, NC 28398 | 2017-07-28 |
| 1366995011 | Chelsea Easter | Physical Therapy Assistant | 32653 Fraction Pt, Warsaw, MO 65355-6437 | 2016-07-29 |
| 1932357050 | Sarah Armintrout | Physical Therapy Assistant | 22878 Township Road 409, Warsaw, OH 43844-9546 | 2008-09-03 |
| 1467508358 | Emily Judith Hughes | Physical Therapy Assistant | 204 Seminary, Sun Lakes Physical Therapy, Warsaw, MO 65355 | 2007-01-25 |
| 1487111969 | Derek Lee Smith | Physical Therapy Assistant | 204 Seminary St, Warsaw, MO 65355 | 2019-02-21 |
| 1154844942 | Shannon Marie Johnson | Physical Therapy Assistant | 2304 Dubois Dr, Warsaw, IN 46580-3213 | 2017-07-24 |
| 1982095014 | James Scheppers | Physical Therapy Assistant | 204 Seminary Street, Warsaw, MO 65355 | 2015-02-11 |
| 1346660370 | Shane Wallen | Physical Therapy Assistant | 900 Provident Dr, Warsaw, IN 46580-3252 | 2014-04-17 |
| 1902142169 | Heather Johnson | Physical Therapy Assistant | 499 Center Ave, Warsaw, KY 41095-9754 | 2012-12-17 |
| Find all providers in WARSAW | ||||
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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.