MR. GUSTAVO J. MEDOSKY (NPI# 1578752549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578752549 |
| Entity Type | Individual |
| Full Name | MR. GUSTAVO J. MEDOSKY |
| Credential | L.M.T. |
| Practice Address |
205 Sw 84th Ave Plantation FL 33324-2708 |
| Mailing Address |
6681 Sw 20th St Plantation FL 33317-5104 |
| Practice Telephone | 9545360767 |
| Mailing Telephone | 9545360767 |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2018-11-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA27822 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225700000X | Massage Therapist | MA19949 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1912 S University Dr, B4, Davie, FL 333245849 | 9545360767 | |
| 350 N Pine Island Rd Ste 200, Plantation, FL 333241849 | 9544768800 |
| Street Address |
205 SW 84TH AVE |
| City | PLANTATION |
| State | FL |
| Zip Code | 33324-2708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659760460 | Nirmal R. Nathan, M.d., P.a. | Plastic Surgery | 205 Sw 84th Ave, Plantation, FL 33324-2708 | 2015-01-16 |
| 1992032544 | Nirmal Nathan | Plastic Surgery | 205 Sw 84th Ave, Plantation, FL 33324-2708 | 2009-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395382 | Jose A Zarranz | Pharmacist | 9648 Nw 7th Circle, Apt 1914, Plantation, FL 33324 | 2020-08-07 |
| 1275142234 | Leann Dehoff, Phd, Lmhc, Inc. | Clinic/Center | 150 S Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2020-07-27 |
| 1881232890 | Clara Mary Gonzalez Guevara | Nurse Practitioner | 01 S University Dr, Suite C136, Plantation, FL 33324 | 2019-12-20 |
| 1568009231 | Beena K Bijoy | Nurse Practitioner | 10305 Nw 6th Street, Plantation, FL 33324 | 2019-12-02 |
| 1629636030 | Carey Brown | Behavior Technician | 3 S Pine Island Rd, Apt 215, Ft. Lauderdale, FL 33324 | 2019-05-31 |
| 1578076410 | Eden Avni | Physician Assistant | 950 S Pine Island Rd Ste A-180, Plantation, FL 33324 | 2017-11-14 |
| 1528597952 | Loretta Epsen | Counselor | 851 Nw 85th Terr #1906, Plantation, FL 33324 | 2017-06-08 |
| 1497289409 | Leann Gale Dehoff | Counselor | 150 South Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2017-04-17 |
| 1851842918 | Maria Clara Rodriguez Andrade | Technician, Other | 2440 Sw 105 Terrace, Davie, FL 33324 | 2016-10-24 |
| 1447703947 | Herltg-debbie M Louis | Nurse Practitioner | 800 S University Dr, C-136, Plantation, FL 33324 | 2016-08-01 |
| Find all providers in zip 33324 | ||||
| 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 |
|---|---|---|---|---|
| 1437630399 | Guy Desanctis | Physical Therapy Assistant | 6530 W. Sunrise Blvd, Plantation, FL 33313 | 2018-08-28 |
| 1003343534 | Michael Sohr | Physical Therapy Assistant | 9211 W Broward Blvd, Plantation, FL 33324-2401 | 2017-05-15 |
| 1164627865 | Melissa Louis | Physical Therapy Assistant | 1501 Sw 72nd Ave, Plantation, FL 33317-5079 | 2007-06-20 |
| 1740318906 | Ellen Anastasiou | Physical Therapy Assistant | 10609 Nw 6th Ct, Plantation, FL 33324-1004 | 2007-03-01 |
| 1881175552 | Lyna Dupuy | Physical Therapy Assistant | 6931 W Sunrise Blvd, Plantation, FL 33313-4406 | 2018-08-22 |
| 1730669417 | Patrick Smith | Physical Therapy Assistant | 6931 W Sunrise Blvd, Plantation, FL 33313-4406 | 2018-08-21 |
| 1881183929 | Monica Andrea Palmero | Physical Therapy Assistant | 600 S Pine Island Rd Ste 300, Plantation, FL 33324-3179 | 2018-05-03 |
| 1336657857 | Rick Olibrice | Physical Therapy Assistant | 747 S State Road 7, Plantation, FL 33317-4055 | 2018-01-18 |
| 1982133351 | Steve Obas | Physical Therapy Assistant | 9211 W Broward Blvd, Plantation, FL 33324-2401 | 2017-06-08 |
| 1821526286 | German Quinones | Physical Therapy Assistant | 9215 W Broward Blvd, Plantation, FL 33324-2404 | 2017-05-30 |
| Find all providers in PLANTATION | ||||
| City | PLANTATION |
| Zip Code | 33324 |
Please comment or provide details below to improve the information on MR. GUSTAVO J. MEDOSKY.
| 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.