TIFFANY GOODWYN (NPI# 1598246241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598246241 |
| Entity Type | Individual |
| Full Name | TIFFANY GOODWYN |
| Credential | PTA |
| Practice Address |
2450 E 5th St Tyler TX 75701-3525 |
| Mailing Address |
Po Box 7041 Tyler TX 75711-7041 |
| Practice Telephone | 9035926745 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 2121557 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2450 E 5TH ST |
| City | TYLER |
| State | TX |
| Zip Code | 75701-3525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629135975 | Park Place Tyler Healthcare, LLC | Skilled Nursing Facility | 2450 E 5th St, Tyler, TX 75701-3525 | 2007-01-03 |
| 1215419387 | Heather N Smith | Occupational Therapy Assistant | 2450 E 5th St, Tyler, TX 75701-3525 | 2018-09-05 |
| 1497237721 | Mary Grace Salanga Mendoza | Physical Therapy Assistant | 2450 E 5th St, Tyler, TX 75701-3525 | 2018-09-04 |
| 1902388465 | Rebecca Lee Robinson | Physical Therapy Assistant | 2450 E 5th St, Tyler, TX 75701-3525 | 2018-08-31 |
| 1477035939 | Carolyn Ann Vieau | Occupational Therapy Assistant | 2450 E 5th St, Tyler, TX 75701-3525 | 2018-08-31 |
| 1770970543 | Hopkins County Hospital District | Skilled Nursing Facility | 2450 E 5th St, Tyler, TX 75701-3525 | 2015-04-20 |
| 1326384538 | South Park Care & Rehab LLC | Skilled Nursing Facility | 2450 E 5th St, Tyler, TX 75701-3525 | 2012-12-14 |
| 1184954828 | Park Place Tyler Hc, LLC | Nursing Facility/Intermediate Care Facility | 2450 E 5th St, Tyler, TX 75701-3525 | 2009-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| 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 |
|---|---|---|---|---|
| 1235771825 | Ralardo Mejias Labrador | Physical Therapy Assistant | 7363 Kingsport Ln, Tyler, TX 75703-7495 | 2019-10-15 |
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1316590276 | Rocio Molina | Physical Therapy Assistant | 109 W Ferguson St, Tyler, TX 75702-7203 | 2019-07-19 |
| 1225591316 | Perry Flowers | Physical Therapy Assistant | 3219 E Grande Blvd, Tyler, TX 75707-1407 | 2019-04-07 |
| 1033691324 | Karley Ann Ritchie | Physical Therapy Assistant | 1814 Roseland Blvd Ste 100, Tyler, TX 75701-4262 | 2018-09-03 |
| 1730667189 | Mindy Lee Livingston | Physical Therapy Assistant | 16499 Kingston Ct, Tyler, TX 75703-7333 | 2018-07-29 |
| 1710364559 | Lindsey Mcguire | Physical Therapy Assistant | 1001 Wsw Loop 323, Tyler, TX 75701-9416 | 2015-04-30 |
| 1164816948 | Kirsten Andrea Bradshaw | Physical Therapy Assistant | 747 S Beckham Ave, Tyler, TX 75701 | 2015-03-19 |
| 1548658495 | Oline Mcneece | Physical Therapy Assistant | 13854 County Road 291, Tyler, TX 75707-4846 | 2014-12-30 |
| 1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
| Find all providers in TYLER | ||||
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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.