AMY LYNN HEITZIG (NPI# 1619386430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619386430 |
| Entity Type | Individual |
| Full Name | AMY LYNN HEITZIG |
| Credential | PTA |
| Practice Address |
620 W Bridgeport St White Hall IL 62092-1001 |
| Practice Telephone | 2173742144 |
| Mailing Telephone | 2173742144 |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2018-12-04 |
| NPI Deactivation Date | 03/02/2018 |
| NPI Reactivation Date | 2018-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225200000X | Physical Therapy Assistant | 2014037473 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225200000X | Physical Therapy Assistant | 160.001512 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1307 State Highway 109, Jerseyville, IL 620522396 | 6184986525 | |
| 4560 Se International Way Ste 101, Portland, OR 972224628 | 9712065202 | 9712065203 |
| Street Address |
620 W BRIDGEPORT ST |
| City | WHITE HALL |
| State | IL |
| Zip Code | 62092-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023183431 | White Hall Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 620 W Bridgeport St, White Hall, IL 62092-1001 | 2006-11-21 |
| 1043731540 | Vidit Atul Phanse | Physical Therapist | 620 W Bridgeport St, White Hall, IL 62092-1001 | 2017-07-05 |
| 1194113514 | Brenn Killion | Specialist | 620 W Bridgeport St, White Hall, IL 62092-1001 | 2015-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619302510 | Netherine Lann Valencia Agsalda | Physical Therapist | 620 W Bridgeport St., White Hall Nursing and Rehab, White Hall, IL 62092 | 2013-09-10 |
| 1023292265 | Pamida Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 116 N Main, White Hall, IL 62092 | 2007-12-24 |
| 1518024009 | Sherdel Janssen | Registered Nurse | 505 S Main St, White Hall, IL 62092-1002 | 2007-01-03 |
| 1366535304 | Thomas H. Boyd Memorial Hospital | Clinic/Center | 116a N Main St, White Hall, IL 62092-1054 | 2006-10-02 |
| 1003416546 | Jeremy Elliott | Nurse Practitioner | 116a N Main St, White Hall, IL 62092-1054 | 2020-10-26 |
| 1295078137 | Pharmacy Plus, Inc. | Pharmacy | 116 N Main St, White Hall, IL 62092-1054 | 2013-03-28 |
| 1760767743 | Jason Campbell | Pharmacist | 116 N Main St, White Hall, IL 62092-1054 | 2011-10-20 |
| 1588798045 | Janice Knight Breece | Pharmacist | 116 N Main St, White Hall, IL 62092-1054 | 2007-03-15 |
| 1306970769 | Gary Lawrence Breece | Pharmacist | 116 N Main St, White Hall, IL 62092-1054 | 2007-03-15 |
| 1447300926 | City Drug Inc. | Pharmacy | 116 N Main St, White Hall, IL 62092-1054 | 2007-01-10 |
| Find all providers in zip 62092 | ||||
| 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 |
|---|---|---|---|---|
| 1861007791 | Makesha Monique Jefferson | Physical Therapy Assistant | 7500 Dollarway Rd Ste 203, White Hall, AR 71602-3085 | 2020-09-08 |
| 1447869771 | Ngoc Anh Luu Le | Physical Therapy Assistant | 141 Chipmunk Dr, White Hall, AR 71602-4789 | 2020-07-22 |
| 1891189601 | Maria Miller | Physical Therapy Assistant | 2417 Hawkins Road, White Hall, MD 21161 | 2015-03-19 |
| 1023648649 | Casey Hanson | Physical Therapy Assistant | 9209 Dollarway Rd, White Hall, AR 71602-2616 | 2020-01-23 |
| 1013375575 | Kimberlie Sisson | Physical Therapy Assistant | 9209 Dollarway Rd, White Hall, AR 71602-2616 | 2016-01-29 |
| 1912118258 | Kirby White | Physical Therapy Assistant | 2601 Garrett Rd, White Hall, MD 21161-9743 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407562 | Cassie Santana | Physical Therapy Assistant | 2220 Founders Dr, Northbrook, IL 60062-5478 | 2020-11-02 |
| 1194325852 | George Oppong | Physical Therapy Assistant | 2555 W Eastwood Ave Apt 1, Chicago, IL 60625-2969 | 2020-10-30 |
| 1932708963 | Beth Anne Krueger | Physical Therapy Assistant | 16w301 91st St, Burr Ridge, IL 60527-6368 | 2020-10-21 |
| 1699374884 | Megan E Strnad | Physical Therapy Assistant | 1329 N Russell Ave, Aurora, IL 60506-1433 | 2020-10-20 |
| 1346849734 | Amy Allen | Physical Therapy Assistant | 26613 Silverleaf Dr, Plainfield, IL 60585-2809 | 2020-10-18 |
| 1023615390 | Natalie Elliott | Physical Therapy Assistant | 622 University St, Carlinville, IL 62626-1459 | 2020-10-08 |
| 1285231167 | Georgia Rinda | Physical Therapy Assistant | 406 Front St # 110, Mchenry, IL 60050-5593 | 2020-10-05 |
| 1003428806 | Staci A Burris | Physical Therapy Assistant | 900 Centennial Dr # 30, East Peoria, IL 61611-4928 | 2020-08-21 |
| 1669083879 | Janette Donna Waksmanski | Physical Therapy Assistant | 7125 Sholer Ave, Bridgeview, IL 60455-1062 | 2020-08-11 |
| 1952912230 | Josh M Pandola | Physical Therapy Assistant | 415 W Golf Rd Ste 68, Arlington Heights, IL 60005-3923 | 2020-08-11 |
| Find all providers with the same taxonomy | ||||
| City | WHITE HALL |
| Zip Code | 62092 |
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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.