MR. ALEX WILBURN (NPI# 1649649724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649649724 |
| Entity Type | Individual |
| Full Name | MR. ALEX WILBURN |
| Credential | LPTA |
| Practice Address |
1680 Sw Saint Lucie West Blvd Suite 202 Port St Lucie FL 34986-1927 |
| Practice Telephone | 7728783322 |
| Practice Fax Number | 7728785030 |
| Mailing Telephone | 7728783322 |
| Mailing Fax Number | 7728785030 |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 25880 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1680 SW SAINT LUCIE WEST BLVD SUITE 202 |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34986-1927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487732897 | Thomas Cole Elu | Physical Therapy Assistant | 1680 Sw Saint Lucie West Blvd, Port St Lucie, FL 34986-1927 | 2006-11-02 |
| 1922531599 | Marlon Dobson | Physical Therapy Assistant | 1680 Sw Saint Lucie West Blvd, Port St Lucie, FL 34986-1927 | 2017-04-10 |
| 1316287626 | Lauren Jean Giardino | Physical Therapist | 1680 Sw Saint Lucie West Blvd, 202, Port St Lucie, FL 34986-1927 | 2013-02-22 |
| 1558590265 | Mutter's Precision Hearing Center, Inc | Hearing Aid Equipment | 1680 Sw Saint Lucie West Blvd, Suite 103, Port St Lucie, FL 34986-1927 | 2009-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962992933 | Lindsay B Rojas | Occupational Therapist | 827 Sw Grand Reserves Blvd, Port St Lucie, FL 34986 | 2018-05-15 |
| 1639685266 | Natoya A Queenbourrows | Family Medicine | 2145 Nw Padova St, Port St Lucie, FL 34986 | 2017-12-19 |
| 1740634930 | The Toledo Clinic, LLC | Clinic/Center | 5481 Nw East Torino Parkway, Port St. Lucie, FL 34986 | 2016-04-14 |
| 1326407230 | Merline Smellie | Social Worker | 525 Nw Lake Whitney Place, Ste 102 & 103, Port St Lucie, FL 34986 | 2016-02-19 |
| 1124486949 | Therapy Connection of The Treasure Coast | Speech-Language Pathologist | 549 Nw Lake Whitney Pl Ste 104, Port St Lucie, FL 34986 | 2016-02-08 |
| 1689050015 | Yudelquis Comas Sanchez | Internal Medicine | Lawnwood Regional Medical Center, 1700 S 23rd St, Fort Pierce, FL 34986 | 2015-08-07 |
| 1689056889 | Joshua Chupp | Dentist | 1384 Sw St. Lucie West Blvd, Port St. Lucie, FL 34986 | 2015-06-24 |
| 1366821720 | Kids Therapy Solutions | Occupational Therapist | 161 Sw Palm Dr # 201, Port St Lucie, FL 34986 | 2015-05-19 |
| 1134514086 | Comfortable Care Dental Health Professionals, Pa | Dentist | 1384 Sw St. Lucie, Port St. Lucie, FL 34986 | 2015-03-30 |
| 1750787586 | Timothy Michael Kennedy | Chiropractor | 1680 Sw Saint Lucie West Blvd Ste 204, Port St Lucie, FL 34986 | 2014-11-05 |
| Find all providers in zip 34986 | ||||
| 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 |
|---|---|---|---|---|
| 1659741379 | Amy Mae Dipalma | Physical Therapy Assistant | 5238 Nw Rugby Dr, Port St Lucie, FL 34983 | 2015-10-07 |
| 1922427491 | Andrea Nickens | Physical Therapy Assistant | 2249 Se Genoa St, Port St Lucie, FL 34952-7336 | 2014-04-14 |
| 1649601808 | Nadine Rucker | Physical Therapy Assistant | 5524 Nw Cordrey St, Port St Lucie, FL 34986-3924 | 2013-12-12 |
| 1790065027 | Brian Mcdermott | Physical Therapy Assistant | 2173 Se Herron Ave, Port St Lucie, FL 34952-5854 | 2011-08-18 |
| 1700191400 | Judith Lunatinill | Physical Therapy Assistant | 687 Se Harborview Dr, Port St Lucie, FL 34983-2703 | 2010-08-18 |
| 1952514911 | Melinda Burdiss | Physical Therapy Assistant | 400 Riomar Dr, Port St Lucie, FL 34952-1363 | 2007-05-07 |
| 1942331202 | Anne Louise Kalb | Physical Therapy Assistant | 2484 Se Allen St, Port St Lucie, FL 34984-5210 | 2007-03-08 |
| 1487732897 | Thomas Cole Elu | Physical Therapy Assistant | 1680 Sw Saint Lucie West Blvd, Port St Lucie, FL 34986-1927 | 2006-11-02 |
| 1942784608 | Ashley Grady | Physical Therapy Assistant | 279 Nw California Blvd, Port St Lucie, FL 34986-2505 | 2018-09-19 |
| 1922531599 | Marlon Dobson | Physical Therapy Assistant | 1680 Sw Saint Lucie West Blvd, Port St Lucie, FL 34986-1927 | 2017-04-10 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34986 |
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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.