MACKENZIE MARIE KROM (NPI# 1659505733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659505733 |
| Entity Type | Individual |
| Full Name | MACKENZIE MARIE KROM |
| Credential | PTA |
| Practice Address |
22 Masonic Ave Wallingford CT 06492-3048 |
| Mailing Address |
Po Box 70 Wallingford CT 06492-7001 |
| Practice Telephone | 2036795900 |
| Mailing Telephone | 2036795900 |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2009-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 000954 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
22 MASONIC AVE |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-3048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780689836 | Masonic Healthcare Center | Pharmacy | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2005-06-16 |
| 1841805397 | Nicholas Metaxas | Physical Therapist | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2020-09-11 |
| 1841813102 | Elena Bochicchio | Physical Therapist | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2020-05-21 |
| 1245852151 | Annemieke Ausloos Martino | Physical Therapist | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2020-05-13 |
| 1457992216 | Alison Lorusso | Nurse Practitioner | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2019-10-03 |
| 1467014183 | Debbra Konopaske | Physical Therapy Assistant | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2019-07-02 |
| 1306305776 | Sarnia Scarlett | Occupational Therapy Assistant | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2019-03-15 |
| 1902364888 | Elizabeth Fox | Speech-Language Pathologist | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2019-03-09 |
| 1891253415 | Kathleen Robak | Occupational Therapy Assistant | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2019-03-04 |
| 1558831941 | Jeffrey Raymond Necio | Pharmacist | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2018-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
| 1528692480 | Hilary Caitlin Sullivan | Nurse Practitioner | Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 | 2020-02-28 |
| 1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
| 1114409562 | Doreen Gail Barile | Pharmacist | 846 North Colony Road, Wallingford, CT 06492 | 2018-09-02 |
| 1942782354 | Brad Becker | Pharmacist | 846 North Colony Rd, Walingford, CT 06492 | 2018-08-31 |
| 1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
| 1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
| 1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
| 1659822369 | Sara Frawley | Naturopath | 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 | 2016-10-18 |
| 1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
| Find all providers in zip 06492 | ||||
| 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 |
|---|---|---|---|---|
| 1457746034 | Wayne Gabe | Physical Therapy Assistant | 520 Hastings Ave, Wallingford, PA 19086-7042 | 2015-04-01 |
| 1467014183 | Debbra Konopaske | Physical Therapy Assistant | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2019-07-02 |
| 1851879290 | Hans Peter Antonio Franco Del Carpio | Physical Therapy Assistant | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2018-07-28 |
| 1235616723 | Chelsea Clow | Physical Therapy Assistant | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2018-07-26 |
| 1669994638 | Connecticut Orthopaedic Specialists, PC | Physical Therapy Assistant | 701 N Colony Rd, Wallingford, CT 06492-2407 | 2017-07-12 |
| 1508230897 | William Melekian | Physical Therapy Assistant | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2015-11-24 |
| 1053796631 | Toshimi Haraguni | Physical Therapy Assistant | 35 Marc Dr, Wallingford, CT 06492-5708 | 2015-07-24 |
| 1467878066 | Jacqueline Sancho | Physical Therapy Assistant | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2014-03-07 |
| 1598087694 | Irene Cecelia Gersz | Physical Therapy Assistant | 35 Marc Dr, Wallingford, CT 06492-5708 | 2010-02-17 |
| 1124279971 | Joanne Fagan Owens | Physical Therapy Assistant | 115 S Providence Rd, Wallingford, PA 19086-6333 | 2008-10-09 |
| Find all providers in WALLINGFORD | ||||
| City | WALLINGFORD |
| Zip Code | 06492 |
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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.