KENDRICK JUSTIN KING GUNNING (NPI# 1669034823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669034823 |
| Entity Type | Individual |
| Full Name | KENDRICK JUSTIN KING GUNNING |
| Credential | PTA |
| Practice Address |
3330 E Louise Dr Ste 400 Meridian ID 83642-5123 |
| Practice Telephone | 2087062333 |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA-4208 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3330 E LOUISE DR STE 400 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-5123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548365919 | St Luke's Regional Medical Center | Hospice Care, Community Based | 3330 E Louise Dr Ste 400, Meridian, ID 83642-5123 | 2006-09-13 |
| 1447857057 | Makaila Dawn Johnson | Physical Therapist | 3330 E Louise Dr Ste 400, Meridian, ID 83642-5123 | 2020-10-06 |
| 1699384636 | Cassidy Joy Galimanis | Social Worker | 3330 E Louise Dr Ste 400, Meridian, ID 83642-5123 | 2020-07-27 |
| 1083183347 | Marilyn Minnie Canales | Nurse Practitioner | 3330 E Louise Dr Ste 400, Meridian, ID 83642-5123 | 2018-11-15 |
| 1306945985 | St Luke's Regional Medical Center | Home Health | 3330 E Louise Dr Ste 400, Meridian, ID 83642-5123 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| 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 |
|---|---|---|---|---|
| 1811523145 | Kimberly Jean Larsen | Physical Therapy Assistant | 3251 N Summerbrook Pl, Meridian, ID 83646-5581 | 2020-03-18 |
| 1700334703 | Ma. Dulce Corazon Lipana | Physical Therapy Assistant | 3679 W Bismark Dr, Meridian, ID 83646-9008 | 2016-09-19 |
| 1457627317 | Theresa Franklin | Physical Therapy Assistant | 3719 Hwy 39 N, Meridian, MS 39301 | 2012-03-26 |
| 1821151044 | Amanda Marie Miller | Physical Therapy Assistant | 3800 W Perugia St Apt V308, Meridian, ID 83642-4896 | 2006-12-19 |
| 1982259586 | Diamond Jones | Physical Therapy Assistant | 4908 Great River Dr, Meridian, MS 39305-2663 | 2019-08-09 |
| 1629620737 | Sam Davis Hudnall Jr. | Physical Therapy Assistant | 4908 Great River Dr, Meridian, MS 39305-2663 | 2019-07-10 |
| 1912569401 | Whitney Gardner | Physical Therapy Assistant | 3716 Highway 39 N, Meridian, MS 39301-1013 | 2019-07-03 |
| 1073019212 | Erica Joy Sheppard | Physical Therapy Assistant | 3025 W Cherry Ln Ste D, Meridian, ID 83642-8531 | 2018-04-05 |
| 1265944300 | Brandon Dipasquale | Physical Therapy Assistant | 3716 Ms-39, Meridian, MS 39301 | 2017-10-30 |
| 1538692892 | Teresa Brown | Physical Therapy Assistant | 1455 N Lakeland Dr, Meridian, MS 39307-9020 | 2017-04-04 |
| Find all providers in MERIDIAN | ||||
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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.