BRETT MICKINAC (NPI# 1679132013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679132013 |
| Entity Type | Individual |
| Full Name | BRETT MICKINAC |
| Practice Address |
8601 Stenton Ave Wyndmoor PA 19038-8312 |
| Practice Telephone | 7249539145 |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
8601 STENTON AVE |
| City | WYNDMOOR |
| State | PA |
| Zip Code | 19038-8312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316919608 | Chhs Rehab Company, LLC | Rehabilitation Hospital | 8601 Stenton Ave, Wyndmoor, PA 19038-8312 | 2006-02-02 |
| 1881255263 | Wyndmoor Snf Operating Company LLC | Skilled Nursing Facility | 8601 Stenton Ave, Wyndmoor, PA 19038-8312 | 2019-06-26 |
| 1417417007 | Nicole C White | Physical Therapist | 8601 Stenton Ave, Wyndmoor, PA 19038-8312 | 2019-03-21 |
| 1124588686 | Maria Roth | Physical Therapy Assistant | 8601 Stenton Ave, Wyndmoor, PA 19038-8312 | 2019-03-21 |
| 1174083752 | Nicolina Marceca | Physical Therapist | 8601 Stenton Ave, Wyndmoor, PA 19038-8312 | 2019-03-21 |
| 1457811135 | Paul Perri | Occupational Therapy Assistant | 8601 Stenton Ave, Wyndmoor, PA 19038-8312 | 2019-03-20 |
| 1497215180 | Holly C. Dender | Occupational Therapist | 8601 Stenton Ave, Wyndmoor, PA 19038-8312 | 2019-03-20 |
| 1174081459 | Shannon Marie O'neill | Occupational Therapist | 8601 Stenton Ave, Wyndmoor, PA 19038-8312 | 2019-03-06 |
| 1508216391 | Erik Timby | Speech-Language Pathologist | 8601 Stenton Ave, Wyndmoor, PA 19038-8312 | 2016-06-13 |
| 1972913036 | Skyline Care LLC | Home Health | 8601 Stenton Ave, Wyndmoor, PA 19038-8312 | 2014-04-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639723042 | Kristen Lea Badawy | Nurse Practitioner | 910 East Willow Grove, Wyndmoor, PA 19038 | 2019-07-25 |
| 1437634581 | Francis Anthony Angiolillo | Physical Therapist | 417 Montier Rd, Glenside, PA 19038 | 2018-09-25 |
| 1760972277 | Eminence Home Care LLC | In Home Supportive Care | 32541 Chestnut St, #800, Philadelphia, PA 19038 | 2018-05-10 |
| 1346764875 | Carly Michel Mcdade | Marriage & Family Therapist | 629 Bethlehem Pike, Erdenheim, PA 19038 | 2017-07-26 |
| 1639606015 | Leslie Aurino | Acupuncturist | 7817-b Queen Street, Wyndmoor, PA 19038 | 2017-05-17 |
| 1255765962 | Albert Vincent La Rocca | Dentist | 111 N. Easton Rd., Glenside, PA 19038 | 2013-08-29 |
| 1801127469 | Chestnut Hill Allergy and Asthma Associates, LLC | Internal Medicine | 8200 Flourtown Ave Ste 4, Wyndmoor, PA 19038 | 2010-01-21 |
| 1588895817 | Marie C. Kelly-tralies | Nurse Practitioner | 2704 Spear Ave, Glenside, PA 19038 | 2009-08-04 |
| 1477781946 | James P. Soulges | Family Medicine | 7607 Louise Lane, Glenside, PA 19038 | 2009-06-23 |
| 1598947038 | Barbara Carol Holder | Psychologist | 2711 West Church Road, Glenside, PA 19038 | 2007-11-27 |
| Find all providers in zip 19038 | ||||
| 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 |
|---|---|---|---|---|
| 1124588686 | Maria Roth | Physical Therapy Assistant | 8601 Stenton Ave, Wyndmoor, PA 19038-8312 | 2019-03-21 |
| 1750871133 | Michael Wally Skrzat | Physical Therapy Assistant | 8200 Flourtown Ave Ste 11, Wyndmoor, PA 19038-7970 | 2018-05-11 |
| 1952823122 | John Sartor | Physical Therapy Assistant | 8833 Stenton Ave, Wyndmoor, PA 19038-8319 | 2017-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265032478 | Kyle Sibio Joyce | Physical Therapy Assistant | 105 Maloney St, Dunmore, PA 18512-3158 | 2020-10-27 |
| 1396350443 | Nicholas Chupick | Physical Therapy Assistant | 276 E Grove St Ste 2, Clarks Green, PA 18411-1723 | 2020-09-14 |
| 1184238784 | Nora Marie Heister | Physical Therapy Assistant | 2491 Raystown Rd, Everett, PA 15537-4959 | 2020-09-02 |
| 1245843416 | Michael Mcghen | Physical Therapy Assistant | 3313 Macintyre Dr, Murrysville, PA 15668-1315 | 2020-08-28 |
| 1972115129 | Jodi Newcome | Physical Therapy Assistant | 108 Lois Ln, Punxsutawney, PA 15767-1201 | 2020-08-19 |
| 1750992426 | George Joseph Marcucci I | Physical Therapy Assistant | 1316 Pine St, Norristown, PA 19401-3209 | 2020-08-14 |
| 1013528215 | Dennis Anthony Barker Jr. | Physical Therapy Assistant | 2443 E Sergeant St, Philadelphia, PA 19125-3114 | 2020-08-11 |
| 1134739790 | Kara Mae Watts Hamill | Physical Therapy Assistant | 1424 Montfort Dr, Harrisburg, PA 17110-3015 | 2020-08-07 |
| 1720698780 | Jessica Verno | Physical Therapy Assistant | 108 Kiawa St, Johnstown, PA 15904-3746 | 2020-08-05 |
| 1306456280 | Michele Rae Parsonsage | Physical Therapy Assistant | 4112 Dundee Dr, Murrysville, PA 15668-1010 | 2020-08-05 |
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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.