DR. CARISSA STODDARD (NPI# 1730796137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730796137 |
Entity Type | Individual |
Full Name | DR. CARISSA STODDARD |
Credential | PT, DPT |
Practice Address |
2222 Welborn St Dallas TX 75219-3924 |
Mailing Address |
3020 Thomas Ave Apt B Dallas TX 75204 |
Practice Telephone | 2145595000 |
Enumeration Date | 2020-09-29 |
Last Update Date | 2020-09-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
1263430 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
2222 WELBORN ST |
City | DALLAS |
State | TX |
Zip Code | 75219-3924 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710982988 | Jean Oldham Wall | Anesthesiology | 2222 Welborn St, Dallas, TX 75219-3924 | 2005-06-15 |
1831704949 | Ronni Lee Rowe | Occupational Therapist | 2222 Welborn St, Dallas, TX 75219-3924 | 2020-09-15 |
1952945263 | Katie Edwards | Orthotist | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-10-30 |
1033752555 | Kristiana Rhae Kiessling | Orthotist | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-10-28 |
1033767611 | Christine Grohs Agerlid | Nurse Practitioner | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-08-28 |
1669026050 | Kristen Anne Lord | Nurse Practitioner | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-07-24 |
1023660545 | Lindsay Chiu | Physical Therapist | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-07-15 |
1649832296 | Kayla Clem | Physical Therapist | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-07-03 |
1952963589 | Elissa Rae Curtis | Occupational Therapist | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-07-03 |
1932761798 | Lucy Rose Ericson | Occupational Therapist | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-07-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700421666 | Jennifer Henry Furlong | Counselor | 3500 Oak Lawn Ave Ste 720, Dallas, TX 75219 | 2019-11-14 |
1174082150 | Cmdpn Medical Group of Texas, P.a. | Clinic/Center | 3838 Oak Lawn Ave, Suite 1000, Pmb 1123, Dallas, TX 75219 | 2019-03-18 |
1245700871 | Reginald Deloatch | Day Training/Habilitation Specialist | 4123 Cedar Springs Roafd, Apt. 2332, Dallas, TX 75219 | 2018-11-27 |
1255815429 | Elk Monitoring,pllc | Electrodiagnostic Medicine | 4848 Lemmon Ave Suite 100 #321, Highland Park, TX 75219 | 2018-09-24 |
1255811154 | Matias Haller | Physical Therapist | 3131 Rurtle Creek Blvd, #615, Dallas, TX 75219 | 2018-08-20 |
1750861795 | Darya Semenyuk | Counselor | 3720 Rawlins St. Suite I, Dallas, TX 75219 | 2018-08-20 |
1144716580 | My Health & Homecare Transportation Inc | Non-emergency Medical Transport (VAN) | 3710 Rawlins St Ste 1420, Dallas, TX 75219 | 2018-07-09 |
1750876785 | David Dwayne Weir | Registered Nurse | 3883 Turtle Creek Blvd Apt 818, Dallas, TX 75219 | 2018-06-22 |
1053802264 | Stem Cell Pros LLC | Durable Medical Equipment & Medical Supplies | 4100 Harry Hines Blvd Ste 300, Dallas, TX 75219 | 2018-05-23 |
1346749231 | White Dental Limited Company Pllc | Clinic/Center | 3878 Oak Lawn Avenue Suite 310, Dallas, TX 75219 | 2018-02-06 |
Find all providers in zip 75219 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356889729 | Marie Mazzola Solomon | Physical Therapist | 7732 Worthing St, Dallas, TX 75252-6448 | 2017-02-06 |
1760751291 | Loving Leaps, Inc | Physical Therapist | 4830 Cedar Springs Rd Apt 34, Dallas, TX 75219-1365 | 2011-12-29 |
1659505865 | Kelly Burch Abrajano | Physical Therapist | 6301 Gaston Ave # 750, Dallas, TX 75214-3922 | 2009-05-04 |
1144488222 | Dallas Occupational Therapy Services for Kids, Pllc | Physical Therapist | 13720 Midway Rd, Suite 107, Dallas, TX 75244-4313 | 2008-05-27 |
1467571117 | Yeisha Celeste Culp | Physical Therapist | 2535 Lone Star Drive, Dallas, TX 75212 | 2007-03-27 |
1821602236 | Emily Eveler | Physical Therapist | 2535 Lone Star Dr, Dallas, TX 75212-6313 | 2020-09-02 |
1023626892 | Kylie Mclaughlin | Physical Therapist | 12770 Coit Rd Ste 870, Dallas, TX 75251-1455 | 2020-07-17 |
1568080927 | Rebecka Marie Tobin | Physical Therapist | 13720 Midway Rd Ste 107, Dallas, TX 75244-4313 | 2020-07-10 |
1043841810 | Ricki Donnell Graham | Physical Therapist | 6301 Gaston Ave Ste 750, Dallas, TX 75214-6339 | 2020-01-30 |
1649832296 | Kayla Clem | Physical Therapist | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-07-03 |
Find all providers in DALLAS |
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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.