AGNES FORMEJSTER


Address: 300 Stafford St, Suite 360, Springfield, MA 01104-3581
Phone: 4137348440

AGNES FORMEJSTER (NPI# 1760560627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760560627
Entity Type Individual
Full Name AGNES FORMEJSTER
Other Name AGNIESZKA SLOWIK
Credential PTA
Practice Address 300 Stafford St
Suite 360
Springfield
MA 01104-3581
Mailing Address 300 Stafford St
360
Springfield
MA 01104-3581
Practice Telephone 4137348440
Practice Fax Number 4137316703
Mailing Telephone 4137348440
Mailing Fax Number 4137316703
Enumeration Date 2006-11-01
Last Update Date 2007-07-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225200000X Physical Therapy Assistant 3436 MA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 300 STAFFORD ST
SUITE 360
City SPRINGFIELD
State MA
Zip Code 01104-3581

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497756092 Robert Philip Hoffman Internal Medicine 300 Stafford St, Suite 306, Springfield, MA 01104-3581 2005-08-03
1932601887 Luybang Trinh Internal Medicine 300 Stafford St, Springfield, MA 01104-4110 2018-03-07
1730621491 Chrispina Marunga Chitemerere Nurse Practitioner 300 Stafford St, Springfield, MA 01104-4110 2016-11-12
1245615285 Pioneer Continuing Care Providers, PC Family Medicine 300 Stafford St, Suite 200, Springfield, MA 01104-4110 2015-07-20
1255751509 Alise Bartolucci Nurse Practitioner 300 Stafford St, Suites 101, 154 & 161, Springfield, MA 01104-4110 2014-04-24
1407297971 Samantha Lee Lyman Physician Assistant 300 Stafford St, Springfield, MA 01104 2013-07-12
1346511243 Pioneer Valley Cardiology Associates, Inc Specialist 300 Stafford St, Springfield, MA 01104 2012-01-24
1235456385 Christopher R Russo Internal Medicine 300 Stafford St, # 154 / 101, Springfield, MA 01104-4110 2010-04-29
1952630493 Valley Podiatry Associates, PC Podiatrist 300 Stafford St, Suite 256, Springfield, MA 01104-3581 2009-12-11
1174776454 Sleepcures LLC Clinic/Center 300 Stafford St, Ste 102, Springfield, MA 01104-3581 2008-10-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346727567 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 2155 Main Street, Suite 131/133, Springfield, MA 01104 2018-07-20
1508385618 Demetrios Sotiropoulos Physician Assistant 175 Carew St Ste 250, Springfield, MA 01104 2017-09-11
1114382942 Rosana Rivera-delgado Psychologist 4017 Liberty St, Springfield, MA 01104 2015-12-21
1417363516 Springfield Family Pharmacy, Inc Pharmacy 175 Carew St, Suite 100, Springfield, MA 01104 2014-07-09
1437588837 Ariam Ivette Pena Counselor 85 St. George Road, Springfield, MA 01104 2013-11-06
1891124293 Ana E. Centeno Counselor 85 St. George Road., Springfield, MA 01104 2013-11-06
1275962003 Swany Matos Counselor 2155 Main St., Springfield, MA 01104 2013-11-02
1184053910 Claudia Eileen Quesada Counselor 2155 Main Street and St. George Road, The Gandara Center, Springfield, MA 01104 2013-11-02
1194023044 Hungry Hill Family Practice Clinic/Center 776 Liberty Street, Hungry Hill Family Practice, Springfield, MA 01104 2011-03-02
1710115308 Michael Allen Roche Counselor 332 Bernie Ave, Center for Human Development, Springfield, MA 01104 2009-06-23
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Taxonomy Information

Taxonomy Code 225200000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapy Assistant

Taxonomy Definition

(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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841819356 Emily Conover Physical Therapy Assistant 3342 S Valley View Dr, Springfield, MO 65807-8504 2020-04-14
1700421393 Kim Annette Ybarbo Physical Therapy Assistant 1266 E Cambridge St, Springfield, MO 65804-3611 2019-11-07
1679121339 Michael Barry Soden Physical Therapy Assistant 50 Kipling St, Springfield, MA 01118-1228 2019-08-27
1902376122 Maria C Lippencott Physical Therapy Assistant 970 Timberview Ave, Springfield, OH 45502-7966 2018-11-30
1992287478 Trevor Wayne Love Physical Therapy Assistant 2211 E Claiborne St, Springfield, MO 65804-3823 2018-08-31
1730677857 Addolorata Dally Physical Therapy Assistant 113 Madison Ter, Springfield, NJ 07081-3410 2018-04-24
1457866931 Kortney Pope Physical Therapy Assistant 5087 Windland Dr, Springfield, TN 37172-6092 2017-12-06
1912369539 Olga Burt Physical Therapy Assistant 146 Rose Lane, Springfield, PA 19064 2016-03-23
1013389998 Sarah Teague Physical Therapy Assistant 631 Foxtail Ln, Springfield, IL 62707-8596 2015-10-30
1710363783 Don Dewald Jr. Physical Therapy Assistant 1418 Providence Ave, Springfield, OH 45503-1519 2015-07-31
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City SPRINGFIELD
Zip Code 01104

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Dataset Information

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.

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