STACEY H WILLIAMS (NPI# 1811955768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811955768 |
| Entity Type | Individual |
| Full Name | STACEY H WILLIAMS |
| Other Name | STACEY H WATERMAN |
| Credential | PTA |
| Practice Address |
2305 Aaron St Genesis Rehab Services River Commons Port Charlotte FL 33952-5346 |
| Mailing Address |
2860 Cabaret St Port Charlotte FL 33948-1627 |
| Practice Telephone | 9412559468 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2009-08-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA15599 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 264620099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699234393 | Stacey Lyn Williams | Nurse Practitioner | 1122 Gypsy Ln W, Towson, MD 21286-1404 | 2019-03-13 |
| 1083187306 | Stacey Lynn Williams | Developmental Therapist | 1822 Oak Park Ave, Berwyn, IL 60402-1708 | 2019-01-09 |
| 1629547385 | Stacey E Williams | Contractor | 2801 Montecito Dr, Denton, TX 76205-8510 | 2018-11-24 |
| 1073809489 | Stacey Williams | Doula | 852 North 2350 West, Provo, UT 84601 | 2011-06-23 |
| 1740512342 | Stacey Williams | Doula | 6212 29th Ave Ne, Seattle, WA 98115-7204 | 2010-02-05 |
| 1053426122 | Stacey Miller Williams | Social Worker | 3020 Pickett Rd, Suite 143, Durham, NC 27705-6000 | 2006-08-20 |
| 1790395630 | Stacey S Williams | Case Manager/Care Coordinator | 12305 Arlington Ave, Cleveland, OH 44108-2359 | 2020-08-05 |
| 1487215091 | Stacey Williams | Licensed Practical Nurse | 901 Washington St, Portsmouth, OH 45662-3944 | 2019-06-25 |
| 1568028835 | Stacey Lynn Williams | Nurse Practitioner | 1361 13th Ave S Ste 150, Jacksonville Beach, FL 32250-3235 | 2019-05-13 |
| 1184153827 | Stacey Williams | Registered Nurse | 4747 W 24th Ave, Gary, IN 46406-2821 | 2017-06-07 |
| Street Address |
2305 AARON ST GENESIS REHAB SERVICES RIVER COMMONS |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33952-5346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629200019 | Sherry Stiltner Fletcher | Occupational Therapy Assistant | 2305 Aaron St, Port Charlotte, FL 33952-5346 | 2009-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486552 | Arrow Medical LLC | Durable Medical Equipment & Medical Supplies | 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 | 2020-10-30 |
| 1376009621 | David Alan Mowry | Massage Therapist | 3148 Whiting Lane, Port Charlotte, FL 33952 | 2019-02-12 |
| 1124527189 | Aegis Group Practice, LLC | Physical Therapist | 2500 Aaron Street, Port Charlotte, FL 33952 | 2018-02-06 |
| 1255856118 | All Powered Mobility, LLC | Durable Medical Equipment & Medical Supplies | 2765 Tamiami Trl Ste B1, Port Charlotte, FL 33952 | 2017-08-11 |
| 1366994915 | Julianne Kumar | Physical Medicine & Rehabilitation | 4166 Tamiami Trail, Unit A, Port Charlotte, FL 33952 | 2016-10-31 |
| 1659729549 | The Gathering Place LLC | Licensed Practical Nurse | 3459 Depew Ave, Port Charlotte, FL 33952 | 2016-06-01 |
| 1003222183 | Philip Lagamma | Physical Therapist | 4161 Tamiami Trl Ste 103, Port Charlotte, FL 33952 | 2014-07-09 |
| 1184039695 | Nathan E Shipley | Driver | 2338 Alton Rd., Port Charlotte, FL 33952 | 2014-06-23 |
| 1619318219 | Nic 4 Royal Palm Leasing LLC | Assisted Living Facility | 2500 Aaron St., Port Charlotte, FL 33952 | 2013-07-11 |
| 1225306475 | Tamjo Inc | Hearing Instrument Specialist | 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 | 2011-12-02 |
| Find all providers in zip 33952 | ||||
| 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 |
|---|---|---|---|---|
| 1497296891 | Cody Bishop | Physical Therapy Assistant | 708 Bowman Ter, Port Charlotte, FL 33953-2133 | 2017-03-17 |
| 1710364666 | Joshua Chapman | Physical Therapy Assistant | 24041 Madaca Ln Unit 203, Port Charlotte, FL 33954-2821 | 2015-04-29 |
| 1215277686 | Sarah Anne Baker | Physical Therapy Assistant | 18480 Corcoran Blvd., Port Charlotte, FL 33948 | 2013-02-22 |
| 1992078869 | Kenneth Lloyd Luberger Jr. | Physical Therapy Assistant | 16858 Toledo Blade Blvd, Port Charlotte, FL 33954-1673 | 2012-02-22 |
| 1730712548 | Gloria Macario Jimenez | Physical Therapy Assistant | 4161 Tamiami Trl Ste 704, Port Charlotte, FL 33952-9283 | 2020-02-20 |
| 1427516038 | Sydney Hoffman | Physical Therapy Assistant | 4161 Tamiami Trl Ste 704, Port Charlotte, FL 33952 | 2019-03-04 |
| 1972072619 | Amy R Lieb | Physical Therapy Assistant | 4000 Kings Hwy, Port Charlotte, FL 33980-8718 | 2018-11-23 |
| 1760967715 | Anna Cooper | Physical Therapy Assistant | 4161 Tamiami Trl Ste 704, Port Charlotte, FL 33952-9283 | 2018-09-26 |
| 1710469184 | Eniko Korodi | Physical Therapy Assistant | 4000 Kings Hwy, Port Charlotte, FL 33980 | 2018-09-03 |
| 1295250082 | Enrique Vinicio Lemus | Physical Therapy Assistant | 18308 Murdock Cir Unit 107, Port Charlotte, FL 33948-1025 | 2017-08-14 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33952 |
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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.