MARY KAY EASTMAN (NPI# 1821115783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821115783 |
| Entity Type | Individual |
| Full Name | MARY KAY EASTMAN |
| Credential | P.T. |
| Practice Address |
507 Richland Ave Suite 108 Athens OH 45701-3700 |
| Mailing Address |
6379 Gura Rd Athens OH 45701-9615 |
| Practice Telephone | 1405938001 |
| Practice Fax Number | 7405935968 |
| Mailing Telephone | 7405933945 |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT-002517 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
507 RICHLAND AVE SUITE 108 |
| City | ATHENS |
| State | OH |
| Zip Code | 45701-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508797 | Vince R Koping | Pharmacist | 929 East State St, Athens, OH 45701 | 2020-11-06 |
| 1164051926 | Rachel Staker | Student in an Organized Health Care Education/Training Program | 86 Circle Drive, Suite 203, Athens, OH 45701 | 2020-04-03 |
| 1932736709 | Maria Augusta Suarez-hamman | Student in an Organized Health Care Education/Training Program | 86 Columbus Circle, Suite 203, Athens, OH 45701 | 2020-03-23 |
| 1831746882 | Justin Joseph Moakler | Specialist/Technologist | Ohio University Athens Training Facility, Grover Center E 187, Athens, OH 45701 | 2019-08-23 |
| 1275186991 | Barry Brady | Psychologist | Hudson Health Center, 3rd Floor 1 Ohio University, Athens, OH 45701 | 2019-07-22 |
| 1821559691 | Mary N Lee | Student in an Organized Health Care Education/Training Program | 1 Ohio Univerisity Dept of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2019-03-26 |
| 1275007692 | Gabrielle Ruth Wesemeyer | Student in an Organized Health Care Education/Training Program | 6 South Congress Street, Athens, OH 45701 | 2019-01-18 |
| 1528551918 | Bradford Thomas Meyers | Psychologist | 1 University Ave, Ohio University, Athens, Oh 45701, Athens, OH 45701 | 2018-06-11 |
| 1912499344 | William Monopoli | Student in an Organized Health Care Education/Training Program | 1 Ohio University Department of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2018-06-01 |
| 1477044113 | 59 Green Ltd. | Taxi | 14 Cook Drive, Athens, OH 45701 | 2018-05-29 |
| Find all providers in zip 45701 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881077121 | Vernisha Bhakta | Physical Therapist | 1119 Prince Avenue, Athens, GA 30606 | 2015-07-06 |
| 1841318235 | Susana Maria Bluhm | Physical Therapist | 1077 Baxter St, Babies Cant Wait Early Intervention, Athens, GA 30606 | 2007-03-26 |
| 1386664886 | Marivic E Cagampan | Physical Therapist | 1500 Oglethorpe Ave, Athens, GA 30606-2179 | 2006-07-20 |
| 1881614147 | Lori Ewing | Physical Therapist | 1500 Oglethorpe Ave, Athens, GA 30606-2179 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780158279 | Jennifer Elliott | Physical Therapist | 1205 King Rd, Toledo, OH 43617-2013 | 2019-01-17 |
| 1679090427 | Courtney M Goldsbury | Physical Therapist | 3430 Burnet Ave # Mlc4007, Cincinnati, OH 45229-2833 | 2017-08-23 |
| 1760910459 | Eileen Marie Butler | Physical Therapist | 200 East Wilson Bridge, Worthington, OH 43085 | 2017-05-25 |
| 1487189635 | Alexandra Talbott-welch | Physical Therapist | 12618 Mount Overlook Ave, Cleveland, OH 44120-1042 | 2017-04-25 |
| 1720537889 | Suzanne P Mcdonough | Physical Therapist | 95 Valley Brook Blvd, Hinckley, OH 44233-9615 | 2016-09-29 |
| 1184173874 | Hillary Lawrence | Physical Therapist | 428 33rd St Nw, Canton, OH 44709-3014 | 2016-09-23 |
| 1881140069 | Andrea Jean Bradley | Physical Therapist | 2400 Mcvey Ct, Columbus, OH 43235-2835 | 2016-08-29 |
| 1013463512 | Gina Menke | Physical Therapist | 27 St Lawrence Dr Ste 104th, Tiffin, OH 44883-8312 | 2016-08-25 |
| 1003264490 | Erin Ashley Butler | Physical Therapist | 9560 Children Dr, Mason, OH 45040-9362 | 2016-05-26 |
| 1154779601 | Jenna Moffo | Physical Therapist | 2161 Bolser Dr, Cincinnati, OH 45215-3933 | 2016-05-25 |
| Find all providers with the same taxonomy | ||||
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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.