KATHY MARTIN-WAGNER (NPI# 1881024883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881024883 |
| Entity Type | Individual |
| Full Name | KATHY MARTIN-WAGNER |
| Practice Address |
2899 Five Forks Trickum Rd Lawrenceville GA 30044-5803 |
| Mailing Address |
3460 Highland Way Loganville GA 30052-3501 |
| Practice Telephone | 7703169507 |
| Mailing Telephone | 7703169507 |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2013-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA000556 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2899 FIVE FORKS TRICKUM RD |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30044-5803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972931590 | Judy Carol Franscoviak | Physical Therapy Assistant | 2899 Five Forks Trickum Rd, Lawrenceville, GA 30044-5803 | 2013-10-16 |
| 1649713785 | Marcia Mahoney | Point of Service | 2899 Five Forks Trickum Rd, Lawrenceville, GA 30044-5803 | 2016-11-21 |
| 1154872356 | Greg Brooks | Physical Therapy Assistant | 2899 Five Forks Trickum Rd, Lawrenceville, GA 30044-5803 | 2016-10-22 |
| 1518418714 | Rachel Brooks | Physical Therapy Assistant | 2899 Five Forks Trickum Rd, Lawrenceville, GA 30044-5803 | 2016-10-22 |
| 1457730764 | Jamie Sackett | Physical Therapist | 2899 Five Forks Trickum Rd, Lawrenceville, GA 30044-5803 | 2015-05-20 |
| 1649608068 | Denise Nicole Durham | Physical Therapist | 2899 Five Forks Trickum Rd, Lawrenceville, GA 30044-5803 | 2013-10-22 |
| 1811325236 | Estelle Froehbrodt | Physical Therapy Assistant | 2899 Five Forks Trickum Rd, Lawrenceville, GA 30044-5803 | 2013-10-22 |
| 1881022382 | Colleen Curcillo Brennan | Speech-Language Pathologist | 2899 Five Forks Trickum Rd, Lawrenceville, GA 30044-5803 | 2013-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811892 | Berry and Mitchell Hands of Caring | Nurse's Aide | 1180 Market Square Lane, Lawrenceville, GA 30044 | 2020-01-28 |
| 1457995045 | Reagan Urgent Care | Clinic/Center | 2878 Five Forks Trickum Rd Ste 2a, Lawrenceville, GA 30044 | 2019-11-06 |
| 1194373621 | Kaseem Beck | Dentist | Gwinnett Family Dental Care, 3455 Lawrenceville Hwy, Lawrenceville, GA 30044 | 2019-08-28 |
| 1053965525 | Imani Anderson | Speech-Language Pathologist | 2775 Cruse Rd Suite 2002, Lawrenceville, GA 30044 | 2019-08-01 |
| 1598329625 | Zam Zam Family Clinic LLC | Clinic/Center | 965 Oakland Road, Bldg 3 Ste D & E, Lawrenceville, GA 30044 | 2019-04-24 |
| 1659858991 | Apex Eyecare | Optometrist | 3694 Club Drive Unit 101, Lawrenceville, GA 30044 | 2018-07-19 |
| 1538657549 | Georgia Comprehensive Family Clinic & Natural Health | Naturopath | 1065 Pleasant Hill Rd, Lawrenceville, GA 30044 | 2018-04-25 |
| 1316434095 | Children's Dentistry of Lithonia, LLC | Dentist | 4850 Sugarloaf Parkway, Ste 611, Lawrenceville, GA 30044 | 2018-04-18 |
| 1831619337 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2899 Five Forks Trickum Rd Apt 204, Lawrenceville, GA 30044 | 2017-06-26 |
| 1326582859 | Ana Coronado | Social Worker | 965 Oakland Road Nw, Suite 3b, Lawrenceville, GA 30044 | 2016-12-19 |
| Find all providers in zip 30044 | ||||
| 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 |
|---|---|---|---|---|
| 1316495633 | Rodney Knight | Physical Therapy Assistant | 2772 Springfount Ct, Lawrenceville, GA 30043-2160 | 2016-09-15 |
| 1659781128 | Yuliya Mutsa | Physical Therapy Assistant | 1745 Brunswick Ave Apt B, Lawrenceville, NJ 08648-4631 | 2014-05-05 |
| 1972931590 | Judy Carol Franscoviak | Physical Therapy Assistant | 2899 Five Forks Trickum Rd, Lawrenceville, GA 30044-5803 | 2013-10-16 |
| 1013240225 | Ioan Marius Stalinescu | Physical Therapy Assistant | 834 One World Dr, Lawrenceville, GA 30043-8017 | 2009-09-08 |
| 1922248244 | Gustave Jean-louis | Physical Therapy Assistant | 965 Havenstone Walk, Lawrenceville, GA 30045-9706 | 2009-02-26 |
| 1205018256 | Rex Dacillo | Physical Therapy Assistant | 42 Hawk Rd, Lawrenceville, NJ 08648-1353 | 2007-12-02 |
| 1356807291 | Jason Charles Reinhard | Physical Therapy Assistant | 2101 James St, Lawrenceville, IL 62439-2027 | 2019-02-15 |
| 1174087654 | Ryan M Hawkins | Physical Therapy Assistant | 2101 James St, Lawrenceville, IL 62439-2027 | 2019-01-29 |
| 1255811469 | Teasia Prosise | Physical Therapy Assistant | 1722 Lawrenceville Plank Rd, Lawrenceville, VA 23868-3351 | 2018-08-16 |
| 1932693785 | Michele Hodo | Physical Therapy Assistant | 1722 Lawrenceville Plank Rd, Lawrenceville, VA 23868-3351 | 2018-06-15 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30044 |
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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.