GINA DERHAM (NPI# 1881076719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881076719 |
| Entity Type | Individual |
| Full Name | GINA DERHAM |
| Practice Address |
12433 Floresta Ct San Diego CA 92128-1310 |
| Practice Telephone | 8584858117 |
| Mailing Telephone | 8584858117 |
| Enumeration Date | 2015-06-27 |
| Last Update Date | 2015-06-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | AT 3602 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
12433 FLORESTA CT |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128-1310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
| Find all providers in zip 92128 | ||||
| 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 |
|---|---|---|---|---|
| 1871157040 | Steven Tighe Watson | Physical Therapy Assistant | 6851 Rico Ct, San Diego, CA 92111-7029 | 2019-04-23 |
| 1407324494 | Natasha Marie Vega | Physical Therapy Assistant | 6623 Montezuma Rd Apt 65, San Diego, CA 92115-2854 | 2018-11-07 |
| 1912450891 | Gregory Luis Martin | Physical Therapy Assistant | 4060 Fourth Ave Ste 206, San Diego, CA 92103-2120 | 2016-07-27 |
| 1962876656 | Maylene Estrada | Physical Therapy Assistant | 10218 Black Mountain Rd Apt 57, San Diego, CA 92126-3806 | 2015-11-18 |
| 1497126254 | Maren Clausen | Physical Therapy Assistant | 4858 Lila Dr, San Diego, CA 92115-1910 | 2015-10-19 |
| 1477941102 | Keith Garcia | Physical Therapy Assistant | 15672 Bernardo Center Dr Apt 1504, San Diego, CA 92127-1846 | 2015-01-05 |
| 1891183869 | Roarke Smith | Physical Therapy Assistant | 15720 Bernardo Center Dr, San Diego, CA 92127-5861 | 2014-12-29 |
| 1720486426 | Lydia Watters | Physical Therapy Assistant | 9089 Clairemont Mesa Blvd Suite 200, Preferred Healthcare Registry, San Diego, CA 92123 | 2014-12-11 |
| 1649678764 | Linda Esquerra | Physical Therapy Assistant | 8775 Joeve Ct, San Diego, CA 92119-2112 | 2014-12-06 |
| 1669873097 | Roxanne Doria | Physical Therapy Assistant | 11346 Merritage Ct, San Diego, CA 92131-4232 | 2014-09-04 |
| Find all providers in SAN DIEGO | ||||
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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.