SHELLY DIANE RUSIN (NPI# 1891287967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891287967 |
| Entity Type | Individual |
| Full Name | SHELLY DIANE RUSIN |
| Credential | PTA |
| Practice Address |
37 N Chemung St Waverly NY 14892-1211 |
| Practice Telephone | 6075656259 |
| Mailing Telephone | 6075656259 |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 010552-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
37 N CHEMUNG ST |
| City | WAVERLY |
| State | NY |
| Zip Code | 14892-1211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641199 | Tioga Nursing Home | Skilled Nursing Facility | 37 N Chemung St, Waverly, NY 14892-1211 | 2005-07-07 |
| 1942847959 | Neila Jeanne Thomas | Physical Therapist | 37 N Chemung St, Waverly, NY 14892-1211 | 2019-12-09 |
| 1841777521 | Melissa Traub | Nurse Practitioner | 37 N Chemung St, Waverly, NY 14892-1211 | 2018-07-25 |
| 1184117665 | Juliane C Koehler | Physical Therapy Assistant | 37 N Chemung St, Waverly, NY 14892-1211 | 2018-06-11 |
| 1821588682 | Jessica Palozzi | Speech-Language Pathologist | 37 N Chemung St, Waverly, NY 14892-1211 | 2018-05-16 |
| 1700242609 | 37 North Chemung Street Operating Company, LLC | Clinic/Center | 37 N Chemung St, Waverly, NY 14892-1211 | 2016-01-07 |
| 1891068565 | 37 North Chemung Street Operating Company LLC | Skilled Nursing Facility | 37 N Chemung St, Waverly, NY 14892-1211 | 2012-02-10 |
| 1851529796 | Jennifer Lynn Cleveland | Licensed Practical Nurse | 37 N Chemung St, Waverly, NY 14892-1211 | 2009-06-30 |
| 1427209121 | Jennifer Anne Kozemko | Occupational Therapist | 37 N Chemung St, Waverly, NY 14892-1211 | 2008-10-01 |
| 1962670117 | Elderwood Adult Day Care At Tioga | Skilled Nursing Facility | 37 N Chemung St, Waverly, NY 14892-1211 | 2008-02-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861586208 | Patricia O. Davis | Nurse Practitioner | 80 William Donnelly Parkway, Waverly, NY 14892 | 2006-10-02 |
| 1982718763 | Joseph Anthony Picco | Dentist | 16 Frederick St, Waverly, NY 14892 | 2006-08-18 |
| 1104101674 | Sensational Kids Physical, Occupational & Speech Therapy Services Pllc | Early Intervention Provider Agency | 332 Broad St, Waverly, NY 14892 | 2011-10-17 |
| 1104971092 | Alice O'brien-botts | Social Worker | 80 William Donnelly Parkway, Waverly, NY 14892 | 2007-01-24 |
| 1306991047 | Jane A. Lane | Social Worker | 80 William Donnelly Parkway, Waverly, NY 14892 | 2007-01-24 |
| 1134273162 | Dianne L. Hill | Social Worker | 80 William Donnelly Parkway, Waverly, NY 14892 | 2007-01-23 |
| 1902042450 | Patricia Louise Ward | Physical Therapist | 97 Center St, Waverly, NY 14892-1103 | 2009-01-05 |
| 1245369628 | Diann M Dexter | Licensed Practical Nurse | 30 Lincoln St, Waverly, NY 14892-1117 | 2007-03-03 |
| 1265439186 | Tioga Healthcare Facility | Assisted Living Facility | 44 Ball St, Waverly, NY 14892-1200 | 2005-07-07 |
| 1184997884 | 44 Ball Street Operating Company LLC | Assisted Living Facility | 44 Ball St, Waverly, NY 14892-1200 | 2012-02-12 |
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| 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 |
|---|---|---|---|---|
| 1033556576 | April Marie Westermann | Physical Therapy Assistant | 4875 25th St Sw, Waverly, MN 55390-5025 | 2013-05-23 |
| 1184117665 | Juliane C Koehler | Physical Therapy Assistant | 37 N Chemung St, Waverly, NY 14892-1211 | 2018-06-11 |
| 1013434349 | Erin Kaitlyn Johnson | Physical Therapy Assistant | 112 2nd St Nw, Waverly, IA 50677-2619 | 2017-08-28 |
| 1073948832 | Amy Paulette Horton | Physical Therapy Assistant | 451 Highway 13 S, Waverly, TN 37185-2109 | 2013-09-11 |
| 1861837684 | Carolyn D Lewallen | Physical Therapy Assistant | 895 Powers Blvd, Waverly, TN 37185-1018 | 2013-05-07 |
| 1093010357 | Mary Katherine Poglitsch | Physical Therapy Assistant | 895 Powers Blvd, Waverly, TN 37185-1018 | 2011-01-18 |
| 1750520250 | Lori Ann Buffone | Physical Therapy Assistant | 87 Ellis Creek Rd, Waverly, NY 14892-9540 | 2009-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507328 | Cassandra Coppola | Physical Therapy Assistant | 2202 Concord St, Malta, NY 12020-5265 | 2020-10-27 |
| 1942808969 | Aby Philip | Physical Therapy Assistant | 725 The Plain Rd, Westbury, NY 11590-5930 | 2020-10-12 |
| 1427656545 | Lisa Beth Stein | Physical Therapy Assistant | 20 Stuyvesant Oval Apt 7c, New York, NY 10009-2208 | 2020-10-12 |
| 1992302202 | Paul Alan O Ergina | Physical Therapy Assistant | 95 Knickerbocker Rd N, Plainview, NY 11803-2627 | 2020-10-08 |
| 1578170536 | Joanna Drzen | Physical Therapy Assistant | 4133 163rd St Apt 2a, Flushing, NY 11358-2681 | 2020-09-24 |
| 1477169043 | Anika Ashley Parrish | Physical Therapy Assistant | 708 De Mott Ave, North Baldwin, NY 11510-1326 | 2020-09-19 |
| 1598371122 | Tammy Kitchen | Physical Therapy Assistant | 118 Arrow Wood Pl, Ballston Spa, NY 12020-4706 | 2020-09-18 |
| 1710593553 | Abbey Elizabeth Clayton | Physical Therapy Assistant | 167 W 76th St Apt 4f, New York, NY 10023-8338 | 2020-09-17 |
| 1992310403 | Sharon Morgan | Physical Therapy Assistant | 100 Darrow Pl Apt 18e, Bronx, NY 10475-1853 | 2020-09-11 |
| 1134732142 | Wendell Jamias Abad | Physical Therapy Assistant | 90-33 Elmhurst Ave., Jackson Heights, NY 11372 | 2020-08-28 |
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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.