SHELLY ANN BUMGARNER (NPI# 1912177809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912177809 |
| Entity Type | Individual |
| Full Name | SHELLY ANN BUMGARNER |
| Credential | PTA |
| Practice Address |
401 W Martintown Rd North Augusta SC 29841-3194 |
| Practice Telephone | 8034410025 |
| Mailing Telephone | 8034410025 |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225200000X | Physical Therapy Assistant | PTA002163 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225200000X | Physical Therapy Assistant | 558 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SC LICNESE | 558 | 01 |
| Street Address |
401 W MARTINTOWN RD |
| City | NORTH AUGUSTA |
| State | SC |
| Zip Code | 29841-3194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326128653 | Leigh Ann Dixon | Physical Therapist | 401 W Martintown Rd, North Augusta, SC 29841-3194 | 2006-10-17 |
| 1184093320 | Melinda Crouch Forrest | Nurse Practitioner | 401 W Martintown Rd, Suite 140, North Augusta, SC 29841-3186 | 2015-09-17 |
| 1750777975 | Pratik S Patel | Physical Therapist | 401 W Martintown Rd, Suite 169, North Augusta, SC 29841-3186 | 2015-04-14 |
| 1790126258 | Megan L Roach | Specialist/Technologist | 401 W Martintown Rd, North Augusta, SC 29841-3186 | 2013-07-12 |
| 1194065854 | Paul H Moore | Physical Therapy Assistant | 401 W Martintown Rd, Suite 169, North Augusta, SC 29841-3186 | 2013-02-18 |
| 1740561653 | Elise J Hunt-rinn | Physical Therapy Assistant | 401 W Martintown Rd, North Augusta, SC 29841-3186 | 2011-09-06 |
| 1083900013 | Megan Smith | Pharmacist | 401 W Martintown Rd, North Augusta, SC 29841-3186 | 2011-06-28 |
| 1083945216 | Shannon E Brockwell | Physical Therapy Assistant | 401 W Martintown Rd, Suite 169, North Augusta, SC 29841-3194 | 2010-01-28 |
| 1023290665 | Tara Ingley Chapman | Physical Therapy Assistant | 401 W Martintown Rd, North Augusta, SC 29841-3194 | 2007-12-05 |
| 1184704405 | Michelle Lefort Jones | Physical Therapist | 401 W Martintown Rd, North Augusta, SC 29841-3194 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238685 | Essential Health & Wellness | Nurse Practitioner | 616 Edgefield Rd Unit 170, North Augusta, SC 29841 | 2020-09-02 |
| 1316476898 | Tanya Marletta Thompson | Counselor | 125 Thompson Ave, North Augusta, SC 29841 | 2017-06-08 |
| 1427587708 | Lashonda Devona Johnson | Nurse's Aide | 310 Edgefield Road, North Augusta, SC 29841 | 2017-06-08 |
| 1760916092 | Michael Cory Hall | Dentist | 503 W Martintown Road, North Augusta, SC 29841 | 2017-04-13 |
| 1730626508 | Michael Anthony Posada | Nurse Practitioner | 325 Georgia Ave, North Augusta, SC 29841 | 2017-01-31 |
| 1023497054 | High Praise Hair Boutique | Specialist | 139 Edgewood Drive, North Augusta, SC 29841 | 2015-05-22 |
| 1861897159 | Veterans Transportation | Ambulance | 121 E. Marion Ave., North Augusta, SC 29841 | 2014-10-29 |
| 1700216173 | Brooke Elizabeth Farmer | Licensed Practical Nurse | 2218 Vireo Drive, North Augusta, SC 29841 | 2013-11-20 |
| 1912344953 | Pamelia C Hiott | Registered Nurse | 2000 Knobcone Avenue, North Augusta, SC 29841 | 2013-05-31 |
| 1275798936 | Doctors Hospital North Augusta Imaging Center LLC | Clinic/Center | 105 Hugh Street, Suite A, North Augusta, SC 29841 | 2008-07-22 |
| Find all providers in zip 29841 | ||||
| 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 |
|---|---|---|---|---|
| 1275960239 | Camisha Mccain | Physical Therapy Assistant | 966 Old Aiken Rd, North Augusta, SC 29841-9435 | 2013-10-03 |
| 1699292003 | Tonya Cadwell | Physical Therapy Assistant | 440 W Martintown Rd Ste 101, North Augusta, SC 29841-3106 | 2017-08-25 |
| 1285034025 | Christine Mealing | Physical Therapy Assistant | 350 Austin Graybill Rd, North Augusta, SC 29860-9251 | 2014-08-29 |
| 1952710642 | Connie Glover Parker | Physical Therapy Assistant | 350 Austin Graybill Rd, North Augusta, SC 29860-9251 | 2014-08-06 |
| 1194065854 | Paul H Moore | Physical Therapy Assistant | 401 W Martintown Rd, Suite 169, North Augusta, SC 29841-3186 | 2013-02-18 |
| 1740561653 | Elise J Hunt-rinn | Physical Therapy Assistant | 401 W Martintown Rd, North Augusta, SC 29841-3186 | 2011-09-06 |
| 1831419480 | Elizabeth Careen Askren | Physical Therapy Assistant | 350 Austin Graybill Rd, North Augusta, SC 29860-9251 | 2010-06-06 |
| 1083945216 | Shannon E Brockwell | Physical Therapy Assistant | 401 W Martintown Rd, Suite 169, North Augusta, SC 29841-3194 | 2010-01-28 |
| 1013161918 | Shakeila Janaiea Tyler | Physical Therapy Assistant | 350 Austin Graybill Rd, North Augusta, SC 29860-9251 | 2008-11-05 |
| 1023290665 | Tara Ingley Chapman | Physical Therapy Assistant | 401 W Martintown Rd, North Augusta, SC 29841-3194 | 2007-12-05 |
| Find all providers in NORTH AUGUSTA | ||||
| City | NORTH AUGUSTA |
| Zip Code | 29841 |
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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.