JIMMY MIDENCE (NPI# 1912558081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912558081 |
| Entity Type | Individual |
| Full Name | JIMMY MIDENCE |
| Credential | PTA |
| Practice Address |
7001 Hoover Rd Indianapolis IN 46260-4169 |
| Mailing Address |
2091 Ridgemere Way Greenwood IN 46143-9288 |
| Practice Telephone | 3172512261 |
| Mailing Telephone | 3178871600 |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 99094830A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11050 Presbyterian Dr, Indianapolis, IN 462362982 | 3178236841 | |
| 222 S 25th St Apt 435, Terre Haute, IN 478031866 | 3178871600 |
| Street Address |
7001 HOOVER RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-4169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013968676 | Jennifer Berday | Social Worker | 7001 Hoover Rd, Hooverwood Nursing Home, Indianapolis, IN 46260-4037 | 2006-05-16 |
| 1831471366 | Cynthia L Phillips | Physical Therapy Assistant | 7001 Hoover Rd, Indianapolis, IN 46260-4169 | 2011-09-10 |
| 1477708055 | Susan Crook | Occupational Therapist | 7001 Hoover Rd, Indianapolis, IN 46260-4169 | 2008-11-24 |
| 1912939315 | Hancock Regional Hospital | Nursing Facility/Intermediate Care Facility | 7001 Hoover Rd, Indianapolis, IN 46260-4169 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| 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 |
|---|---|---|---|---|
| 1194347773 | Anna Jamison | Physical Therapy Assistant | 11736 Grazing Ln, Indianapolis, IN 46239-7828 | 2020-05-18 |
| 1376192096 | Maya Alexandra Leblanc Skaggs | Physical Therapy Assistant | 500 N Capitol Ave Ste A, Indianapolis, IN 46204-1204 | 2019-09-05 |
| 1386102267 | Tanea Renee Spanton | Physical Therapy Assistant | 10431 Lookout Ln, Indianapolis, IN 46234-9856 | 2019-03-09 |
| 1457853962 | Tracie Lynn King | Physical Therapy Assistant | 500 N Capitol Ave Unit A, Indianapolis, IN 46204 | 2018-03-01 |
| 1518466960 | Debra Cottongim | Physical Therapy Assistant | 6329 South East St, Ste A, Indianapolis, IN 46227 | 2018-02-12 |
| 1740792084 | Jamey Kleva | Physical Therapy Assistant | 2647 Waterfront Parkway East Dr Ste Wf3-185, Indianapolis, IN 46214-2061 | 2017-10-26 |
| 1922542471 | Hailey Janson | Physical Therapy Assistant | 6821 Creek Vale Way Apt 1a, Indianapolis, IN 46237-9526 | 2016-12-16 |
| 1982156196 | Ayushi Sharma | Physical Therapy Assistant | 7345 Woodland Drive, Suite B, Indianapolis, IN 46278 | 2016-11-04 |
| 1194181404 | Dennis Tyler Riker Iv | Physical Therapy Assistant | 6017 Westlake South Dr Apt F, Indianapolis, IN 46224-7669 | 2016-01-04 |
| 1962871939 | Dylan Bowker | Physical Therapy Assistant | 500 N Capitol Ave, Indianapolis, IN 46204-1204 | 2015-09-21 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
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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.