STEPHEN MATTHEW WILLEY (NPI# 1912998311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912998311 |
| Entity Type | Individual |
| Full Name | STEPHEN MATTHEW WILLEY |
| Credential | PT |
| Practice Address |
4601 Dale Rd Modesto CA 95356 |
| Practice Telephone | 2097354080 |
| Practice Fax Number | 2097354060 |
| Mailing Telephone | 2097354080 |
| Mailing Fax Number | 2097354060 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT25761 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | OPT256710 | 01 |
| Street Address |
4601 DALE RD |
| City | MODESTO |
| State | CA |
| Zip Code | 95356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760098263 | Paola Ramirez | Behavior Technician | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-09-20 |
| 1538772678 | Roy Choi | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-08-28 |
| 1730797499 | Donna Cruz | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-07-20 |
| 1538777487 | Kyle Wesley Hopson | Physical Therapist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-07-16 |
| 1376176313 | Su Jin Yeo | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-02-18 |
| 1972135580 | Tran Huyen Smernes | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-02-11 |
| 1740827534 | Evelyn Kwong | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2019-11-29 |
| 1467000463 | Oanh Hoang Nguyen Phan | Nurse Practitioner | 4601 Dale Rd, Modesto, CA 95356-9718 | 2019-09-03 |
| 1598311227 | Janine Grace Lastimosa Tennant | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2019-08-19 |
| 1548814197 | Alyssa Marie Azevedo | Genetic Counselor, MS | 4601 Dale Rd, Modesto, CA 95356-9718 | 2019-07-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649809021 | Amelia E Delgadillo | Licensed Vocational Nurse | 501 Triangle Rd, Modesto, CA 95356 | 2020-04-07 |
| 1689220279 | Meagan Veneman | Physical Medicine & Rehabilitation | 125 Hogue Rd, Modesto, CA 95356 | 2019-08-10 |
| 1497131213 | Hermes Guardian Transport | Non-emergency Medical Transport (VAN) | 4221 Erin Way, Modesto, CA 95356 | 2015-08-04 |
| 1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
| 1922242866 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 500 Glass Ln Ste H, Modesto, CA 95356 | 2009-04-22 |
| 1659541647 | Ashley Allison Streeter | Dentist | 556 Lyell Dr, Modesto, CA 95356 | 2008-03-05 |
| 1265636013 | Margaret Kathleen Grisell | Orthopaedic Surgery | 4601 Dale Ave, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 | 2007-06-14 |
| 1841412111 | Bobby Gene Boswell | Specialist/Technologist | 3908 Vintage Cove, Modesto, CA 95356 | 2007-05-03 |
| 1598892861 | Merritt Radiological Medical Group Inc | Radiology | 526 Charity Way, Modesto, CA 95356 | 2007-02-27 |
| 1396871091 | Michael Steven Beck | Social Worker | 4640 Spyres Way, Building B, Suite 7, Modesto, CA 95356 | 2007-02-26 |
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| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) 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 |
|---|---|---|---|---|
| 1154935195 | Joseph Wisniewski | Physical Therapist | 3609 Oakdale Rd Ste 3, Modesto, CA 95357-0718 | 2020-09-08 |
| 1063025021 | Elixir Home Health Care & Hospice,inc. | Physical Therapist | 1935 G St, Modesto, CA 95354-1320 | 2020-08-28 |
| 1093360760 | Sarah Lund | Physical Therapist | 2119 E Hatch Rd, Modesto, CA 95351-4814 | 2019-08-08 |
| 1578126603 | Sheila Lane Weber | Physical Therapist | 2116 E Orangeburg Ave Ste B, Modesto, CA 95355-3370 | 2019-04-15 |
| 1689129520 | George Bruce Homan Jr. | Physical Therapist | 950 Oakdale Rd Ste F, Modesto, CA 95355-4594 | 2016-08-21 |
| 1306230248 | Daniel James Davenport | Physical Therapist | 1917 Coffee Rd., Modesto, CA 95355 | 2015-03-27 |
| 1326432485 | Patiane Freitas | Physical Therapist | 1604 Ford Ave Ste 11, Modesto, CA 95350-4655 | 2015-03-26 |
| 1154729853 | Jennifer Camacho | Physical Therapist | 2200 Coffee Rd., Greenbriar Apartment No. 10, Modesto, CA 95355 | 2014-12-11 |
| 1164737193 | Athens Randolf Alconcel Salvador | Physical Therapist | 2705 Temescal Dr, Modesto, CA 95355-8612 | 2010-08-14 |
| 1770727547 | Karen Gay Bunanig Rivera | Physical Therapist | 2117 Starlight Dr, Modesto, CA 95357-0890 | 2009-04-23 |
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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.