STACEY PESTAR (NPI# 1922481621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922481621 |
| Entity Type | Individual |
| Full Name | STACEY PESTAR |
| Credential | P.T.A. |
| Practice Address |
300 S 18th St Mount Vernon WA 98274-4661 |
| Mailing Address |
25117 Sw Parkway Ave Suite D Wilsonville OR 97070-9697 |
| Practice Telephone | 3604241320 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | P160562657 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
300 S 18TH ST |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98274-4661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437214970 | Mira Vista Corporation | Skilled Nursing Facility | 300 S 18th St, Mount Vernon, WA 98274-4661 | 2006-12-26 |
| 1124665815 | Jessica Monroe | Occupational Therapist | 300 S 18th St, Mount Vernon, WA 98274-4661 | 2019-12-02 |
| 1528580222 | Lindsey Greathouse | Speech-Language Pathologist | 300 S 18th St, Mount Vernon, WA 98274-4661 | 2017-07-13 |
| 1124567359 | Kasey Marie Swanson | Occupational Therapist | 300 S 18th St, Mount Vernon, WA 98274-4661 | 2017-02-21 |
| 1871950410 | Amber Jean Speer | Physical Therapy Assistant | 300 S 18th St, Mount Vernon, WA 98274-4661 | 2016-01-27 |
| 1285009472 | Sharon Broberg | Occupational Therapy Assistant | 300 S 18th St, Mount Vernon, WA 98274-4661 | 2015-12-14 |
| 1346626678 | Dana Montgomery | Speech-Language Pathologist | 300 S 18th St, Mount Vernon, WA 98274-4661 | 2015-08-10 |
| 1497147763 | Lookout Post Acute, LLC | Skilled Nursing Facility | 300 S 18th St, Mount Vernon, WA 98274-4661 | 2015-02-24 |
| 1083005219 | Mae L Crawford | Physical Therapy Assistant | 300 S 18th St, Mount Vernon, WA 98274-4661 | 2015-02-10 |
| 1629493416 | Annushka Cesan | Nurse Practitioner | 300 S 18th St, Mount Vernon, WA 98274-4661 | 2014-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123438 | Ankur Tarun Sanghvi | Peer Specialist | 209 Milwaukee Steet, 209, Mount Vernon, WA 98274 | 2017-06-07 |
| 1932647187 | Claudia Diaz | Counselor | 23550 Garden St, Mount Vernon, WA 98274 | 2017-02-08 |
| 1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
| 1528228186 | Parampreet Singh Ghuman | Internal Medicine | 121 S. 12th St, Ste B, Mount Vernon, WA 98274 | 2008-06-16 |
| 1699940874 | Eugene Villanueva De Guzman | Internal Medicine | 208 S Hospital Pkwy, Mount Vernon, WA 98274 | 2008-04-28 |
| 1871775122 | Matthew John Novak | Internal Medicine | 208 Hospital Pkwy, Mount Vernon, WA 98274 | 2007-11-28 |
| 1568658797 | Emily A K Bianconi | Nurse Practitioner | 2101 Little Mountain Lane, Mount Vernon, WA 98274 | 2007-09-21 |
| 1659576981 | Peggy Randall | Counselor | 1420 S 12th, Mount Vernon, WA 98274 | 2007-06-18 |
| 1194937037 | Cascade Neurologic Clinic, Inc, P.s. | Clinic/Center | 1315 East Division St., Mt. Vernon, WA 98274 | 2007-05-04 |
| 1427171297 | Keri L D Halgren | Dentist | 1711 E Division Street, Mt Vernon, WA 98274 | 2007-04-09 |
| Find all providers in zip 98274 | ||||
| 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 |
|---|---|---|---|---|
| 1588136188 | Nicholas Bryan Corp | Physical Therapy Assistant | 1901 Hoag Road, Mount Vernon, WA 98273 | 2018-12-20 |
| 1982135919 | Sacha Woodley | Physical Therapy Assistant | 49 Elm Ave Apt 2e, Mount Vernon, NY 10550-2319 | 2017-03-22 |
| 1275992109 | Misty Bickham | Physical Therapy Assistant | 400a Kaufman St S, Mount Vernon, TX 75457-2834 | 2016-02-20 |
| 1437528338 | Clifford Byron Ross II | Physical Therapy Assistant | 2116 E Section St Ste B, Mount Vernon, WA 98274-9124 | 2015-09-21 |
| 1245606425 | Jennifer Burnett | Physical Therapy Assistant | 1100 Roosevelt Ave Ste D, Mount Vernon, WA 98273-2427 | 2015-08-11 |
| 1497143986 | Roxanne Geiger | Physical Therapy Assistant | 5276 Curtis Rd, Mount Vernon, OH 43050-9533 | 2015-01-06 |
| 1497184022 | Bradley Gates | Physical Therapy Assistant | 2310 E Division St Apt D, Mount Vernon, WA 98274-4803 | 2013-11-04 |
| 1942571468 | Tasha Schlairet | Physical Therapy Assistant | 104 E Pleasant St, Mount Vernon, OH 43050-2512 | 2012-01-13 |
| 1326108663 | Cynthia Ann Townsend | Physical Therapy Assistant | 1131 W 2nd St, Mount Vernon, IN 47620-1773 | 2006-12-09 |
| 1588270649 | Charles Jeffrey Tyree | Physical Therapy Assistant | 145 Newcomb Ave, Mount Vernon, KY 40456-2728 | 2020-09-23 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 98274 |
Please comment or provide details below to improve the information on STACEY PESTAR.
| 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.