LACEY DELILAH SLADE (NPI# 1932766052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932766052 |
| Entity Type | Individual |
| Full Name | LACEY DELILAH SLADE |
| Credential | PTA |
| Practice Address |
128 5th Ave W Jerome ID 83338-1863 |
| Mailing Address |
3550 S 2100 E Wendell ID 83355-3529 |
| Practice Telephone | 2083243090 |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA-6147 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 429 N. Idaho St., Wendell, ID 83355 | 2085363090 |
| Street Address |
128 5TH AVE W |
| City | JEROME |
| State | ID |
| Zip Code | 83338-1863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437130952 | Lon Miguel Egbert | Physical Therapist | 128 5th Ave W, Jerome, ID 83338-1863 | 2005-11-10 |
| 1982986923 | Clinton Axman | Physical Therapist | 128 5th Ave W, Jerome, ID 83338-1863 | 2011-09-15 |
| 1245564004 | Donna Starodoj Alfs | Physical Therapist | 128 5th Ave W, Jerome, ID 83338-1863 | 2009-09-28 |
| 1134101223 | Jamie Lynn Benedict | Physical Therapy Assistant | 128 5th Ave W, Jerome, ID 83338-1863 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336709 | Family Health Services Pharmacy | Pharmacy | 218 W. Nez Perce, Jerome, ID 83338 | 2020-11-03 |
| 1811391626 | Summit Therapy Services | In Home Supportive Care | 113 East Ave. F, Jerome, ID 83338 | 2014-10-22 |
| 1952645285 | Readings Community Pharmacy Inc | Pharmacy | 133 West A, Jerome, ID 83338 | 2012-11-27 |
| 1801121298 | Yolanda S. Sedano | Physician Assistant | 132 5th Ave West, Jerome, ID 83338 | 2009-10-02 |
| 1295898310 | Ronald Gail Hendrickson | Dentist | 128 South Adams, Jerome, ID 83338 | 2006-12-19 |
| 1316035512 | Johnson Chiropractic Clinic | Chiropractor | 600 N Lincoln Ave, Jerome, ID 83338 | 2006-10-11 |
| 1265527725 | Lon M. Egbert, P.C. | Specialist/Technologist | 128 5th Ave West, Jerome, ID 83338 | 2006-10-03 |
| 1992898605 | St Benedicts Family Medical Center | Home Health | 414 N Lincoln, Suite 1, Jerome, ID 83338 | 2006-10-02 |
| 1790231355 | Lexa Marie Balling | Pharmacist | 2680 S Lincoln Ave, Jerome, ID 83338 | 2016-09-01 |
| 1922037530 | St Benedicts Family Medical Center | Clinic/Center | 115 5th Ave W, Jerome, ID 83338-1824 | 2006-07-03 |
| Find all providers in zip 83338 | ||||
| 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 |
|---|---|---|---|---|
| 1134101223 | Jamie Lynn Benedict | Physical Therapy Assistant | 128 5th Ave W, Jerome, ID 83338-1863 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528665304 | Mara Danielle Bonawitz | Physical Therapy Assistant | 420 Pheasant Rd, Twin Falls, ID 83301-8728 | 2020-10-05 |
| 1265046684 | Jennifer Anderson | Physical Therapy Assistant | 5900 N Brook Pl, Garden City, ID 83714-1724 | 2020-09-02 |
| 1770106502 | Ellen Ferrenburg | Physical Therapy Assistant | 64 S Star Rd, Star, ID 83669-5497 | 2020-05-27 |
| 1811523145 | Kimberly Jean Larsen | Physical Therapy Assistant | 3251 N Summerbrook Pl, Meridian, ID 83646-5581 | 2020-03-18 |
| 1023656618 | Lisa Camille Dialogue | Physical Therapy Assistant | 6074 N Discovery Way Ste 110, Boise, ID 83713-0210 | 2019-12-15 |
| 1497306831 | Britany Jennifer Cunningham | Physical Therapy Assistant | 222 E Elm St, Caldwell, ID 83605-4815 | 2019-09-26 |
| 1922665553 | Kristina Kay Hill | Physical Therapy Assistant | 932 Starlight Loop, Twin Falls, ID 83301-5181 | 2019-05-20 |
| 1275197667 | Jason Detwiler | Physical Therapy Assistant | 2411 S Essex Way, Boise, ID 83709-2304 | 2019-05-01 |
| 1073071692 | Eric R Cutlip | Physical Therapy Assistant | 104 W Ash St, Genesee, ID 83832-8709 | 2019-03-04 |
| 1720586209 | Bree Anne Mackenzie | Physical Therapy Assistant | 382 Partridge Ln, Rexburg, ID 83440-3593 | 2018-01-30 |
| Find all providers with the same taxonomy | ||||
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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.