MR. GERALD DWAYNE STAKELY JR. (NPI# 1952895617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952895617 |
| Entity Type | Individual |
| Full Name | MR. GERALD DWAYNE STAKELY JR. |
| Credential | PTA |
| Practice Address |
162 Deacon Way Mocksville NC 27028-5183 |
| Practice Telephone | 3364808368 |
| Mailing Telephone | 3364808368 |
| Enumeration Date | 2018-06-17 |
| Last Update Date | 2018-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 6516 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
162 DEACON WAY |
| City | MOCKSVILLE |
| State | NC |
| Zip Code | 27028-5183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285270868 | Gaston Family Health Services, Inc. | Clinic/Center | 160 Martin Luther King Junior Rd, Mocksville, NC 27028 | 2019-11-19 |
| 1730649633 | Dawn Michelle Whitsel | Occupational Therapy Assistant | 498 Madison Rd., Mocksville, NC 27028 | 2019-03-25 |
| 1912476391 | Warren Hearing Solutions, LLC | Audiologist-Hearing Aid Fitter | 189 Gaither St, Mocksville, NC 27028 | 2018-11-15 |
| 1548711385 | Tyler Crane | Nurse Practitioner | 375 Hospital St Ste 200, Mocksville, NC 27028 | 2016-10-17 |
| 1679926042 | Nicholas Martyak | Physical Therapist | 161 Nikkis Way, Mocksville, NC 27028 | 2016-07-20 |
| 1386987790 | Elizabeth Hemmings | Speech-Language Pathologist | 498 Madison Road, Mocksville, NC 27028 | 2013-04-03 |
| 1932421427 | Davie Kidney Center of Wake Forest University | Clinic/Center | 190 Interstate Drive, Mocksville, NC 27028 | 2010-02-24 |
| 1568455707 | Wake Forest University Baptist Medical Center Community Physicians | Pediatrics | 113 Marketplace Drive, Mocksville, NC 27028 | 2005-08-23 |
| 1912485517 | Davie Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 498 Madison Road, Mocksville, NC 27028 | 2018-08-06 |
| 1245747062 | Emma Beneke | Social Worker | 172 S Clement St, Mocksville, NC 27028 | 2018-01-02 |
| Find all providers in zip 27028 | ||||
| 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 |
|---|---|---|---|---|
| 1568662237 | Kris Moore Seaford | Physical Therapy Assistant | 860 Davie Academy Rd, Mocksville, NC 27028-5135 | 2007-07-20 |
| 1538515168 | Brittany Jones | Physical Therapy Assistant | 1007 Howard St, Mocksville, NC 27028-2548 | 2016-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150094 | Kimberly Elizabeth Culler | Physical Therapy Assistant | 836 Winestone Ct, Greenville, NC 27858-9005 | 2020-09-27 |
| 1154934727 | Sreto Duric | Physical Therapy Assistant | 3863 Robbins Brook Dr, Winston Salem, NC 27107 | 2020-08-24 |
| 1063022515 | Ramachandran Pichamuthu | Physical Therapy Assistant | 3635 Eastover Ridge Dr Apt Unit1521, Charlotte, NC 28211-1595 | 2020-08-08 |
| 1548884380 | Mckenzie Ann Bauman | Physical Therapy Assistant | 25022 Matton Grove Church Rd, Gold Hill, NC 28071-6641 | 2020-06-06 |
| 1073137410 | Origin Rehabilitation, LLC | Physical Therapy Assistant | 13021 Saddletree Ct, Matthews, NC 28105-3927 | 2020-06-02 |
| 1700415205 | Marcella Eubanks | Physical Therapy Assistant | Rdl Therapeutic Outpatient Therapy, 424 Mcarthur Rd, Fayetteville, NC 28311 | 2020-04-06 |
| 1831722552 | Alexander Scott Emery | Physical Therapy Assistant | 111 Knox Way Ste 112, Chapel Hill, NC 27516-6615 | 2020-02-20 |
| 1083245880 | Heather D Baccus | Physical Therapy Assistant | 626 Swing Gate Rd, Hertford, NC 27944-8771 | 2020-01-30 |
| 1033755012 | Iris Kay Lovett | Physical Therapy Assistant | 12030 Elizabeth Madison Ct, Charlotte, NC 28277-6130 | 2019-11-25 |
| 1255989414 | Amy Utley | Physical Therapy Assistant | Pro Motion Rehab, 2810 W Us-64 Suite 1, Murphy, NC 28906 | 2019-08-30 |
| Find all providers with the same taxonomy | ||||
| City | MOCKSVILLE |
| Zip Code | 27028 |
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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.