DOUGLAS WADE (NPI# 1962069260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962069260 |
| Entity Type | Individual |
| Full Name | DOUGLAS WADE |
| Practice Address |
38 Betty Ct Jacksonville AL 36265-8814 |
| Practice Telephone | 2565918751 |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649214248 | Douglas Neil Wade | Dentist | 4th & Inner Loop Road, Bldg. 171, Fort Irwin, CA 92310-5076 | 2006-06-15 |
| Street Address |
38 BETTY CT |
| City | JACKSONVILLE |
| State | AL |
| Zip Code | 36265-8814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700436144 | Griffin Loflin | Specialist/Technologist | 775 Park Ave Nw, Attn. Sports Medicine, Jacksonville, AL 36265 | 2019-09-17 |
| 1114304011 | Caroline Ross | Counselor | 1215 Jackson Way Sw, Jacksonville, AL 36265 | 2015-04-29 |
| 1083001226 | Tracey Hudgins | Counselor | 1215 Jackson's Way, Jacksonville, AL 36265 | 2015-04-24 |
| 1235415118 | Adam Pike | Pharmacist | 311 Pelham Rd So, Jacksonville, AL 36265 | 2011-10-24 |
| 1386829489 | Physicians Choice Dialysis of Jacksonville, LLC | Clinic/Center | 331 Henry Road Sw, Jacksonville, AL 36265 | 2008-01-08 |
| 1659409365 | Kenneth Wayne Campbell | Nurse Anesthetist, Certified Registered | 1701 Pelham Road, Jacksonville Medical Center, Jacksonville, AL 36265 | 2007-03-02 |
| 1154478378 | Diana C. Ford | Counselor | 1250 Jackson's Way, Garrett Counseling Center, Jacksonville, AL 36265 | 2007-01-03 |
| 1487710950 | James Richard Morrison | Chiropractor | 1550 Pelham Rd. S., Jacksonville, AL 36265 | 2006-12-29 |
| 1447332937 | Millennium Anesthesia Services | Anesthesiology | 1701 Pelham Road S, Jacksonville, AL 36265 | 2006-10-20 |
| 1407943228 | Brunda Revanna, Md | Clinic/Center | 1465 A 1st Ave Sw Ste C, Jacksonville, AL 36265 | 2006-10-05 |
| Find all providers in zip 36265 | ||||
| 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 |
|---|---|---|---|---|
| 1104439546 | Dylan Michael Hanna | Physical Therapy Assistant | 6170 County Road 1405, Jacksonville, TX 75766-7601 | 2020-08-25 |
| 1447860515 | Callen Logan | Physical Therapy Assistant | 7365 Steventon Way, Jacksonville, FL 32244-8179 | 2020-08-04 |
| 1346863016 | Mary Maegan Smith | Physical Therapy Assistant | 4545 State Highway 135 N, Jacksonville, TX 75766-6971 | 2020-05-28 |
| 1518513944 | Tiffany Ann Dodson | Physical Therapy Assistant | 806 Palestine St, Jacksonville, TX 75766-3128 | 2019-08-12 |
| 1427618826 | Alen Islamovic | Physical Therapy Assistant | 9745 Touchton Rd Unit 225, Jacksonville, FL 32246-4489 | 2019-06-18 |
| 1548825219 | Mikhail Yatsishin | Physical Therapy Assistant | 13990 Bartram Park Blvd Unit 422, Jacksonville, FL 32258-5546 | 2019-05-07 |
| 1861057994 | Leonardo Sanchez | Physical Therapy Assistant | 3165 Old Acosta Rd, Jacksonville, FL 32223-4902 | 2019-05-03 |
| 1801356696 | Iuliia Vartanov | Physical Therapy Assistant | 6138 Kennerly Rd Unit 150, Jacksonville, FL 32216-4395 | 2019-03-20 |
| 1366932634 | Casey Michael Mcneill | Physical Therapy Assistant | 2054 Park St, Jacksonville, FL 32204-3810 | 2018-05-13 |
| 1689163313 | Alexander Bigale | Physical Therapy Assistant | 10475 Centurion Pkwy N Ste 104, Jacksonville, FL 32256-5004 | 2018-05-08 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 36265 |
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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.