JUDITH STAYBACK
NPI 1336755180
Physical Therapy Assistant in South Bend, IN

NPI Status: Active since September 17, 2020

Contact Information

53940 CARMICHAEL DR
SOUTH BEND, IN
ZIP 46635
Phone: (574) 335-6212

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  • Individual
  • Female
  • Physical Therapy Assistant

About JUDITH STAYBACK

This page provides the complete NPI Profile along with additional information for Judith Stayback, a provider established in South Bend, Indiana with a medical specialization in Physical Therapy Assistant. The healthcare provider is registered in the NPI registry with number 1336755180 assigned on September 2020. The practitioner's primary taxonomy code is 225200000X. The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1336755180
Provider Name
JUDITH STAYBACK
Gender
Female
Entity Type
Individual
Location Address
53940 CARMICHAEL DR SOUTH BEND, IN 46635
Location Phone
(574) 335-6212
Mailing Address
53940 CARMICHAEL DR SOUTH BEND, IN 46635
Is Sole Proprietor?
No
Enumeration Date
09-17-2020
Last Update Date
09-17-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapy Assistant

Taxonomy Code
225200000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
(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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336755180
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
236614510116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 4 + 5 + 1 + 0 + 1 + 1 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1336755180 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1609829720XRC MEDICAL IMAGING, LLC
Organization
Radiology (Diagnostic Radiology)53940 CARMICHAEL DR
SOUTH BEND, IN 46635
(574) 243-0100
1467068403 ALEXANDRA RAE LERTOLA M.S. CCC-SLP
Individual
Speech-Language Pathologist53940 CARMICHAEL DR
SOUTH BEND, IN 46635
(574) 335-6212
1598371478MRS. ERICA DOYLE SLP
Individual
Speech-Language Pathologist53940 CARMICHAEL DR
SOUTH BEND, IN 46635
(574) 335-6212
1134735061MRS. ANGELA SNYDER PT
Individual
Physical Therapist53940 CARMICHAEL DR
SOUTH BEND, IN 46635
(574) 335-6212
1114526589 REBECCA ANN CHILCOTE
Individual
Occupational Therapy Assistant53940 CARMICHAEL DR
SOUTH BEND, IN 46635
(574) 335-6212
1104140631MR. ARNULFO AYALDE ROYECA PT
Individual
Physical Therapist53940 CARMICHAEL DR
SOUTH BEND, IN 46635
(574) 335-6212
1538776604 TONYA DARLENE ROSS
Individual
Occupational Therapy Assistant53940 CARMICHAEL DR
SOUTH BEND, IN 46635
(574) 335-6212
1487300315 HAILEY MAY ADLER SLP
Individual
Speech-Language Pathologist53940 CARMICHAEL DR
SOUTH BEND, IN 46635
(574) 335-6212
1194990317 SHERYL SHEVOCK MPT
Individual
Physical Therapist53940 CARMICHAEL DR
SOUTH BEND, IN 46635
(574) 335-6212
1649886490 MARILYN ROSS
Individual
Physical Therapist53940 CARMICHAEL DR
SOUTH BEND, IN 46635
(574) 335-6212
1366198616 JOANNE MARIE HARTMAN PT
Individual
Physical Therapist53940 CARMICHAEL DR
SOUTH BEND, IN 46635
(574) 335-6212
1578372850 JENNIFER MARIE KELLY
Individual
Physical Therapy Assistant53940 CARMICHAEL DR
SOUTH BEND, IN 46635
(574) 335-6212

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336755180, enumerated in the NPI registry as an "individual" on September 17, 2020

The provider is located at 53940 Carmichael Dr South Bend, In 46635 and the phone number is (574) 335-6212

The provider's speciality is Physical Therapy Assistant with taxonomy code 225200000X

This NPI record was last updated on September 17, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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