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Active NPI 1538375167 Individual Practitioner Female Practitioner

Dywana Carolyn Mack , PTA

Physical Therapy Assistant • Carson, CA

Professional Overview & Biography Verified Profile Summary

Dywana Mack, PTA is a registered healthcare professional specializing in Physical Therapy Assistant in Carson, CA. Practice services are available at 1 CIVIC PLAZA DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 Civic Plaza Dr
Suite 625

Carson, CA 907452243

Telephone 3105494500
Associated Practice Facility / Clinic
🏢 Supplemental Health Care Facility NPI 1942523519

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapy Assistant in Carson, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 6.9 Yrs
Regional Practice Density
13 Specialists

Practicing in Carson, CA (3593 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physical Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 225200000X

State License CA AT 3079

(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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Renee Capozzola , MPT

Physical Therapist

NPI 1033413463

Master of Physical Therapy

Joel Agacid , RCP

Respiratory Therapist, Certified

NPI 1114224797
Austin Harris , PTA

Physical Therapy Assistant

NPI 1134330301

Physical Therapist Assistant

Linette Lord , PTA

Physical Therapy Assistant

NPI 1154630945

Physical Therapist Assistant

Kim Atwater , OTR

Occupational Therapist

NPI 1174724421

Occupational Therapist Registered

Melounie Crocker

Physical Therapy Assistant

NPI 1225231780

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1 CIVIC PLAZA DR, SUITE 625, CARSON, CA 907452243 (Tel: 3105494500)

📍
Updated Business Mailing Address July 08, 2007

Registered at 23357 BALMORAL LN, WEST HILLS, CA 913071431

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DYWANA MACK, PTA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physical Therapy Assistant (License #AT 3079 in CA)

🟢
Initial NPI Registration & Enumeration May 14, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538375167
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 14, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

23357 Balmoral Ln

West Hills, CA 913071431

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.