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Deactivated NPI 1144669615 Deactivated / Inactive NPI Male Practitioner

Dwayne Harrison Mccullough

Physical Therapy Assistant • Ocala, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dwayne Mccullough has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 18, 2013
NPI Deactivation Date August 17, 2020
Total Practice Duration ~7 Years of Practice (2013 – 2020)

Professional Overview & Biography Verified Profile Summary

Dwayne Mccullough was a registered Physical Therapy Assistant practicing in Ocala, FL. Throughout an active medical career spanning 7 years, Dwayne Mccullough provided care at the practice location at 1501 SE 24TH RD until profile deactivation on 2020-08-17.

Practice Location & Contact Primary Location

Practice Address

1501 Se 24th Rd

Ocala, FL 344716005

Telephone 3526298900
Fax 3523514806
Associated Practice Facility / Clinic
🏢 1501 Se 24th Road Llc Facility NPI 1821011958

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapy Assistant in Ocala, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.5 Yrs
Regional Practice Density
80 Specialists

Practicing in Ocala, FL (5997 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 FL PTA23808

(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

25 Associated Practitioners
Ivelisse Cruz-Lopez , OTR, L

Occupational Therapist - Physical Rehabilitation

NPI 1033454228

Occupational Therapist Registered, L

Courtney Hooks

Physical Therapy Assistant

NPI 1073858221
Jennifer Rivers , OTR, L

Occupational Therapist

NPI 1083132633

Occupational Therapist Registered, L

NPI 1124029418

Physical Therapist

Carina Gandiongco , RPT

Physical Therapist

NPI 1225372766

Registered Physical Therapist

Eva Telheiro , PTA

Physical Therapy Assistant

NPI 1235473752

Physical Therapist Assistant

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 17, 2020

Record deactivated on August 17, 2020

NPI Profile Active June 18, 2013

NPI status registered as active in NPPES database

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Updated Practice Location June 18, 2013

Registered at 1501 SE 24TH RD, OCALA, FL 344716005 (Tel: 3526298900)

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Updated Business Mailing Address June 18, 2013

Registered at 162 SW TURNER PL, LAKE CITY, FL 320252660 (Tel: 3862924645)

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Provider Name / Credentials Updated June 18, 2013

Recorded as DWAYNE MCCULLOUGH

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2013

Physical Therapy Assistant (License #PTA23808 in FL)

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Initial NPI Registration & Enumeration June 18, 2013

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: 1144669615
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2013
Last Update: June 18, 2013
Deactivation Date: August 17, 2020

Mailing Address

162 Sw Turner Pl

Lake City, FL 320252660

Phone: 3862924645

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.