Dana Patrick-Byrd

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

116066 Issued in MO

Practice address

1466 Hill Top Rd
Columbia, IL 62236-4534

Phone

(618) 973-7501

NPI assigned

Jan 7, 2015

Last updated

Jan 7, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1801284229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1466 HILL TOP RD",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622364534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1466 HILL TOP RD",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622364534",
            "telephone_number": "618-973-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK-BYRD",
        "first_name": "DANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "116066",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.000844",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT 6113",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Marie Overbey, MSW
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• Taylor Pavlak, DPT
• PC Associates, LLC
• PC Associates, LLC
• Pediatric Walk-in, LLC
• Hannah Kaleigh Petersen, AGPCNP-BC

• Physical Therapy Assistant in Columbia, IL
• Providers in Columbia, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.