MISTY RENAE BLACK PTA
NPI 1043386220
Physical Therapy Assistant in Sebastopol, CA

Active since November 28, 2006
100 PLEASANT HILL AVE N, SEBASTOPOL, CA 95472(707) 829-3282(707) 829-3287 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Misty Renae Black Pta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISTY RENAE BLACK PTA (NPI 1043386220) is an individual physical therapy assistant in Sebastopol, California, licensed in California (AT6901) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1043386220
Entity TypeIndividualFemale
Primary Taxonomy225200000X
Provider Legal NameMISTY RENAE BLACKCredential: PTA
Location Address100 PLEASANT HILL AVE NSebastopol, CA 95472-3104
Mailing Address100 Pleasant Hill Ave NSebastopol, CA 95472-3104 · (707) 829-3282 · Fax (707) 829-3287
Fax(707) 829-3287
Sole ProprietorNo
Enumeration DateNovember 28, 2006
Last NPPES UpdateMarch 1, 2022
NPPES CertifiedMarch 1, 2022
NPI 1043386220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225200000X
License Licensed in CA · AT6901
Definition
(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.
Also ListedPhysical TherapistTaxonomy 225100000X · License AT6901 (CA)
100 PLEASANT HILL AVE N, Sebastopol, CA 95472

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
100 PLEASANT HILL AVE N
SEBASTOPOL, CA 95472
Physical Therapist
100 PLEASANT HILL AVE N
SEBASTOPOL, CA 95472
Physical Therapist
100 PLEASANT HILL AVE N
SEBASTOPOL, CA 95472
Physical Therapist
100 PLEASANT HILL AVE N
SEBASTOPOL, CA 95472
Physical Therapist
100 PLEASANT HILL AVE N
SEBASTOPOL, CA 95472
Physical Therapy Assistant
100 PLEASANT HILL AVE N
SEBASTOPOL, CA 95472
Physical Therapy Assistant
100 PLEASANT HILL AVE N
SEBASTOPOL, CA 95472
Physical Therapist
100 PLEASANT HILL AVE N
SEBASTOPOL, CA 95472

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Misty Black's NPI number?

The NPI number for Misty Black is 1043386220. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Misty Black located?

Misty Black practices at 100 Pleasant Hill Ave N, Sebastopol, CA 95472. The listed phone number is (707) 829-3282.

What is Misty Black's specialty?

The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.

When was this NPI record last updated?

The NPPES record for Misty Black was last updated on March 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.