MR. SHONE DARNELL GIPSON (NPI# 1023395860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023395860 |
| Entity Type | Individual |
| Full Name | MR. SHONE DARNELL GIPSON |
| Credential | ATC |
| Practice Address |
1 Bills Dr Orchard Park NY 14127-2237 |
| Practice Telephone | 7169832294 |
| Mailing Telephone | 7169832294 |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
001204 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1 BILLS DR |
| City | ORCHARD PARK |
| State | NY |
| Zip Code | 14127-2237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649703539 | Jacob Radlich | Specialist/Technologist | 1 Bills Dr, Orchard Park, NY 14127-2237 | 2017-04-06 |
| 1174980023 | Spencer Fowler | Specialist/Technologist | 1 Bills Dr, Orchard Park, NY 14127-2237 | 2016-01-23 |
| 1366820219 | William Kwiek IIi | Specialist/Technologist | 1 Bills Dr, Orchard Park, NY 14127-2237 | 2015-05-12 |
| 1427465988 | Jonathan Hernandez | Physical Therapist | 1 Bills Dr, Orchard Park, NY 14127-2237 | 2014-07-16 |
| 1124369921 | Leo Mcmillen | Specialist/Technologist | 1 Bills Dr, Orchard Park, NY 14127-2237 | 2013-03-05 |
| 1821338781 | Burdette Carpenter | Specialist/Technologist | 1 Bills Dr, Orchard Park, NY 14127-2237 | 2013-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902330 | Ellory Marie Roberts | Physical Therapist | 3065 Southwestern Blvd Ste. 108, Orchard Park Progressive Physical Therapy At Parkland P, Orchard Park, NY 14127 | 2020-11-03 |
| 1821649377 | Jeannine Ann Haak | Occupational Therapy Assistant | 6455 West Quaker Street, Orchard Park, NY 14127 | 2019-09-26 |
| 1578038147 | Cody Adam Barber | Counselor | 3176 Abbot Rd, Building A, Suite 500, Orchard Park, NY 14127 | 2018-10-09 |
| 1922522259 | Mikaela Rose Ditonto | Emergency Medical Technician, Basic | 7 Woodbine Ct., Orchard Park, NY 14127 | 2017-07-28 |
| 1770007098 | Mary C Daley | Psychologist | 196 Stonehenge Dr., Orchard Park, NY 14127 | 2017-07-28 |
| 1346762960 | Michael James Robb | Counselor | 3176 Abbott Rd., Bldg A. Suite 500, Orchard Park, NY 14127 | 2017-07-14 |
| 1740733575 | Nr Physician Group, Pllc | Radiology | 3910 N Buffalo St, Orchard Park, NY 14127 | 2016-07-28 |
| 1376096057 | Joshua E Weeks | Physician Assistant | 3671 Southwestern Blvd St 101, Suite 101, Orchard Park, NY 14127 | 2016-07-28 |
| 1922400746 | Anton Alisankus | Counselor | 272 Thorn Ave, Orchard Park, NY 14127 | 2014-09-24 |
| 1912324393 | Luke Lennox | Dermatology | 3900 N Buffalost, Williamsville, NY 14127 | 2014-03-24 |
| Find all providers in zip 14127 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385641 | Morgan Collins | Specialist/Technologist | 5360 Murphy Rd, Orchard Park, NY 14127-3138 | 2020-08-05 |
| 1477196566 | Jessica Baun | Specialist/Technologist | 3691 Baker Rd, Orchard Park, NY 14127-2998 | 2019-10-22 |
| 1144796251 | Rachel Lewis | Specialist/Technologist | 4229 N Buffalo Rd Rear, Orchard Park, NY 14127-2450 | 2018-10-16 |
| 1649635905 | Gregory David Bean | Specialist/Technologist | 4041 Southwestern Blvd, Orchard Park, NY 14127-2100 | 2015-12-30 |
| 1649703539 | Jacob Radlich | Specialist/Technologist | 1 Bills Dr, Orchard Park, NY 14127-2237 | 2017-04-06 |
| 1174980023 | Spencer Fowler | Specialist/Technologist | 1 Bills Dr, Orchard Park, NY 14127-2237 | 2016-01-23 |
| 1366820219 | William Kwiek IIi | Specialist/Technologist | 1 Bills Dr, Orchard Park, NY 14127-2237 | 2015-05-12 |
| 1124369921 | Leo Mcmillen | Specialist/Technologist | 1 Bills Dr, Orchard Park, NY 14127-2237 | 2013-03-05 |
| 1821338781 | Burdette Carpenter | Specialist/Technologist | 1 Bills Dr, Orchard Park, NY 14127-2237 | 2013-02-28 |
| 1891010153 | Julie Marie Luka | Specialist/Technologist | 3669 Southwestern Blvd, Orchard Park, NY 14127-1732 | 2010-03-30 |
| Find all providers in ORCHARD PARK | ||||
| City | ORCHARD PARK |
| Zip Code | 14127 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.