ANTONIO WAYNE TERRELL (NPI# 1033732029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033732029 |
| Entity Type | Individual |
| Full Name | ANTONIO WAYNE TERRELL |
| Credential | PERSONAL TRAINER |
| Practice Address |
3813 Parker Ave Louisville KY 40212-2845 |
| Practice Telephone | 5025529163 |
| Mailing Telephone | 5025529163 |
| Enumeration Date | 2020-05-25 |
| Last Update Date | 2020-05-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3813 PARKER AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40212-2845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003433111 | Shanita Flanagan | Home Health Aide | 4519 Southwestern Parkway, Louisville, KY 40212 | 2020-07-06 |
| 1184118887 | Denise Goldsmith-kelley | Licensed Practical Nurse | 2611 Northwestern Pkwy, Louisville, KY 40212 | 2018-06-18 |
| 1477605426 | Market St Dental Office Psc | Dentist | 2410 West Market St, Louisville, KY 40212 | 2007-01-18 |
| 1528118601 | Portland Dental Psc | Clinic/Center | 465 North 26th Street, Louisville, KY 40212 | 2007-01-11 |
| 1790393643 | Quality Home Care Services, LLC | In Home Supportive Care | 4519 Southwestern Parkway, Same, Louisville, KY 40212 | 2020-07-16 |
| 1659884872 | New Leaf Clinic | Clinic/Center | 2910 W Jefferson St, Louisville, KY 40212 | 2017-11-09 |
| 1043670391 | Rod Ali Erfani | Dentist | 2215 Portland Ave, Louisville, KY 40212 | 2016-02-29 |
| 1164754008 | Deborah J Moreau | Nurse Practitioner | 234 Amy Ave, Louisville, KY 40212 | 2010-02-03 |
| 1386778710 | Patricia Link Fulkerson | Social Worker | 2215 Portland Ave, Louisville, KY 40212 | 2007-03-15 |
| 1982617387 | Julie R Aull | Physician Assistant | 234 Amy Ave, Louisville, KY 40212 | 2006-08-15 |
| Find all providers in zip 40212 | ||||
| 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 |
|---|---|---|---|---|
| 1679184139 | Kaley Elizabeth Evans | Specialist/Technologist | 17617 Curry Branch Rd, Louisville, KY 40245-7447 | 2020-08-10 |
| 1275150088 | Kristen Pollock | Specialist/Technologist | 1130 W Chestnut St Apt 1310, Louisville, KY 40203-2047 | 2020-06-26 |
| 1306475538 | Amanda S King | Specialist/Technologist | 3117 Cabinwood Dr, Louisville, KY 40220-2605 | 2020-04-08 |
| 1174157747 | Megan Fernandez | Specialist/Technologist | 2400 Mellwood Ave Apt 1213, Louisville, KY 40206-1075 | 2020-02-23 |
| 1275166969 | William Robert Burns | Specialist/Technologist | 4928 Determine Ln, Louisville, KY 40216-2365 | 2020-02-20 |
| 1497388466 | Anthony Duong | Specialist/Technologist | 4824 Bellevue Ave, Louisville, KY 40215-2412 | 2020-02-19 |
| 1407494271 | Ashtyn Joy Collins | Specialist/Technologist | 824 S 4th St, Louisville, KY 40203-2116 | 2019-12-12 |
| 1366099624 | Jacob Thomas Brunemann | Specialist/Technologist | 2440 Concord Dr, Louisville, KY 40217-1832 | 2019-08-21 |
| 1811543556 | Brook Lee Reichmuth | Specialist/Technologist | 5120 Dixie Hwy Ste 102, Louisville, KY 40216-1775 | 2019-08-16 |
| 1144875972 | Rebecca A Pratt | Specialist/Technologist | 5120 Dixie Hwy Ste 103, Louisville, KY 40216-1775 | 2019-08-08 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40212 |
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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.