ABIGAIL MARTINA JOHNSON (NPI# 1033768544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033768544 |
| Entity Type | Individual |
| Full Name | ABIGAIL MARTINA JOHNSON |
| Other Name | ABIGAIL MARTINA DEWITT |
| Credential | ATC |
| Practice Address |
9622 256th St N Port Byron IL 61275-9054 |
| Mailing Address |
15368 Stacie Ct Dubuque IA 52002-9424 |
| Practice Telephone | 3095233184 |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2020-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265045157 | Abigail Johnson | Technician, Other | 6300 W Old Shakopee Rd, Bloomington, MN 55438-2654 | 2020-08-28 |
| 1275856023 | Abigail D Johnson | Physical Therapist | 1601 Dove St Ste 242, Newport Beach, CA 92660-2411 | 2010-03-08 |
| 1023621166 | Abigail Johnson | Pharmacist | 9801 Brownsboro Rd, Louisville, KY 40241-1125 | 2020-08-28 |
| 1033727110 | Abigail Suzanne Johnson | Social Worker | 7751 Byron Center Ave Sw Ste A, Byron Center, MI 49315-8001 | 2020-07-15 |
| 1912525767 | Abigail Taylor Johnson | Dentist | 715 N Sibley Ave, Litchfield, MN 55355-4560 | 2020-07-08 |
| 1538710959 | Abigail Johnson | Student in an Organized Health Care Education/Training Program | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2019-09-26 |
| 1285113597 | Abigail Johnson | Registered Nurse | 55 Dodge Rd, Getzville, NY 14068-1205 | 2018-08-08 |
| 1255837589 | Abigail Johnson | Nurse Anesthetist, Certified Registered | 3705 Medical Pkwy Ste 570, Austin, TX 78705-1024 | 2018-04-04 |
| 1629579107 | Abigail Speights Johnson | Nurse Practitioner | 1955 W Truckers Dr, Fayetteville, AR 72704-5637 | 2018-02-21 |
| 1215485438 | Abigail Johnson | Pharmacist | 5531 28th St Se, Grand Rapids, MI 49512-2053 | 2016-09-16 |
| Street Address |
9622 256TH ST N |
| City | PORT BYRON |
| State | IL |
| Zip Code | 61275-9054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811098619 | David Lee Bull | Chiropractor | 1010 Rose Hill Rd, Port Byron, IL 61275 | 2006-09-26 |
| 1548820194 | Riverfront Medical, LLC | Internal Medicine | 103 N Main St, Port Byron, IL 61275-7705 | 2019-06-17 |
| 1174959340 | Family Physical Therapy, LLC | Physical Therapist | 103 N Main St, Port Byron, IL 61275-7705 | 2013-09-19 |
| 1770699043 | Genesis Health System | Family Medicine | 205 11th St, Port Byron, IL 61275-9037 | 2006-08-21 |
| 1518330505 | Galva Family Dentistry, Inc. | Dentist | 308 11th St, Port Byron, IL 61275-9038 | 2015-11-12 |
| 1609965763 | Gregory L Glade Dmd PC | Dentist | 308 11th St North, Port Byron, IL 61275-9038 | 2006-10-12 |
| 1548367600 | Gregory L Glade | Dentist | 308 11th Street North, Port Byron, IL 61275-9038 | 2006-09-20 |
| 1851593305 | Riverdale School District 100 | Local Education Agency (LEA) | 9624 256th St N, Port Byron, IL 61275-9054 | 2007-06-05 |
| 1811073109 | Frederick Bruce Perry | Emergency Medicine | 1012 S High St, Port Byron, IL 61275-9307 | 2006-10-28 |
| 1386764264 | Barbara Ann Gillman | Developmental Therapist | 905 17th St, Port Byron, IL 61275-9520 | 2007-04-02 |
| Find all providers in zip 61275 | ||||
| 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 |
|---|---|---|---|---|
| 1538771076 | Stacey Weathers-cannon | Specialist/Technologist | 650 Ingraham Ave, Calumet City, IL 60409-4236 | 2020-08-17 |
| 1104438621 | Abril Malagon | Specialist/Technologist | 1 S Greenwood Ave, Palatine, IL 60074-6328 | 2020-08-17 |
| 1265050678 | Megan Elsbree | Specialist/Technologist | 11819 Deacon Dr, Rockton, IL 61072-9411 | 2020-07-13 |
| 1013534437 | Nicole Rose Mondelli | Specialist/Technologist | 958 Tallgrass Dr, Bartlett, IL 60103-5071 | 2020-07-01 |
| 1740806413 | Megan Herter | Specialist/Technologist | 1513 Old Ivy Dr, Springfield, IL 62711-8156 | 2020-06-18 |
| 1164047239 | Madison Stagman | Specialist/Technologist | 280 Douglas Ave Apt 4, Mascoutah, IL 62258-2963 | 2020-06-14 |
| 1588286272 | Sarah Wegrzyn | Specialist/Technologist | 3040 S Wabash Ave, Chicago, IL 60616-3474 | 2020-05-15 |
| 1336761386 | Christine Louise Shebelski | Specialist/Technologist | 15203 Pulaski Rd, Midlothian, IL 60445-3755 | 2020-05-13 |
| 1386266633 | Kathryn Riordan | Specialist/Technologist | 221 Triton Ln, Naperville, IL 60540-7926 | 2020-05-09 |
| 1487276747 | Vianey Hernandez-ramirez | Specialist/Technologist | 4115 Howard St, Skokie, IL 60076-3749 | 2020-05-09 |
| Find all providers with the same taxonomy | ||||
| City | PORT BYRON |
| Zip Code | 61275 |
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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.