ADAM FLETCHER (NPI# 1043414881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043414881 |
| Entity Type | Individual |
| Full Name | ADAM FLETCHER |
| Credential | LAT |
| Practice Address |
2835 N Grandview Blvd Suite 100 Pewaukee WI 53072-5531 |
| Mailing Address |
1802 N 48th St Milwaukee WI 53208-1713 |
| Practice Telephone | 2625745185 |
| Practice Fax Number | 2625745193 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
849039 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699117572 | Adam C Fletcher | Family Medicine | 855 Mankato Ave, Winona, MN 55987-4868 | 2013-07-22 |
| 1639420672 | Adam Wesley Fletcher | Physical Therapist | 8021 Christian Ct, Louisville, KY 40222-9050 | 2012-10-01 |
| 1023391869 | Adam Michael Fletcher | Pharmacist | 1011 W Macarthur Dr, Webb City, MO 64870-2103 | 2011-09-27 |
| Street Address |
2835 N GRANDVIEW BLVD SUITE 100 |
| City | PEWAUKEE |
| State | WI |
| Zip Code | 53072-5531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366462319 | Mary Colleen Daly | Specialist/Technologist | 2835 N Grandview Blvd, Siute 100, Pewaukee, WI 53072-5531 | 2006-07-20 |
| 1396196424 | Cassandra Young | Physical Therapist | 2835 N Grandview Blvd, Suite 100, Pewaukee, WI 53072-5546 | 2016-06-30 |
| 1417306853 | Michael Branda | Physical Therapist | 2835 N Grandview Blvd, Suite 100, Pewaukee, WI 53072-5546 | 2016-06-07 |
| 1790152288 | Rebecca Gray | Physical Therapist | 2835 N Grandview Blvd, Suite 100, Pewaukee, WI 53072-5546 | 2015-08-31 |
| 1376966580 | Bobbiejo Paul | Nurse Practitioner | 2835 N Grandview Blvd, Suite 100, Pewaukee, WI 53072-5546 | 2014-01-23 |
| 1538581418 | Athletic and Therapeutic Institute of Milwaukee, LLC | Nurse Practitioner | 2835 N Grandview Blvd, Ste 100, Pewaukee, WI 53072-5546 | 2014-01-13 |
| 1609131275 | Britni Dworak | Physical Therapist | 2835 N Grandview Blvd, Suite 100, Pewaukee, WI 53072-5546 | 2012-07-10 |
| 1215296249 | Maria Kohlwey | Specialist/Technologist | 2835 N Grandview Blvd, Ste. 100, Pewaukee, WI 53072-5546 | 2012-05-11 |
| 1639481559 | Amy L Setz | Physical Therapist | 2835 N Grandview Blvd, Suite 100, Pewaukee, WI 53072-5546 | 2010-07-08 |
| 1063660751 | Amy Louise Galati | Podiatrist | 2835 N Grandview Blvd, 300, Pewaukee, WI 53072-5546 | 2008-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740805423 | Froedtert Health Neighborhood Hospital, LLC | General Acute Care Hospital | 209 Pewaukee Rd, Pewaukee, WI 53072 | 2020-06-09 |
| 1871122556 | Mary Kofigah | Nurse Practitioner | 21150 W. Capital Dr., Brookfield, WI 53072 | 2020-04-05 |
| 1609436559 | Brianna Kelly Bates | Optometrist | 1440 Capitol Drive, Suite B, Pewaukee, WI 53072 | 2019-06-13 |
| 1932767316 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1440 Capital Drive, Suite B, Pewaukee, WI 53072 | 2019-05-31 |
| 1417426925 | Edward Dow | Psychologist | W268n1988 Shooting Star Road, Pewaukee, WI 53072 | 2018-11-14 |
| 1346664869 | Jane Sweney | Counselor | 325 Forest Grove Drive, Pewaukee, WI 53072 | 2014-02-05 |
| 1093082182 | Kristin Elizabeth Thieneman | Pharmacist | 443 Pewaukee Road, Pewaukee, WI 53072 | 2011-11-17 |
| 1922318393 | Ariane Machin | Psychologist | 161 W. Wisconsin Ave #2b, Pewaukee, WI 53072 | 2010-10-19 |
| 1083930879 | Scott Robert Borkenhagen | Student in an Organized Health Care Education/Training Program | 384 Willow Grove Dr., Unit D, Pewaukee, WI 53072 | 2010-04-19 |
| 1912174988 | Robert Thomas Lynch | Dentist | 234 Oakton Ave, Pewaukee, WI 53072 | 2008-05-09 |
| Find all providers in zip 53072 | ||||
| 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 |
|---|---|---|---|---|
| 1437639143 | Nicole Elizabeth Arnold | Specialist/Technologist | 740 W Wisconsin Ave Apt 1, Pewaukee, WI 53072-2356 | 2018-08-21 |
| 1275930505 | Rod Joseph | Specialist/Technologist | 285 Forest Grove Dr Ste 207, Pewaukee, WI 53072-3738 | 2014-12-02 |
| 1366462319 | Mary Colleen Daly | Specialist/Technologist | 2835 N Grandview Blvd, Siute 100, Pewaukee, WI 53072-5531 | 2006-07-20 |
| 1326697400 | Wyatt Henkenius | Specialist/Technologist | 285 Forest Grove Dr, Pewaukee, WI 53072-3782 | 2019-09-10 |
| 1639721327 | Marcus Thoma | Specialist/Technologist | 2900 Golf Rd, Pewaukee, WI 53072-5449 | 2019-07-12 |
| 1861992570 | Kelson James Wann | Specialist/Technologist | 285 Forest Grove Dr Ste 207, Pewaukee, WI 53072-3738 | 2018-02-19 |
| 1659871812 | Taylor Leigh Tassoul | Specialist/Technologist | 285 Forest Grove Dr Ste 207, Pewaukee, WI 53072-3738 | 2018-02-14 |
| 1225537129 | Mark Joseph Sniadecki | Specialist/Technologist | 285 Forest Grove Dr, Pewaukee, WI 53072-3782 | 2018-02-06 |
| 1407355498 | Kayla A Huerta | Specialist/Technologist | 285 Forest Grove Dr Ste 207, Pewaukee, WI 53072-3738 | 2018-02-06 |
| 1942651823 | Alessandra Stifter | Specialist/Technologist | 285 Forest Grove Dr, Pewaukee, WI 53072-3782 | 2016-06-22 |
| Find all providers in PEWAUKEE | ||||
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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.