RANDY W DILLON (NPI# 1043810021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043810021 |
| Entity Type | Individual |
| Full Name | RANDY W DILLON |
| Credential | ATC, OPE-C, LMT |
| Practice Address |
617c Chester Pike Prospect Park PA 19076-1506 |
| Practice Telephone | 2678008031 |
| Mailing Telephone | 2678008031 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
RT003236 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225700000X | Massage Therapist | MSG010353 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
617C CHESTER PIKE |
| City | PROSPECT PARK |
| State | PA |
| Zip Code | 19076-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043616824 | Krista Mcshea Todd-burke | Occupational Therapist | 815 Chester Pike, Prospect Park Health and Rehabilitation Center, Prospect Park, PA 19076 | 2014-11-06 |
| 1558573774 | Family Chiropractic Wellness Center | Chiropractor | 625 Chester Pike, Prospect Park, PA 19076 | 2007-05-03 |
| 1265521900 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 762 Chester Pike, Prospect Park, PA 19076-0000 | 2006-10-12 |
| 1205453719 | Delaney Hallowell | Physician Assistant | 547 13th Ave, Prospect Park, PA 19076-1101 | 2020-06-30 |
| 1750633848 | Progressive Health Inc | Home Health | 705 15th Ave, Prospect Park, PA 19076-1105 | 2012-10-12 |
| 1538377551 | Health Access Network | Internal Medicine | 1401 Lincoln Ave, Prospect Park, PA 19076-1107 | 2007-05-21 |
| 1730185950 | Mukesh A Patel | Internal Medicine | 1421 Lincoln Ave, Prospect Park, PA 19076-1107 | 2005-06-22 |
| 1194019166 | Mukesh Patel M.d | Internal Medicine | 1421 Lincoln Ave, Prospect Park, PA 19076-1107 | 2011-06-07 |
| 1477093409 | Jenna Syken | Prevention Professional | 500 16th Ave, Prospect Park, PA 19076-1120 | 2017-02-23 |
| 1467065284 | Holcomb Associates Inc. | Clinic/Center | 500 16th Ave, Prospect Park, PA 19076-1120 | 2020-08-31 |
| Find all providers in zip 19076 | ||||
| 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 |
|---|---|---|---|---|
| 1154967867 | April Leffler | Specialist/Technologist | 702 Prospect Ave Apt 2, Prospect Park, PA 19076-2335 | 2019-11-18 |
| 1063970291 | Jon R Mathis | Specialist/Technologist | 661 13th Ave, Prospect Park, PA 19076-1202 | 2019-03-06 |
| 1184735128 | Deborah Jean Ankelein | Specialist/Technologist | 94 Brown Ave, Prospect Park, NJ 07508-2018 | 2006-08-31 |
| 1790818904 | Chima Oguekwe | Specialist/Technologist | 815 Chester Pike, Prospect Park, PA 19076-2322 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801642 | Allison Zilonis | Specialist/Technologist | 1923 Oak Hills Dr, Hanover, PA 17331-8522 | 2020-11-08 |
| 1487255642 | Siarra Grace Crum | Specialist/Technologist | 102 Bellwood Lane, Portage, PA 15946-1441 | 2020-11-04 |
| 1841891108 | Sydney Charles | Specialist/Technologist | 6325 Martins Mill Rd, Philadelphia, PA 19111-5321 | 2020-11-03 |
| 1871194308 | Alexander Hedrick | Specialist/Technologist | 33 Derstine Rd, Hatfield, PA 19440-3406 | 2020-11-02 |
| 1114528684 | Kelsey E Craig | Specialist/Technologist | 1856 N 16th St Apt 1r, Philadelphia, PA 19121-3301 | 2020-11-02 |
| 1740881333 | David Williams | Specialist/Technologist | 3100 W Thompson St Apt 42, Philadelphia, PA 19121-4485 | 2020-11-02 |
| 1992305940 | Alexandra Bossi | Specialist/Technologist | 450 N 18th St Apt 1032, Philadelphia, PA 19130-4198 | 2020-10-29 |
| 1871193086 | Troy Olsheski | Specialist/Technologist | 1970 Easton Tpke, Lake Ariel, PA 18436-4661 | 2020-10-27 |
| 1982203055 | Josiah Thompson | Specialist/Technologist | 20 Heather Rd, Feasterville Trevose, PA 19053-6320 | 2020-10-20 |
| 1235737404 | Kayla Lynn Hawbaker | Specialist/Technologist | 324 Hard Rock Ln, Port Matilda, PA 16870-9343 | 2020-10-11 |
| Find all providers with the same taxonomy | ||||
| City | PROSPECT PARK |
| Zip Code | 19076 |
Please comment or provide details below to improve the information on RANDY W DILLON.
| 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.