MS. CAITLYN BLAIR


Address: 9475 Roosevelt Blvd, Philadelphia, PA 19114-2212
Phone: 2154646200

MS. CAITLYN BLAIR (NPI# 1053821108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053821108
Entity Type Individual
Full Name MS. CAITLYN BLAIR
Credential MS LAT ATC
Practice Address 9475 Roosevelt Blvd
Philadelphia
PA 19114-2212
Mailing Address 1220 Gibbsboro Rd
Voorhees
NJ 08043-2229
Practice Telephone 2154646200
Practice Fax Number 2154649834
Mailing Telephone 8566251785
Enumeration Date 2017-10-03
Last Update Date 2017-10-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
25MT00202100 NJ Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
J3-0000657 DE Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
A00694 MD Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
RT005988 PA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 9475 ROOSEVELT BLVD
City PHILADELPHIA
State PA
Zip Code 19114-2212

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891784740 Susan E Weidman Physical Therapist 9475 Roosevelt Blvd, Philadelphia, PA 19114-2212 2005-10-13
1053935908 Jessica T. Do Optometrist 9475 Roosevelt Blvd, Philadelphia, PA 19114-2212 2020-06-05
1912488784 Staci Drybala Occupational Therapist 9475 Roosevelt Blvd, Philadelphia, PA 19114-2212 2018-08-28
1750809018 Rada Whyne Occupational Therapist 9475 Roosevelt Blvd, Philadelphia, PA 19114-2212 2017-09-06
1083166425 Katherine Currie Physical Therapist 9475 Roosevelt Blvd, Philadelphia, PA 19114-2212 2016-11-02
1609324672 Emily Carangelo Speech-Language Pathologist 9475 Roosevelt Blvd, Philadelphia, PA 19114-2212 2016-09-19
1235687609 Puja Desai Physical Therapist 9475 Roosevelt Blvd, Philadelphia, PA 19114-2212 2016-09-14
1053867713 Namrataben Patel Physical Therapist 9475 Roosevelt Blvd, Philadelphia, PA 19114-2212 2016-08-31
1558717355 Dorian Billow Occupational Therapist 9475 Roosevelt Blvd, Philadelphia, PA 19114-2212 2016-05-11
1396104329 Brittani Jo Jensen Specialist/Technologist 9475 Roosevelt Blvd, B4, Philadelphia, PA 19114-2212 2016-02-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164029906 Phuoc Nguyen Nurse Anesthetist, Certified Registered Jefferson Torresdale Hospital, 10800 Knights Rd, Philadelphia, PA 19114 2020-10-05
1053921932 Priyanka Patel Dentist Philadelphia Dental Smiles, 9140 Academy Road, Philadelphia, PA 19114 2020-08-05
1215419080 Thomas Patrick Gallagher Specialist/Technologist 2708 Ruth Way, Philadelphia, PA 19114 2018-08-29
1558840223 Alexis Wenger Early Intervention Provider Agency 3810 Aubrey Ave, Phila, PA 19114 2018-08-13
1245759232 Newlands Health Clinic/Center 9625 Frankford Ave., Philadelphia, PA 19114 2017-09-12
1619491453 Nazareth Physician Services Inc Social Worker 9815 Roosevelt Blvd Ste G, Philadelphia, PA 19114 2017-08-02
1326561606 L.s. Share & Love Support Coordinating Agency, LLC Case Management 3600 Red Lion Road, Apt 68c, Philadelphia, PA 19114 2017-07-19
1760911952 Charles C Richards II Counselor 2555 Welsh Rd, Apt 407, Philadelphia, PA 19114 2017-06-09
1801338686 April Neuls Physical Therapy Assistant 4213 Lackland Place, Philadelphia, PA 19114 2016-11-10
1114317583 Siji Cyriac Physical Therapist 9501 State Road, Philadelphia, PA 19114 2015-01-23
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841891108 Sydney Charles Specialist/Technologist 6325 Martins Mill Rd, Philadelphia, PA 19111-5321 2020-11-03
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
1427661842 Autumn Kelly Specialist/Technologist 3300 Henry Ave Apt 522, Philadelphia, PA 19129-1160 2020-08-25
1558984609 Keri Lapinski Specialist/Technologist 929 N 6th St Apt 2, Philadelphia, PA 19123-1405 2020-05-24
1356975445 Shaun Shields Specialist/Technologist 1814 N. Broad Street, Philadelphia, PA 19121 2020-02-27
1619500410 Halie Ann Maria Hurtado Specialist/Technologist 1000 S Broad St Apt 833, Philadelphia, PA 19146-2261 2020-02-20
1215569561 Danielle Quigley Specialist/Technologist 6903 Shalkop St, Philadelphia, PA 19128-3218 2020-02-05
1457982076 Jacie Fabro Specialist/Technologist 4136 Mitchell St Apt 407, Philadelphia, PA 19128-3511 2020-02-02
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Competitor

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City PHILADELPHIA
Zip Code 19114

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Dataset Information

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.

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