WAYNE THOMAS NORTHRUP (NPI# 1063449858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063449858 |
| Entity Type | Individual |
| Full Name | WAYNE THOMAS NORTHRUP |
| Credential | ATC |
| Practice Address |
11350 Palms Blvd Los Angeles CA 90066-2104 |
| Practice Telephone | 3103917127 |
| Mailing Telephone | 3103917127 |
| Enumeration Date | 2006-06-27 |
| 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 |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
11350 PALMS BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90066-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134164940 | Meredith Andrea Hamel | Specialist/Technologist | 11350 Palms Blvd, Los Angeles, CA 90066-2104 | 2006-06-17 |
| 1770034795 | Edgar O Gonzalez | Health Educator | 11350 Palms Blvd, Los Angeles, CA 90066-2104 | 2016-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330274 | Marilyn S Zweifach | Psychologist | 3606 Barry Avenue, Los Angeles, CA 90066 | 2020-09-15 |
| 1073167458 | Rosario Tabares | Marriage & Family Therapist | 4173 Inglewood Blvd., Los Angeles, CA 90066 | 2019-07-24 |
| 1396200739 | Ruzziel Pio | Licensed Vocational Nurse | 4344 Harding Avenue, Los Angeles, CA 90066 | 2019-02-08 |
| 1164992731 | Erfan Nazeri | Student in an Organized Health Care Education/Training Program | 3101 Sawtelle Blvd, Apt 128, Los Angeles, CA 90066 | 2018-11-27 |
| 1972096600 | Tricia Kim Ann Walters | Licensed Vocational Nurse | 1233 S. La Cienega Blvd, Los Angeles, CA 90066 | 2018-06-07 |
| 1174015622 | Nicole Hiorns | Occupational Therapist | 11605 Washington Place, Los Angeles, CA 90066 | 2018-05-31 |
| 1225549934 | Gary Sattler | Psychoanalyst | 3133 Federal Ave., Los Angeles, CA 90066 | 2017-10-20 |
| 1669991568 | Nexus Recovery Services, LLC | Clinic/Center | 11515 Washington Blvd, Culver City, CA 90066 | 2017-09-12 |
| 1336669381 | Andrea Michelle Bakke | Dentist | 3636 Rosewood Ave, Los Angeles, CA 90066 | 2017-06-21 |
| 1659820686 | Pegah Ghassemi Bakhtiari Dds Inc | Dentist | 12756 West Washington Blvd, Los Angeles, CA 90066 | 2016-10-03 |
| Find all providers in zip 90066 | ||||
| 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 |
|---|---|---|---|---|
| 1629612403 | Rosalinda Sanchez | Specialist/Technologist | 2795 W 8th St Apt 108, Los Angeles, CA 90005-1200 | 2019-11-04 |
| 1497223184 | Rafael Antonio Alvarado | Specialist/Technologist | 1246 Sanborn Ave, Los Angeles, CA 90029-2240 | 2018-11-11 |
| 1598254096 | Oscar F Avila | Specialist/Technologist | 345 S Alexandria Ave Apt 216, Los Angeles, CA 90020-2670 | 2018-05-09 |
| 1659869097 | Alec Carmona | Specialist/Technologist | 4618 Townsend Ave, Los Angeles, CA 90041-2861 | 2018-04-30 |
| 1568964369 | Tracy Elizabeth Ayers | Specialist/Technologist | 11435 Venice Blvd, Los Angeles, CA 90066-4028 | 2018-03-07 |
| 1346742947 | Oscar Rinon Jr. | Specialist/Technologist | 2131 John Wooden Center, Los Angeles, CA 90095 | 2018-02-28 |
| 1477053957 | Michael Steven Rivera | Specialist/Technologist | 2642 James M Wood Blvd, Los Angeles, CA 90006-1706 | 2018-02-20 |
| 1801303110 | Alexander Calderon | Specialist/Technologist | 700 North Faring Road, Los Angeles, CA 90077-3525 | 2018-01-08 |
| 1265958847 | Matthew Lee | Specialist/Technologist | 950 Blaine St, Los Angeles, CA 90015-1220 | 2017-08-16 |
| 1023530037 | Smadar Bezalel | Specialist/Technologist | 15800 Zeldins Way, Los Angeles, CA 90049-6861 | 2017-07-11 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90066 |
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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.