JAMES R BEVERSDORF


Address: 215 N Webster Ave, Green Bay, WI 54301-4813
Phone: 9204304750

JAMES R BEVERSDORF (NPI# 1073508743) 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) 1073508743
Entity Type Individual
Full Name JAMES R BEVERSDORF
Credential LAT, CSCS, PES
Practice Address 215 N Webster Ave
Green Bay
WI 54301-4813
Mailing Address 1330 Packerland Dr
Apt. B-3
Green Bay
WI 54304-1388
Practice Telephone 9204304750
Mailing Telephone 9204050872
Enumeration Date 2005-09-19
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
24-039 WI Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 215 N WEBSTER AVE
City GREEN BAY
State WI
Zip Code 54301-4813

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235124157 Roland Joseph Schmidt Specialist/Technologist 215 N Webster Ave, Green Bay, WI 54301-4813 2005-09-16
1164673810 Linda K Watkins Physical Therapy Assistant 215 N Webster Ave, Green Bay, WI 54301-4813 2008-09-30
1255507604 Robert Paul Neustifter Physical Therapy Assistant 215 N Webster Ave, Green Bay, WI 54301-4813 2008-05-06
1376735373 Bellin Memorial Hospital General Practice 215 N Webster Ave, Green Bay, WI 54301-4813 2007-08-14
1740496132 Scott Wade Oleniczak Occupational Therapist 215 N Webster Ave, Green Bay, WI 54301-4813 2007-05-15
1386607554 Bellin Psychiatric Center Inc Psychiatry & Neurology 215 N Webster Ave, Green Bay, WI 54301-4813 2006-04-10
1902882566 Michelle M Rentmeester Occupational Therapist 215 N Webster Ave, Green Bay, WI 54301-4813 2005-12-15
1679558704 Lori Ann Lamers Physical Therapist 215 N Webster Ave, Green Bay, WI 54301-4813 2005-12-13
1265417869 David Allen Groop Physical Therapist 215 N Webster Ave, Green Bay, WI 54301-4813 2005-12-07
1457336992 Andrew J Taber Physical Therapist 215 N Webster Ave, Green Bay, WI 54301-4813 2005-12-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386102465 Parc Village Dental, LLC Dentist 2805 Libal Street, Suite A, Green Bay, WI 54301 2019-03-07
1598229478 Shaina Marie Conner Registered Nurse 835 S Vanburen St, Green Bay, WI 54301 2019-01-25
1093298960 Brown County Case Management 111 N. Jefferson Street, Green Bay, WI 54301 2018-09-07
1639609928 Frontline Healthcare LLC Specialist/Technologist, Other 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 2017-06-19
1992242606 Charmaine Rimple Counselor 526 South Monroe Avenue, Green Bay, WI 54301 2017-01-20
1962944819 Rebecca Lucille Reinbold Registered Nurse 917 Catherine Street, Green Bay, WI 54301 2016-11-09
1730635061 Melissa Kristof Specialist/Technologist, Other 1821 Sounth Webster Ave., Green Bay, WI 54301 2016-08-28
1255709747 Vivian Sweetheart Bishop-cook Counselor 2920 South Webster Ave, Green Bay, WI 54301 2015-09-14
1881079960 Chelsi S Weber Registered Nurse 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 2015-07-30
1962816371 Joelle M Hesse Counselor 630 Cherry St., Green Bay, WI 54301 2014-06-13
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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
1033774591 Laura Snyder Specialist/Technologist 1356 Suburban Ave, Green Bay, WI 54304-3832 2019-05-09
1982193124 Kevin William Cropsey Specialist/Technologist 3132 W Ottertail Ct, Green Bay, WI 54311-7608 2018-05-03
1144718511 Kasi Marie Bardouche Specialist/Technologist 2884 Sussex Rd, Green Bay, WI 54311-7475 2018-05-01
1407359474 Samantha Matuszak Specialist/Technologist 2944 Shefield Ct, Green Bay, WI 54311-5029 2018-03-15
1477094548 Jenna Carter Specialist/Technologist 3181 Jaguar Ln, Green Bay, WI 54313-9236 2017-03-09
1699216788 Meghan Lange Specialist/Technologist 1612 Royal Crown Ct, Green Bay, WI 54313-4390 2017-03-09
1619429479 Wyatt O'neil Specialist/Technologist 3044 Warm Springs Dr, Green Bay, WI 54311-5030 2016-10-27
1770947640 Brian Hanson Specialist/Technologist 234 Swiss Meadow Ln, Green Bay, WI 54302-5253 2016-04-07
1083092795 Alena Rose Mcguire Specialist/Technologist 2717 Prairie Garden Trl, Green Bay, WI 54313-3958 2015-05-13
1467849307 Maureen Riordan Specialist/Technologist 2957 S Telemark Cir., Green Bay, WI 54313 2015-04-17
Find all providers in GREEN BAY

Competitor

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City GREEN BAY
Zip Code 54301

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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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