DAVID BOTELHO (NPI# 1073656294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073656294 |
| Entity Type | Individual |
| Full Name | DAVID BOTELHO |
| Credential | ATC |
| Practice Address |
158 Harmon Dr Norwich University Northfield VT 05663-1000 |
| Mailing Address |
25 Woods End Dr Essex Junction VT 05452-4731 |
| Practice Telephone | 8024852236 |
| Practice Fax Number | 8024852234 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
104-0000028 | VT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
158 HARMON DR NORWICH UNIVERSITY |
| City | NORTHFIELD |
| State | VT |
| Zip Code | 05663-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770064495 | Jessica Boucher Hurlbert | Specialist/Technologist | 158 Harmon Dr, Northfield, VT 05663-1035 | 2018-08-22 |
| 1578069555 | Anissa Louise Garnsey | Specialist/Technologist | 158 Harmon Dr, Northfield, VT 05663-1000 | 2018-03-30 |
| 1558866731 | Kaitlin Austin Smith | Specialist/Technologist | 158 Harmon Dr, Northfield, VT 05663-1000 | 2018-03-28 |
| 1659876837 | Abigail Joyal | Specialist/Technologist | 158 Harmon Dr, Northfield, VT 05663-1000 | 2018-03-28 |
| 1306340203 | Teresa Segreti | Specialist/Technologist | 158 Harmon Dr, Northfield, VT 05663-1000 | 2018-03-23 |
| 1487179933 | Daisy Natalia Ramirez | Specialist/Technologist | 158 Harmon Dr, Nu Box 1942, Northfield, VT 05663 | 2017-08-06 |
| 1154844504 | Blake Vicent Ireland | Student in an Organized Health Care Education/Training Program | 158 Harmon Dr, Northfield, VT 05663-1000 | 2017-07-18 |
| 1295279339 | Nicole Therrien | Specialist/Technologist | 158 Harmon Dr, Northfield, VT 05663-1000 | 2016-12-08 |
| 1245630821 | Kari Wentland | Specialist/Technologist | 158 Harmon Dr, Northfield, VT 05663-1000 | 2014-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841622420 | Erin Palmer | Counselor | 38 N. Main Street, Suite 1, Northfield, VT 05663 | 2013-08-06 |
| 1861603599 | Laura Snell Murphy | Occupational Therapist | 71 Richardson Avenue, Northfield, VT 05663 | 2007-05-24 |
| 1972715886 | Colleen Gayle Wilford | Physical Therapist | 171 Richardson Ave., Northfield, VT 05663 | 2007-05-04 |
| 1972924405 | Barbara Steven Balch | Registered Nurse | 130 Fisher Rd, Central Vt Medical Center, Berlin, VT 05663 | 2013-12-31 |
| 1912341306 | Loretta B. Charles | Nurse Practitioner | 87 Paine Mountain Drive, Green Mountain Family Practice, Northfield, VT 05663 | 2013-04-29 |
| 1134495054 | Timothy John Partridge | Family Medicine | 87 Paine Mountain Drive, Green Mountain Family Practice, Northfield, VT 05663 | 2012-03-26 |
| 1881975522 | Elizabeth Nugba | Physician Assistant | 87 Paine Mountain Dr, Northfield, VT 05663 | 2011-09-08 |
| 1770596991 | Debra Maloney-evans | Nurse Practitioner | 87 Paine Mountain Drive, Green Mountain Family Practice, Northfield, VT 05663-0000 | 2006-08-15 |
| 1932142577 | Melinda J Mariano | Speech-Language Pathologist | 749 Route 12 South, Northfield, VT 05663-0142 | 2006-06-13 |
| 1962907394 | Brianne Billig | Specialist/Technologist | 158 Harmon Dr # Nu86, Northfield, VT 05663-1000 | 2018-03-27 |
| Find all providers in zip 05663 | ||||
| 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 |
|---|---|---|---|---|
| 1033731575 | Courtney Amell | Specialist/Technologist | 139 Freeman Rd, Northfield, VT 05663-6203 | 2020-05-06 |
| 1093352742 | Nicholas Richard Lastovka | Specialist/Technologist | 224 Seiberling Dr, Northfield, OH 44067-3237 | 2019-12-02 |
| 1013471895 | Noah Pennypacker | Specialist/Technologist | 50 Scupper Ln, Northfield, OH 44067-3022 | 2019-01-25 |
| 1841796497 | Janine Ann Osterman | Specialist/Technologist | 1667 Cox Brook Rd, Northfield, VT 05663-6909 | 2018-04-03 |
| 1629573191 | Christopher Timmons | Specialist/Technologist | 2642 Stony Brook Rd, Northfield, VT 05663-6188 | 2018-03-27 |
| 1962907394 | Brianne Billig | Specialist/Technologist | 158 Harmon Dr # Nu86, Northfield, VT 05663-1000 | 2018-03-27 |
| 1366984882 | Quinton Dj Evans | Specialist/Technologist | 9110 Cranbrook Dr, Northfield, OH 44067-1321 | 2016-11-15 |
| 1871949313 | Edward Dobrowolski | Specialist/Technologist | 131 Spring Creek Rd, Northfield, OH 44067-2031 | 2016-05-13 |
| 1518336718 | Jacqueline Companey | Specialist/Technologist | 120 Huntington Dr Unit 3, Northfield, OH 44067-1344 | 2015-09-17 |
| 1811261092 | Jordan Allen Anderson | Specialist/Technologist | 7 Happ Road, New Trier Township High School, Northfield, IL 60093 | 2012-03-06 |
| Find all providers in NORTHFIELD | ||||
| City | NORTHFIELD |
| Zip Code | 05663 |
Please comment or provide details below to improve the information on DAVID BOTELHO.
| 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.