MICHAEL ANDERSON (NPI# 1093282469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093282469 |
| Entity Type | Individual |
| Full Name | MICHAEL ANDERSON |
| Credential | ATC |
| Practice Address |
1 College St Worcester MA 01610-2395 |
| Practice Telephone | 5087932903 |
| Mailing Telephone | 5087932903 |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2018-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2680 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374712 | Michael Richard Anderson | Clinic/Center | 2560 Hubbell Ave, Des Moines, IA 50317-6102 | 2020-07-23 |
| 1881234623 | Michael Anderson | Durable Medical Equipment & Medical Supplies | 1203 N Hobart St Ste 34, Pampa, TX 79065-4664 | 2020-01-09 |
| 1164920898 | Michael Anderson | Counselor | 502 Mccarty Ln Ste 5, Jackson, OH 45640-7025 | 2018-01-29 |
| 1609324789 | Michael Anderson | Counselor | 75 Heaton Dr, Covington, GA 30016-0224 | 2016-09-16 |
| 1629438437 | Michael Anderson | Counselor | 145 Yonker Street, Barbeton, OH 44203 | 2016-03-07 |
| 1124406186 | Michael A Anderson | Family Medicine | 1000 Pocatello Creek Rd Ste E10, Pocatello, ID 83201-2953 | 2015-05-11 |
| 1679971683 | Michael Anderson | Occupational Therapist | 355 Saddlebrook Cir, Lewisville, NC 27023-8213 | 2014-12-08 |
| 1881004877 | Michael Anderson | Anesthesiology | 2345 E Thomas Rd Ste 400, Phoenix, AZ 85016 | 2014-04-30 |
| 1467871517 | Michael Callum Anderson | Counselor | 1881 Ne 26th St Ste 70, Wilton Manors, FL 33305-1425 | 2014-04-15 |
| 1871911958 | Michael Anderson | Physical Therapist | 9909 Mira Mesa Blvd Ste 260, San Diego, CA 92131-1064 | 2014-04-04 |
| Street Address |
1 COLLEGE ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01610-2395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588626725 | Paul Robert Galvinhill | Psychologist | 1 College St, College of The Holy Cross Counseling Center, Worcester, MA 01610-2322 | 2006-04-04 |
| 1326514779 | Noelle Catherine Sellars | Specialist/Technologist | 1 College St, Worcester, MA 01610-2395 | 2018-10-23 |
| 1487143053 | Adriana Dipasquale | Psychologist | 1 College St, Worcester, MA 01610-2395 | 2018-05-09 |
| 1851822050 | Kelsey Devoe | Nurse Practitioner | 1 College St, Worcester, MA 01610 | 2017-03-21 |
| 1821546144 | Maximilian Mita | Specialist/Technologist | 1 College St, Worcester, MA 01610-2322 | 2016-09-15 |
| 1821546318 | Matthew Ferreira | Specialist/Technologist | 1 College St, Worcester, MA 01610-2322 | 2016-09-14 |
| 1033562509 | Ryan Sortino | Specialist/Technologist | 1 College St, Worcester, MA 01610-2395 | 2016-07-19 |
| 1043688401 | Benjamin Lunt | Specialist/Technologist | 1 College St, Worcester, MA 01610-2322 | 2015-09-02 |
| 1275901639 | Nicholas Farrar | Specialist/Technologist | 1 College St, Worcester, MA 01610-2322 | 2015-09-02 |
| 1053789412 | Marisa Visocchi | Specialist/Technologist | 1 College St, Worcester, MA 01610-2322 | 2015-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881189355 | Amber Hall | Counselor | 26 Queen St, 6th Floor, Worcester, MA 01610 | 2018-06-27 |
| 1417401951 | Kelsey Moran | Counselor | 1 College Street, Box D, Worcester, MA 01610 | 2016-08-13 |
| 1245685809 | Walter Trisdale | Specialist/Technologist | One College St., College of The Holy Cross, Worcester, MA 01610 | 2016-05-02 |
| 1669866430 | Shannon Smith | Student in an Organized Health Care Education/Training Program | 26 Queen St, Ground Floor, Ambulatory Psychiatry Service, Ummmc, Worcester, MA 01610 | 2015-03-19 |
| 1063815348 | Terri Boettcher | Social Worker | 72 Jacques Street, Worcester, MA 01610 | 2014-10-01 |
| 1700222866 | Kalynn Lucashensky | Occupational Therapist | 105 Woodland St. Apt. A, Worcester, MA 01610 | 2013-05-16 |
| 1093053993 | Chrissy Marie Ryan | Registered Nurse | 26 Queen St 6th Floor, Flow Pact, Worcester, MA 01610 | 2013-01-28 |
| 1851681324 | Renaissance Adult Day Care, LLC | Clinic/Center | 1040 Southbridge Street, Worcester, MA 01610 | 2011-04-18 |
| 1912203217 | Goddard/homestead | Custodial Care Facility | 10 Homestead Avenue, Worcester, MA 01610 | 2011-02-03 |
| 1912173196 | Rahman Ullah | Dentist | Park Ave Dental Center, 456 Park Avenue, Worchester, MA 01610 | 2008-05-07 |
| Find all providers in zip 01610 | ||||
| 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 |
|---|---|---|---|---|
| 1245685809 | Walter Trisdale | Specialist/Technologist | One College St., College of The Holy Cross, Worcester, MA 01610 | 2016-05-02 |
| 1598049298 | Thomas Laurence Halley | Specialist/Technologist | 61 Ernest Ave, Worcester, MA 01604-2352 | 2011-09-30 |
| 1972639086 | Andrew Mark Tuccio | Specialist/Technologist | 12 Pinebrook Ln, Worcester, MA 01609-1081 | 2007-02-25 |
| 1114980216 | Timothy S Hay | Specialist/Technologist | 500 Salisbury St, Assumption College, Worcester, MA 01609-1265 | 2006-04-10 |
| 1063487148 | Gilbert A Lefort II | Specialist/Technologist | 100 Institute Rd, Worcester, MA 01609-2247 | 2006-02-22 |
| 1306818802 | Gregory Seaver White | Specialist/Technologist | 950 Main St, Clark University Athletic Department, Worcester, MA 01610-1400 | 2006-02-07 |
| 1235750217 | Hailey Ann Connor | Specialist/Technologist | 100 Institute Rd, Worcester, MA 01609-2247 | 2020-05-01 |
| 1336769140 | Shannah Dalton | Specialist/Technologist | 100 Institute Rd, Worcester, MA 01609-2280 | 2020-04-22 |
| 1487285334 | Ashley Elizabeth Leverone | Specialist/Technologist | 500 Salisbury St, Worcester, MA 01609-1296 | 2020-01-30 |
| 1689213795 | Young Men's Christian Association of Worcester Mass | Specialist/Technologist | 75 Shore Dr, Worcester, MA 01605-3199 | 2020-01-06 |
| Find all providers in WORCESTER | ||||
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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.