ZACHARY G WILLSON (NPI# 1104300268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104300268 |
| Entity Type | Individual |
| Full Name | ZACHARY G WILLSON |
| Practice Address |
590 E 100 N Price UT 84501-2640 |
| Practice Telephone | 4356131500 |
| Mailing Telephone | 4356131500 |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
7815899-4810 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
590 E 100 N |
| City | PRICE |
| State | UT |
| Zip Code | 84501-2640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568454858 | David E Nelson | Physical Therapist | 590 E 100 N, Suite 1, Price, UT 84501-2640 | 2005-08-22 |
| 1013364884 | Castleview Physician Practice LLC | Pediatrics | 590 E 100 N, Suite 4, Price, UT 84501-2640 | 2016-05-20 |
| 1508206202 | Sara Flannery | Speech-Language Pathologist | 590 E 100 N, Ste 1, Price, UT 84501-2640 | 2013-06-27 |
| 1093992232 | Heath Doyle Earl | Clinical Neuropsychologist | 590 E 100 N, Price, UT 84501-2640 | 2008-01-30 |
| 1093995292 | Clayton Lloyd Taylor | Physical Therapist | 590 E 100 N, Price, UT 84501-2640 | 2007-11-06 |
| 1457474850 | Vance B. Fonnesbeck | Dentist | 590 E 100 N, Suite #3, Price, UT 84501-2640 | 2007-04-09 |
| 1184633448 | Dustin J Webster | Occupational Therapist | 590 E 100 N, Price, UT 84501-2640 | 2006-08-05 |
| 1700807484 | Michael Gagon | Physical Therapist | 590 E 100 N, Suite 1, Price, UT 84501-2640 | 2006-07-21 |
| 1467472738 | Justin Pope | Occupational Therapist | 590 E 100 N, Suite 1, Price, UT 84501-2640 | 2006-07-20 |
| 1437175403 | Prorehab Physical Therapy | Durable Medical Equipment & Medical Supplies | 590 E 100 N, Suite 1, Price, UT 84501-2640 | 2006-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699300079 | Kayleigh Maxfield | Case Manager/Care Coordinator | 77 S. 600 E., Price, UT 84501 | 2020-03-06 |
| 1174160071 | Kelli Fowles | Pharmacist | Smith's Food & Drug, 1075 E Main St, Price, UT 84501 | 2019-12-10 |
| 1225683733 | Zachary Kreek | Registered Nurse | 77 South 600 East Suite C, Price, UT 84501 | 2019-08-02 |
| 1578036547 | Boni Lee Taylor | Counselor | 445 North Carbonville Road, Price, UT 84501 | 2019-01-02 |
| 1023591310 | Center for Independent Living, Inc | Durable Medical Equipment & Medical Supplies | 2490 Mariner Square Loop, Suite 210, Alameda, CA 84501 | 2018-09-12 |
| 1023500360 | Dkmcomber Clinical Services | Nurse Practitioner | 590 E 100 N Ste 7, Price, UT 84501 | 2018-06-02 |
| 1326569245 | Castleview Physician Practice, LLC | Internal Medicine | 317 East 100 North, Price, UT 84501 | 2017-06-30 |
| 1255783874 | Cacilia Jensen | Case Manager/Care Coordinator | 105 W. 100 N., Price, UT 84501 | 2016-07-07 |
| 1801133905 | Joseph Micah Woodard | Counselor | 575 E. 100 S., Price, UT 84501 | 2013-01-09 |
| 1447513221 | Eugene Douglas Larsen Jr. | Internal Medicine | 280 N Hospital Dr Ste 4, Price, UT 84501 | 2012-06-18 |
| Find all providers in zip 84501 | ||||
| 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 |
|---|---|---|---|---|
| 1417596446 | Raberta Jo Johnson | Specialist/Technologist | 451 E 400 N, Price, UT 84501-2626 | 2019-12-20 |
| 1326568254 | Jess Bliss Brinkerhoff | Specialist/Technologist | 451 E 400 N, Price, UT 84501-2626 | 2017-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202875 | Kadie Chadwick | Specialist/Technologist | 11892 S Quarry Ridge Cv, Herriman, UT 84096-7732 | 2020-10-13 |
| 1407462021 | Robert Shelton | Specialist/Technologist | 665 S 2000 W, Syracuse, UT 84075-9623 | 2020-09-18 |
| 1235744632 | Megan Louise Larkins | Specialist/Technologist | 4000 Brinker Ave. The Apartments., Apartment 15, Ogden, UT 84403 | 2020-09-11 |
| 1093329948 | Ryan Patrick Renkiewicz | Specialist/Technologist | 2150 W 4800 S, Roy, UT 84067-1844 | 2020-09-08 |
| 1437761814 | Chris Goodman | Specialist/Technologist | 1371 S 625 E, Springville, UT 84663-2602 | 2020-08-18 |
| 1730798703 | Luis Rosas | Specialist/Technologist | 448 W 13490 S Apt 431, Draper, UT 84020-7262 | 2020-07-27 |
| 1780202978 | Katie Marie Plyer | Specialist/Technologist | 1860 E 250 S, Salt Lake City, UT 84112-4531 | 2020-07-14 |
| 1932727724 | Jose Luis Sandoval De Leon | Specialist/Technologist | 260 S 1850 E Rm 208, Salt Lake City, UT 84112-0910 | 2020-07-08 |
| 1629695929 | John Randall Woodworth | Specialist/Technologist | 383 S Colorow Dr Rm 392, Salt Lake City, UT 84108-1245 | 2020-07-02 |
| 1144847161 | Tara Marquez | Specialist/Technologist | Brigham Young University Sports Medicine 123 Sab, Provo, UT 84602 | 2020-06-26 |
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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.