BRANDON VINCENT MAZZA (NPI# 1104448117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104448117 |
| Entity Type | Individual |
| Full Name | BRANDON VINCENT MAZZA |
| Practice Address |
2409 Shady Ave Pittsburgh PA 15217-2409 |
| Mailing Address |
2526 Hunting Ridge Trl Bridgeville PA 15017-1612 |
| Practice Telephone | 4125294800 |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
RT004358 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BOARD OF MEDICINE ATHLETIC TRAINING LICENSE | RT004358 | 01 |
| Street Address |
2409 SHADY AVE |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15217-2409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386279867 | Esther Moritz | Emergency Medical Technician, Basic | Tech and Frew Streets, Pittsburgh, PA 15217 | 2020-03-05 |
| 1588168645 | Melissa Noll-carter | Counselor | 5725 Forward Ave Ste 300, Pittsburgh, PA 15217 | 2018-03-22 |
| 1699281923 | Laura Leiden | Dietitian, Registered | 2008 Murray Ave Ste B, Pittsburgh, PA 15217 | 2017-12-22 |
| 1912424391 | Tina Marie Javorsky | Dental Hygienist | Squirrel Hill Health Center, 4516 Browns Hill Road --suite A, Pittsburgh, PA 15217 | 2017-08-25 |
| 1144774795 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4664 Browns Hill Road, Pittsburgh, PA 15217 | 2016-08-12 |
| 1588044283 | Jonathan Yadlosky | Family Medicine | 5608 Wilkins Ave Ste 100, Pittsburgh, PA 15217 | 2015-06-08 |
| 1659795631 | Karolyn Carlson | Speech-Language Pathologist | 5636 Bartlett Street, Pittsburgh, PA 15217 | 2014-02-11 |
| 1841620663 | Tokunboh M. Obasi | Nutritionist | 5824 Forbes Ave., Suite 2a, Pittsburgh, PA 15217 | 2013-11-14 |
| 1063710705 | Jeffrey Michael Parker | Dentist | 6301 Forbes Ave., Suite 102, Pittsburgh, PA 15217 | 2011-03-04 |
| 1528381324 | Susan Shaiman Kimelman | Speech-Language Pathologist | 233 Anita Ave, Pittsburgh, PA 15217 | 2010-03-08 |
| Find all providers in zip 15217 | ||||
| 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 |
|---|---|---|---|---|
| 1831705599 | Kaelin Agar | Specialist/Technologist | 700 Forbes Ave Apt 1017, Pittsburgh, PA 15219-4743 | 2020-09-18 |
| 1225644180 | Erin Seiner | Specialist/Technologist | 381 Wible Run Rd, Pittsburgh, PA 15209-1133 | 2020-09-16 |
| 1740893502 | Devon Moore | Specialist/Technologist | 238 Meyran Ave, Pittsburgh, PA 15213-3304 | 2020-08-30 |
| 1104439942 | Benjamin Moss | Specialist/Technologist | 3423 Forbes Ave # 603, Pittsburgh, PA 15213-3202 | 2020-08-30 |
| 1487267225 | Megan Elisabeth Mantsch | Specialist/Technologist | 3423 Forbes Ave # 905b, Pittsburgh, PA 15213-3202 | 2020-08-30 |
| 1447863329 | Peyton Orzello | Specialist/Technologist | 3445 Ward St, Pittsburgh, PA 15213-4367 | 2020-08-28 |
| 1437762499 | Ashley Marie Interrante | Specialist/Technologist | 300 Heinz St Apt C204, Pittsburgh, PA 15212-5992 | 2020-08-28 |
| 1598378168 | Jessie Sun | Specialist/Technologist | 3320 Ward St Apt 3, Pittsburgh, PA 15213-4443 | 2020-08-24 |
| 1750994398 | Caitlin Elizabeth Ogilvie | Specialist/Technologist | 3423 Forbes Ave # 822b, Pittsburgh, PA 15213-3202 | 2020-08-24 |
| 1508483728 | Adam Brown | Specialist/Technologist | 330 Blvd of The Allies, Pittsburgh, PA 15222-1908 | 2020-07-03 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15217 |
Please comment or provide details below to improve the information on BRANDON VINCENT MAZZA.
| 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.