MR. THOMAS LOWELL BENNETT (NPI# 1114371093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114371093 |
| Entity Type | Individual |
| Full Name | MR. THOMAS LOWELL BENNETT |
| Credential | LAT/ATC |
| Practice Address |
7675 Baltimore Ave R 0100 College Park MD 20740 |
| Practice Telephone | 3014055711 |
| Mailing Telephone | 3014055711 |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2020-04-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
A00494 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316193188 | Thomas R. Bennett | Pharmacist | 107 Crutcher St, Vine Grove, KY 40175-1409 | 2008-08-13 |
| 1275730756 | Thomas Omer Bennett | Psychologist | 50 Markleville Ln, Westfield, IN 46074-8433 | 2007-06-28 |
| 1306054614 | Thomas Benton Bennett | Obstetrics & Gynecology | 3935 E Via Del Rancho Rd, Gilbert, AZ 85298-5816 | 2007-05-18 |
| 1922122142 | Thomas W. Bennett | Chiropractor | 739 N Milwaukee Ave, Libertyville, IL 60048-1913 | 2007-03-16 |
| 1679513683 | Thomas S Bennett | Psychologist | 3737 Government Blvd Ste 203, Mobile, AL 36693-4310 | 2006-06-07 |
| 1598769820 | Thomas L Bennett | Pathology | 4549 Palisades Park Dr, Billings, MT 59106-1340 | 2005-06-02 |
| 1760984785 | Thomas Lee Bennett | Physical Therapist | 2810 Baker Rd Ste 101, Dexter, MI 48130-1114 | 2018-03-06 |
| 1912270117 | Thomas Lavell Bennett | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Circle, Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2012-02-17 |
| 1376743187 | Thomas S Bennett | Counselor | 111 Edgartown Rd, Vineyard Haven, MA 02568-5601 | 2007-07-19 |
| 1245335249 | Thomas Word Bennett | Ophthalmology | 749 Central Ave, Dover, NH 03820 | 2006-09-14 |
| Street Address |
7675 BALTIMORE AVE R 0100 |
| City | COLLEGE PARK |
| State | MD |
| Zip Code | 20740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147633 | S.a.f.e. Counseling Services LLC | Counselor | 6210 Greenbelt Road, L 4, Berwyn Heights, MD 20740 | 2020-02-23 |
| 1326528621 | Ryan Rehabilitation LLC | Counselor | 7100 Baltimore Ave Ste 105, College Park, MD 20740 | 2018-08-16 |
| 1760981120 | L. Jones-dove & Associates Tooth Spa LLC | Dentist | 6103 Greenbelt Road, College Park, MD 20740 | 2018-02-12 |
| 1538682257 | Heather Gambacorto | Behavior Technician | 3525 Marlbrough Way, College Park, MD 20740 | 2017-07-25 |
| 1841722691 | Bradley Weitzel | Specialist/Technologist | 4068 Field House Drive, College Park, MD 20740 | 2017-03-31 |
| 1083152284 | Kabrima Y Petty | Nurse Practitioner | 10201 Baltimore Ave Apt 5102, College Park, MD 20740 | 2017-02-08 |
| 1659728517 | Brownstone Project In Md | Community/Behavioral Health | 6201 Greenbelt Rd Ste M6, Berwyn Heights, MD 20740 | 2016-05-20 |
| 1306226808 | Linda Ronma Williams | Nurse Practitioner | 4701 Melbourne Place, College Park, MD 20740 | 2015-06-01 |
| 1124427927 | Sarah Elizabeth Woerner | Pharmacist | 7300 Baltimore Boulevard, College Park, MD 20740 | 2014-08-18 |
| 1568871879 | Regina Johnson | Pharmacist | 7300 Washington-baltimore Blvd, College Park, MD 20740 | 2014-08-12 |
| Find all providers in zip 20740 | ||||
| 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 |
|---|---|---|---|---|
| 1598376238 | Jessica Henslee | Specialist/Technologist | 8500 Paint Branch Dr, College Park, MD 20742-0001 | 2020-08-16 |
| 1154942043 | Alysia Frances Henderson | Specialist/Technologist | 7675 Baltimore Avenue, Ritchie Coliseum 0100, College Park, MD 21144 | 2020-05-01 |
| 1033629480 | Melissa Pforr | Specialist/Technologist | 8500 Paint Branch Drive, College Park, MD 20742-0001 | 2017-10-11 |
| 1841722691 | Bradley Weitzel | Specialist/Technologist | 4068 Field House Drive, College Park, MD 20740 | 2017-03-31 |
| 1043758386 | Christopher R Durr | Specialist/Technologist | 4068 Fieldhouse Drive, College Park, MD 20742-1590 | 2017-02-07 |
| 1649715582 | Miranda Zamora | Specialist/Technologist | 4068 Fieldhouse Dr, College Park, MD 20742-0001 | 2017-01-02 |
| 1205208659 | John Huffines | Specialist/Technologist | 1555 Hardin Ave, College Park, GA 30337-2132 | 2015-10-26 |
| 1053669408 | Michael Todd Eckert II | Specialist/Technologist | Comcast Center Terrapin Trl, College Park, MD 20742-0001 | 2012-08-15 |
| 1972850733 | Kristyn Helen Hanewicz | Specialist/Technologist | 379 Fieldhouse Dr, College Park, MD 20742-0001 | 2012-08-12 |
| 1518255926 | Allison Bologna | Specialist/Technologist | 7403 Hopkins Ave, The University of Maryland, College Park, MD 20740-3413 | 2011-07-19 |
| Find all providers in COLLEGE PARK | ||||
| City | COLLEGE PARK |
| Zip Code | 20740 |
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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.