NATHAN ANDREW LIST (NPI# 1114403326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114403326 |
Entity Type | Individual |
Full Name | NATHAN ANDREW LIST |
Credential | DPT |
Practice Address |
3001 Dover Ave Ste B Fairfield CA 94533-8999 |
Mailing Address |
4808 Sequoia St Hutchinson KS 67502-4622 |
Practice Telephone | 7074281311 |
Mailing Telephone | 6205604589 |
Enumeration Date | 2018-07-11 |
Last Update Date | 2018-07-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
11-05892 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
3001 DOVER AVE STE B |
City | FAIRFIELD |
State | CA |
Zip Code | 94533-8999 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
Find all providers in zip 94533 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649500810 | Brenda Riley-gipe | Physical Therapist | 225 Emory Ln, Fairfield, PA 17320-7831 | 2010-01-11 |
1669493938 | Laurie M Gelderman | Physical Therapist | 1275 Post Rd Suite 208, Fairfield, CT 06824-6024 | 2006-07-22 |
1558840553 | Eric Dwayne Held | Physical Therapist | 2000 S Main St, Fairfield, IA 52556-9572 | 2018-08-09 |
1922411966 | Kevin Rock | Physical Therapist | 3050 Mack Rd, Fairfield, OH 45014-5379 | 2014-06-07 |
1619225018 | Nadia Van Diepen | Physical Therapist | 5151 Park Ave, Fairfield, CT 06825-1090 | 2012-08-16 |
1639427115 | Jennifer Crane | Physical Therapist | 5151 Park Ave, Fairfield, CT 06825-1090 | 2012-08-15 |
1104802818 | David A Carleton | Physical Therapist | 2119 Post Rd, Fairfield, CT 06824-5657 | 2005-12-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568063311 | Kayla Utley | Physical Therapist | 5201 Norris Canyon Rd Ste 230, San Ramon, CA 94583-5405 | 2020-11-06 |
1184225054 | Vuk Ekmecic | Physical Therapist | 7908 Rancho Fanita Dr Spc 23, Santee, CA 92071-3421 | 2020-11-05 |
1932700283 | Christopher Lui | Physical Therapist | 21621 E Bluebell Ct, Walnut, CA 91789-1443 | 2020-11-03 |
1952900789 | Sierra Speck | Physical Therapist | 11701 Wilshire Blvd Ste 14b1, Los Angeles, CA 90025-1547 | 2020-10-22 |
1992312086 | Heidi Lynne Anders | Physical Therapist | 5805 W 8th St Apt 205, Los Angeles, CA 90036-4576 | 2020-09-23 |
1578176780 | Patricia Isabella Commer | Physical Therapist | 4146 Randolph Ave, Oakland, CA 94602-1314 | 2020-08-26 |
1376151126 | Yifu Zhou | Physical Therapist | 1625 W Olympic Blvd Ste 790, Los Angeles, CA 90015-3809 | 2020-07-17 |
1033732250 | Sync Physical Therapy & Yoga Inc | Physical Therapist | 5100 Marlborough Dr Ste 101, San Diego, CA 92116-2020 | 2020-05-21 |
1043830961 | Dr. Holly Physical Therapy | Physical Therapist | 4500 Shepard St, Bakersfield, CA 93313-2326 | 2020-04-21 |
1861011744 | Lauren Jarmusz | Physical Therapist | 1107 2nd Ave Apt 408, Redwood City, CA 94063-4036 | 2020-04-10 |
Find all providers with the same taxonomy |
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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.