AMANDA PRUSAK (NPI# 1144642158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144642158 |
Entity Type | Individual |
Full Name | AMANDA PRUSAK |
Credential | MA, ATC, LAT |
Practice Address |
1800 Mcfarland Blvd E Ste 340 Tuscaloosa AL 35404-5882 |
Practice Telephone | 2053452801 |
Mailing Telephone | 7173094662 |
Enumeration Date | 2014-01-09 |
Last Update Date | 2019-04-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2310 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BOARD OF CERTIFICATION | 200014240 | 01 | |
NC | NORTH CAROLINA BOARD OF ATHLETIC TRAINER EXAMINERS | 2310 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
530 Rivers St, Boone, NC 286080001 | 7173094662 |
Street Address |
1800 MCFARLAND BLVD E STE 340 |
City | TUSCALOOSA |
State | AL |
Zip Code | 35404-5882 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942353743 | Spine & Sport Chiropractic, Inc | Chiropractor | 1800 Mcfarland Blvd E Ste 340, Tuscaloosa, AL 35404-5882 | 2007-01-18 |
1659836815 | Jessica Griffin | Chiropractor | 1800 Mcfarland Blvd E Ste 340, Tuscaloosa, AL 35404-5882 | 2019-02-01 |
1588174783 | Sarah Williams Renfroe | Chiropractor | 1800 Mcfarland Blvd E Ste 340, Tuscaloosa, AL 35404-5882 | 2017-10-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942774146 | Dch Encore Rehabilitation, LLC | Clinic/Center | 1050 Ruby Tyler Parkwasy, Tuscaloosa, AL 35404 | 2019-01-22 |
1629465422 | Emily Dykes | Dietitian, Registered | 1000 13th St E Sted, Tuscaloosa, AL 35404 | 2015-04-20 |
1780075077 | Lesley Handjis | Nurse Practitioner | 1100 Ruby Tyler Parkway, Tuscaloosa, AL 35404 | 2015-02-09 |
1790128825 | Ryan Carl Morrison | Dentist | 1701 Mcfarland Blvd E Ste 122, Tuscaloosa, AL 35404 | 2013-04-08 |
1962745000 | Jay William Holliday | Kinesiotherapist | 3707 Loop Rd., Tuscaloosa Va Medical Center, Tuscaloosa, AL 35404 | 2013-03-27 |
1538305719 | John Phillip Long | Dentist | 1600 University Blvd E, Tuscaloosa, AL 35404 | 2008-12-18 |
1841441656 | Payless Optical Outlets, Inc | Technician/Technologist | 622 15th Street E., Tuscaloosa, AL 35404 | 2008-10-10 |
1346408291 | William Heflin Barton IIi | Emergency Medicine | 1718 Veterans Memorial Parkway, Tuscaloosa, AL 35404 | 2008-05-28 |
1629245931 | Louis T Payne | Obstetrics & Gynecology | 535 Jack Warner Parkway Ne, Suite I, Tuscaloosa, AL 35404 | 2008-05-15 |
1780746719 | Tuscaloosa Medical Associates | Internal Medicine | 1120 Ruby Tyler Parkway, Tuscaloosa, AL 35404 | 2006-12-15 |
Find all providers in zip 35404 |
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 |
---|---|---|---|---|
1063010270 | Jane Ferguson | Specialist/Technologist | 3831 3rd Ave, Apt 31, Tuscaloosa, AL 35405 | 2020-10-12 |
1508494220 | Miranda E Slack | Specialist/Technologist | 525 Frank Thomas Ave Apt 5, Tuscaloosa, AL 35401-2265 | 2020-03-29 |
1144850132 | Alicia Catherine Ingargiola | Specialist/Technologist | 900 Hargrove Rd Apt 18, Tuscaloosa, AL 35401-4857 | 2020-01-19 |
1780235838 | Allie Sheree Mccarthy | Specialist/Technologist | 504 University Boulevard, Tuscaloosa, AL 35487 | 2019-09-20 |
1689142267 | Courtney Dimitris | Specialist/Technologist | 600 13th St E Apt 641, Tuscaloosa, AL 35401-3396 | 2018-11-13 |
1295219871 | Anthony Lavon Truelove | Specialist/Technologist | 6131 Covington Villas Dr, Tuscaloosa, AL 35405-7025 | 2018-09-19 |
1659870897 | Bailey Nicole Duck | Specialist/Technologist | 1618 1st Ave, Tuscaloosa, AL 35401-3630 | 2018-02-02 |
1699294355 | William Olsey | Specialist/Technologist | 1321 8th Ave, Tuscaloosa, AL 35401-3412 | 2017-09-13 |
1043739709 | Bailey Elizabeth Stark | Specialist/Technologist | 309 21st Ave, Tuscaloosa, AL 35401-1041 | 2017-09-13 |
1275051591 | Brittany Marie Ingram | Specialist/Technologist | 718 Magnolia Drive, Tuscaloosa, AL 35487-0001 | 2017-09-07 |
Find all providers in TUSCALOOSA |
City | TUSCALOOSA |
Zip Code | 35404 |
Please comment or provide details below to improve the information on AMANDA PRUSAK.
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.