STEPHAN BODKIN (NPI# 1164935763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164935763 |
| Entity Type | Individual |
| Full Name | STEPHAN BODKIN |
| Credential | MED, ATC |
| Practice Address |
210 Emmet St S Charlottesville VA 22903-2455 |
| Mailing Address |
1657 Wickliffe Rd Berryville VA 22611-2558 |
| Practice Telephone | 4349246184 |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2017-11-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0126002357 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
210 EMMET ST S |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22903-2455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871587675 | Michael Higgins | Physical Therapist | 210 Emmet St S, Charlottesville, VA 22903-2455 | 2005-09-07 |
| 1265075394 | Nicholas Kevin Erdman | Specialist/Technologist | 210 Emmet St S, Charlottesville, VA 22903-2455 | 2019-10-22 |
| 1538721089 | Susan A Saliba | Physical Therapist | 210 Emmet St S, Charlottesville, VA 22903-2455 | 2019-07-05 |
| 1053852681 | Jay Hertel | Specialist/Technologist | 210 Emmet St S, Charlottesville, VA 22904-4407 | 2017-03-15 |
| 1891151197 | Joseph M Hart IIi | Specialist/Technologist | 210 Emmet St S, Box 400407, Charlottesville, VA 22903-2455 | 2016-01-04 |
| 1922322627 | Mark Alan Sutherlin | Specialist/Technologist | 210 Emmet St S, Charlottesville, VA 22903 | 2010-03-24 |
| 1245209659 | Christopher Daniel Ingersoll | Specialist/Technologist | 210 Emmet St S, Suite 203, Charlottesville, VA 22903-2455 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
| 1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
| Find all providers in zip 22903 | ||||
| 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 |
|---|---|---|---|---|
| 1255942264 | Xavier Thompson | Specialist/Technologist | 210 Emmet St S Rm 222, Charlottesville, VA 22903-2455 | 2020-08-13 |
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1164060364 | Makenzie Violet Larson | Specialist/Technologist | 1600 Jefferson Park Ave Apt 205, Charlottesville, VA 22903-3267 | 2019-12-18 |
| 1285293845 | Jennifer Weatherford Fjeseth | Specialist/Technologist | 114 Commonwealth Cir, Charlottesville, VA 22901-1606 | 2019-06-07 |
| 1477016566 | Abigail Forsyth | Specialist/Technologist | 1894 English Oaks Cir N, Charlottesville, VA 22911-8282 | 2019-04-07 |
| 1164980272 | Keri Renzler | Specialist/Technologist | 2704 White Pine Way, Charlottesville, VA 22911-7462 | 2019-03-07 |
| 1487118113 | Breanna Lynn Dufour | Specialist/Technologist | 2010 Treetop Dr Apt 105, Charlottesville, VA 22903-6634 | 2019-01-28 |
| 1447750633 | Djordje Trifunovic | Specialist/Technologist | 108 Dorset Ct, Charlottesville, VA 22911-8336 | 2018-02-14 |
| 1275046302 | Morgan Church Dudley | Specialist/Technologist | 200 Bob Finley Way, Charlottesville, VA 22903-7045 | 2017-11-11 |
| 1881132942 | Samuel Richard Walton | Specialist/Technologist | 1214 Swan Lake Dr Apt 302, Charlottesville, VA 22902-7266 | 2017-02-08 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22903 |
Please comment or provide details below to improve the information on STEPHAN BODKIN.
| 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.