AMANDA MADELINE CRITTENDEN (NPI# 1174867725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174867725 |
Entity Type | Individual |
Full Name | AMANDA MADELINE CRITTENDEN |
Credential | ATC |
Practice Address |
2777 Jefferson Davis Hwy Suite 109 Stafford VA 22554-8323 |
Mailing Address |
4 Timothy Ln Stafford VA 22556-1241 |
Practice Telephone | 5403188615 |
Mailing Telephone | 5409079445 |
Enumeration Date | 2012-11-20 |
Last Update Date | 2012-11-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0126001949 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
2777 JEFFERSON DAVIS HWY SUITE 109 |
City | STAFFORD |
State | VA |
Zip Code | 22554-8323 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518151091 | Latasha Renee' Blanton | Physical Therapist | 2777 Jefferson Davis Hwy, Suite109, Stafford, VA 22554-6219 | 2007-08-28 |
1124552054 | Christina Scott | Physical Therapy Assistant | 2777 Jefferson Davis Hwy, Suite 109, Stafford, VA 22554-8323 | 2017-04-18 |
1659805463 | Bethany Lisk | Physical Therapy Assistant | 2777 Jefferson Davis Hwy, Suite 109, Stafford, VA 22554-8323 | 2017-04-18 |
1497102545 | Kara Sims | Physical Medicine & Rehabilitation | 2777 Jefferson Davis Hwy, Suite 109, Stafford, VA 22554-8323 | 2016-05-18 |
1437503075 | Satfford Gentle Dental | Dentist | 2777 Jefferson Davis Hwy, Unit 117, Stafford, VA 22554-8323 | 2016-04-20 |
1235506452 | Benjamin Nicolas Ramos | Physical Therapy Assistant | 2777 Jefferson Davis Hwy, Suite 109, Stafford, VA 22554-8323 | 2015-08-24 |
1154754455 | Joel Bannister | Physical Therapy Assistant | 2777 Jefferson Davis Hwy, Suite 109, Stafford, VA 22554-8323 | 2013-08-10 |
1801228465 | Taura M Olsen | Physical Therapist | 2777 Jefferson Davis Hwy, Suite 109, Stafford, VA 22554-8323 | 2013-08-06 |
1164854832 | Tosin Orafidiya | Physical Therapist | 2777 Jefferson Davis Hwy, Suite 109, Stafford, VA 22554-8323 | 2013-08-05 |
1457793044 | Mandy Kersten Hayungs | Physical Therapy Assistant | 2777 Jefferson Davis Hwy, Stafford, VA 22554-8323 | 2013-07-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699385658 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 1640 Publix Way, Stafford, VA 22554 | 2020-08-05 |
1700368156 | Aws Altameemi | Dentist | 392 Garrisonville Road 205, Stafford, VA 22554 | 2018-09-02 |
1831680214 | Radka Loucka | Counselor | 2124 Jefferson Davis Highway, Suite 202, Stafford, VA 22554 | 2018-05-22 |
1205383718 | Ogiawesome | Non-emergency Medical Transport (VAN) | 109 Chesterbrook Court, Stafford, VA 22554 | 2016-09-01 |
1184088502 | Inina Plucer-rosario | Behavioral Analyst | 12 Monument Drive, Stafford, VA 22554 | 2016-04-12 |
1528451218 | Insight Psychological Services, Pllc | Counselor | 11 Hope Rd., Suite 213, Stafford, VA 22554 | 2015-03-05 |
1194142885 | Krystal Karin Edmonds | Behavioral Analyst | 538 Apricot Street, Stafford, VA 22554 | 2014-03-20 |
1851715312 | Maryann Byrne | Counselor | 108 Brandice St, Stafford, VA 22554 | 2014-02-04 |
1164857272 | Melissa C Keylor | Counselor | 11 Hope Road, Suite 213, Stafford, VA 22554 | 2013-09-09 |
1255777959 | Sophia Rodrigues | Physical Therapist | 2777 Jefferson Davis Hwy, Suite 109, Performance Physical Therapy, Stafford, VA 22554 | 2013-05-21 |
Find all providers in zip 22554 |
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 |
---|---|---|---|---|
1275183915 | Karl Hoelscher | Specialist/Technologist | 4800 Sugar Grove Blvd Ste 225, Stafford, TX 77477-2627 | 2019-09-15 |
1952877714 | Tabria Cochran | Specialist/Technologist | 505 Garrison Woods Dr Apt 221, Stafford, VA 22556-8042 | 2018-10-19 |
1922506054 | Patrick Robert Fleming | Specialist/Technologist | 217 Twinleaf Dr, Stafford, VA 22556-6622 | 2018-01-23 |
1841707221 | Brenna Burke | Specialist/Technologist | 56 Tanterra Dr, Stafford, VA 22556-8007 | 2018-01-06 |
1366840209 | Taylor Torino | Specialist/Technologist | 24 Tavern Rd, Stafford, VA 22554-8814 | 2014-12-09 |
1851795082 | Ashley Marie Armbruster | Specialist/Technologist | 1025 Dulles Ave, Apt 917, Stafford, TX 77477-5756 | 2014-10-17 |
1588077465 | Daniel Vincent Koehl | Specialist/Technologist | 5 Bryant St, Stafford, VA 22556-6213 | 2014-06-09 |
1881602076 | Chad A Cooke | Specialist/Technologist | 2135 Mountain View Rd, Stafford, VA 22556-6411 | 2006-08-03 |
1124055090 | David L Edell | Specialist/Technologist | 1625 Staffordshire Rd, Stafford, TX 77477-6326 | 2006-06-27 |
1558306993 | Catherine Wynn Hodgkins | Specialist/Technologist | 31 Stafford Ave, Stafford, VA 22554-7246 | 2006-06-19 |
Find all providers in STAFFORD |
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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.