ZACHARY MITCHELL KIMO MITSUI (NPI# 1184222663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184222663 |
| Entity Type | Individual |
| Full Name | ZACHARY MITCHELL KIMO MITSUI |
| Practice Address |
7311 Bluestone Rd San Antonio TX 78249 |
| Practice Telephone | 8083844793 |
| Mailing Telephone | 8083844793 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT7805 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | DRIVER'S LICENSE NUMBER | 44868893 | 01 |
| Street Address |
7311 BLUESTONE RD |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538770839 | Go Operations 3 LLC | Skilled Nursing Facility | 4366 Lockhill Selma, Shavano, TX 78249 | 2020-08-11 |
| 1417566548 | Heenaben Jayantilal Rathod | Registered Nurse | 5803 Utsa Blvd, Apt #2101, San Antonio, TX 78249 | 2020-07-24 |
| 1306455530 | Z-pediatrics Pllc | Pediatrics | 5886 Dezavala Rd Suite 101 #510, San Antonio, TX 78249 | 2020-07-23 |
| 1568080497 | San Antonio Wisdom Teeth, Pllc | Dentist | 13535 Hausman Pass #102-a, San Antonio, TX 78249 | 2020-07-07 |
| 1265071203 | Caralyne Sandquist | Physician Assistant | 5510 Presidio Parkway, Building #2 Suite 2401, San Antonio, TX 78249 | 2019-12-21 |
| 1104472935 | Adam J Gordon | Social Worker | 6363 Dezavala Rd, San Antonio, TX 78249 | 2019-08-16 |
| 1336700582 | Michael Leland Post | Specialist/Technologist | 5150 Dezavala, San Antonio, TX 78249 | 2019-06-27 |
| 1043788722 | Stephen John Reynolds | Counselor | 5907 Trent Rnch, San Antonio, TX 78249 | 2018-11-11 |
| 1396211504 | Christina Michelle Morales | Specialist/Technologist | 4533 N Loop 1604 E, Ste 1119, San Antonio, TX 78249 | 2018-10-16 |
| 1013491752 | May E Orcel | Registered Nurse | 4601 Dezavala Rd, Apt 611, San Antonio, TX 78249 | 2018-09-19 |
| Find all providers in zip 78249 | ||||
| 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 |
|---|---|---|---|---|
| 1417560004 | Margarita Carmen Carrizales | Specialist/Technologist | 8503 Chelsea Park, San Antonio, TX 78251-2552 | 2020-08-25 |
| 1710590328 | Seth Girard | Specialist/Technologist | 12631 Sunny Wonder, San Antonio, TX 78253-5193 | 2020-08-25 |
| 1942811534 | Nadia Giselle Briones | Specialist/Technologist | 8918 Sungate Bay, San Antonio, TX 78224-2254 | 2020-08-16 |
| 1376152181 | Stevie Marie Digiacomo | Specialist/Technologist | 7611 Marbach Rd, San Antonio, TX 78227-1691 | 2020-07-28 |
| 1851900906 | Giovanni A. Patino | Specialist/Technologist | 13610 Box T Dr, San Antonio, TX 78253-5461 | 2020-07-24 |
| 1972123388 | Jaime Alejandro Gonzalez | Specialist/Technologist | 302 E Hathaway Dr, San Antonio, TX 78209-6415 | 2020-04-26 |
| 1699395400 | Heather Wrench | Specialist/Technologist | 13000 Vista Del Norte Apt 314, San Antonio, TX 78216-8045 | 2020-04-21 |
| 1508493867 | Victoria Pineda | Specialist/Technologist | 215 Bexar Dr, San Antonio, TX 78228-4207 | 2020-03-26 |
| 1023643343 | Meredith Grace Cockerell | Specialist/Technologist | W Military Drive, San Antonio, TX 78236 | 2020-03-06 |
| 1609400746 | Sarah Rogers | Specialist/Technologist | 7551 Tantivity, San Antonio, TX 78249-3652 | 2020-02-27 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78249 |
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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.