KEIGO ITO (NPI# 1215545918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215545918 |
| Entity Type | Individual |
| Full Name | KEIGO ITO |
| Credential | ATC |
| Practice Address |
2670 S Decatur Blvd Apt 4104 Las Vegas NV 89102-8576 |
| Practice Telephone | 7025279205 |
| Mailing Telephone | 7025279205 |
| Enumeration Date | 2020-07-19 |
| Last Update Date | 2020-07-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2670 S Decatur Blvd Apt 4104, Las Vegas, NV 891028576 | 7025279205 |
| Street Address |
2670 S DECATUR BLVD APT 4104 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-8576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
| Find all providers in zip 89102 | ||||
| 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 |
|---|---|---|---|---|
| 1376144162 | Michaela Nichole Massa | Specialist/Technologist | 5066 Jeffreys St Unit 202, Las Vegas, NV 89119-7729 | 2020-11-06 |
| 1467065987 | Tiffany Mirie Chang | Specialist/Technologist | 4280 Tyndall Ave, Las Vegas, NV 89191-6056 | 2020-08-25 |
| 1023628575 | Jeremy Fred Rice | Specialist/Technologist | 8308 Daventry St, Las Vegas, NV 89123-2332 | 2020-08-07 |
| 1184233108 | Kira Felise | Specialist/Technologist | 7701 W Robindale Rd Unit 131, Las Vegas, NV 89113-4044 | 2020-07-27 |
| 1063020535 | Yuka Shimada | Specialist/Technologist | 98 E Windmill Ln, Las Vegas, NV 89123-1723 | 2020-07-21 |
| 1093335978 | Michael Blaise Lowe | Specialist/Technologist | 10000 S Maryland Pkwy Apt 1085, Las Vegas, NV 89183-6386 | 2020-04-21 |
| 1841826864 | Abigail Santek | Specialist/Technologist | 6775 Edmond St Ste 300, Las Vegas, NV 89118-3502 | 2020-03-21 |
| 1386270619 | Shawna Lynn Bryant | Specialist/Technologist | 9880 W Flamingo Rd # 260, Las Vegas, NV 89147-8085 | 2020-03-18 |
| 1578198511 | Alicia Loh | Specialist/Technologist | 1400 Ibizo St, Las Vegas, NV 89117-7511 | 2020-03-10 |
| 1831724012 | Denver Dean Snook | Specialist/Technologist | 10453 Winter Grass Dr, Las Vegas, NV 89135-4018 | 2020-03-07 |
| Find all providers in LAS VEGAS | ||||
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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.