MADISON POLK (NPI# 1225647969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225647969 |
| Entity Type | Individual |
| Full Name | MADISON POLK |
| Credential | ATC |
| Practice Address |
9229 Arnie Ct Manassas Park VA 20111-3071 |
| Practice Telephone | 7034708818 |
| Mailing Telephone | 7033685348 |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0126003073 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9229 ARNIE CT |
| City | MANASSAS PARK |
| State | VA |
| Zip Code | 20111-3071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811333685 | Kay Dental Care Associates PC | Dentist | 8393 Centreville Rd, Manassas, VA 20111 | 2013-05-20 |
| 1891080727 | Jatinder Kaler | Dentist | 8393 Centreville Road, Manassas, VA 20111 | 2011-06-20 |
| 1841511417 | Michelle Elaine Wade | Counselor | 9254 Kristy Dr, Manassas Park, VA 20111 | 2010-06-18 |
| 1467789123 | Dr. Stephanie M. Lee & Associates | Optometrist | 9405 Liberia Avenue, Manassas, VA 20111 | 2009-11-17 |
| 1457566903 | T James Batistas Dds Pllc | Dentist | 9110 Railroad Drive, Suite 201, Manassas Park, VA 20111 | 2007-05-10 |
| 1205058880 | Mp Dental Associates Dds PC | Dentist | 7806 Centreville Road, Manassas, VA 20111 | 2007-05-03 |
| 1255494027 | Joseph M. Arzadon, Md, Dds, PC | Dentist | 9110 Railroad Dr, Suite 100, Manassas Park, VA 20111 | 2006-12-19 |
| 1962415687 | Mea Young Lee | Optometrist | 9405 Liberia Ave, Manassas, VA 20111 | 2006-08-14 |
| 1194766519 | Tarie Gresham Todman | Pharmacist | 7900 Scully Ct, Manassas, VA 20111 | 2006-06-09 |
| 1053415729 | Virginia Cvs Pharmacy, L.L.C. | Pharmacy | 7500 Centreville Rd, Manassas Park, VA 20111-1743 | 2006-09-12 |
| Find all providers in zip 20111 | ||||
| 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 |
|---|---|---|---|---|
| 1255955167 | Sara Yun | Specialist/Technologist | 9419 Sonia Ct, Manassas Park, VA 20111-3077 | 2020-06-05 |
| 1144720897 | Kelsey Cirrito | Specialist/Technologist | 9254 Matthew Dr, Manassas Park, VA 20111-2445 | 2018-02-20 |
| 1578010724 | Dionna Howard | Specialist/Technologist | 170 Market St Apt 431, Manassas Park, VA 20111-3208 | 2016-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335487 | Sukyoon Chang | Specialist/Technologist | 6001 Grove Ave, Richmond, VA 23226-2603 | 2020-10-28 |
| 1912507302 | Madeline Joanna Bills | Specialist/Technologist | 308 Locust Grove Dr, Purcellville, VA 20132-3391 | 2020-10-27 |
| 1679171193 | Camden Oakes Bentley | Specialist/Technologist | 634 Treys Dr, Winchester, VA 22601-3230 | 2020-10-16 |
| 1932707437 | Madison Dobscha | Specialist/Technologist | 1706 Revere Ct Ne, Leesburg, VA 20176-6634 | 2020-10-15 |
| 1710584792 | Melvin Enderes | Specialist/Technologist | 42678 Frontier Dr, Brambleton, VA 20148-7207 | 2020-10-02 |
| 1285249755 | Amy Virostek | Specialist/Technologist | 1015 Heathercroft Cir Ste 200, Crozet, VA 22932-3370 | 2020-09-11 |
| 1255942264 | Xavier Thompson | Specialist/Technologist | 210 Emmet St S Rm 222, Charlottesville, VA 22903-2455 | 2020-08-13 |
| 1760090955 | Alymaris O'reilly | Specialist/Technologist | 5211 Duncan Trl, Reva, VA 22735-2016 | 2020-07-14 |
| 1740808377 | Aimee Gardanier | Specialist/Technologist | 2526 24th St N Lowr Unit, Arlington, VA 22207-4907 | 2020-07-09 |
| 1255959102 | Noah Spencer Ford | Specialist/Technologist | 116 Lipizzaner Ct, Stephens City, VA 22655-4843 | 2020-07-08 |
| Find all providers with the same taxonomy | ||||
| City | MANASSAS PARK |
| Zip Code | 20111 |
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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.