DEREK L NISSLEY (NPI# 1235216300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235216300 |
| Entity Type | Individual |
| Full Name | DEREK L NISSLEY |
| Credential | ATC |
| Practice Address |
1025 Koser Rd Mount Joy PA 17552 |
| Mailing Address |
1025 Koser Rd Mount Joy PA 17552-9288 |
| Practice Telephone | 7173149537 |
| Mailing Telephone | 7173149537 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2018-11-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
RT002083A | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 915 Anderson Ferry Rd, Mount Joy, PA 175529747 | 7176531871 |
| Street Address |
1025 KOSER RD |
| City | MOUNT JOY |
| State | PA |
| Zip Code | 17552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700232998 | Gethsemane Counseling & Coaching | Community/Behavioral Health | 1502 Milton Grove, Mount Joy, PA 17552 | 2016-05-06 |
| 1578906053 | Blake William Ringenberg | Counselor | 1502 Milton Grove Rd, Mount Joy, PA 17552 | 2013-04-15 |
| 1023312436 | Erca Lease | Massage Therapist | 1013 W Main St., Suit 1, Mount Joy, PA 17552 | 2010-12-28 |
| 1114221520 | Christine R Gromling | Massage Therapist | 1013 West Main Street, #1, Mount Joy, PA 17552 | 2010-12-28 |
| 1174733703 | Asuncion Dental LLC | Dentist | 422 West Main Street, Mount Joy, PA 17552 | 2007-05-23 |
| 1134274152 | James Larue Thomas Jr. | Dentist | 432 South Angle Street, Mount Joy, PA 17552 | 2007-01-23 |
| 1710417746 | Eli Katz | Dentist | 28 N Barbara St, Mount Joy, PA 17552 | 2017-06-13 |
| 1780061028 | John Clayton Drumm | Pharmacist | 945 E Main St, Mount Joy, PA 17552 | 2015-05-06 |
| 1417294711 | The Milton S. Hershey Medical Center Physician Group | Family Medicine | 201 Lefever Rd, Mount Joy, PA 17552 | 2013-01-08 |
| 1366542029 | Darrenkamps Mt Joy Market Inc | Pharmacy | 945 East Main Street, Mount Joy, PA 17552 | 2006-09-23 |
| Find all providers in zip 17552 | ||||
| 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 |
|---|---|---|---|---|
| 1265990444 | Declan Paul Barber | Specialist/Technologist | 350 Donegal Springs Rd, Mount Joy, PA 17552-2912 | 2019-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801642 | Allison Zilonis | Specialist/Technologist | 1923 Oak Hills Dr, Hanover, PA 17331-8522 | 2020-11-08 |
| 1487255642 | Siarra Grace Crum | Specialist/Technologist | 102 Bellwood Lane, Portage, PA 15946-1441 | 2020-11-04 |
| 1841891108 | Sydney Charles | Specialist/Technologist | 6325 Martins Mill Rd, Philadelphia, PA 19111-5321 | 2020-11-03 |
| 1871194308 | Alexander Hedrick | Specialist/Technologist | 33 Derstine Rd, Hatfield, PA 19440-3406 | 2020-11-02 |
| 1114528684 | Kelsey E Craig | Specialist/Technologist | 1856 N 16th St Apt 1r, Philadelphia, PA 19121-3301 | 2020-11-02 |
| 1740881333 | David Williams | Specialist/Technologist | 3100 W Thompson St Apt 42, Philadelphia, PA 19121-4485 | 2020-11-02 |
| 1992305940 | Alexandra Bossi | Specialist/Technologist | 450 N 18th St Apt 1032, Philadelphia, PA 19130-4198 | 2020-10-29 |
| 1043810021 | Randy W Dillon | Specialist/Technologist | 617c Chester Pike, Prospect Park, PA 19076-1506 | 2020-10-28 |
| 1871193086 | Troy Olsheski | Specialist/Technologist | 1970 Easton Tpke, Lake Ariel, PA 18436-4661 | 2020-10-27 |
| 1982203055 | Josiah Thompson | Specialist/Technologist | 20 Heather Rd, Feasterville Trevose, PA 19053-6320 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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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.