STACY SLACK (NPI# 1255491916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255491916 |
| Entity Type | Individual |
| Full Name | STACY SLACK |
| Practice Address |
21225 Lorain Rd Fairview Park OH 44126-2120 |
| Practice Telephone | 4403313180 |
| Mailing Telephone | 4403313180 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2013-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT 002032 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851934467 | Stacy K Slack | Case Manager/Care Coordinator | 3100 E 45th St Ste 212, Cleveland, OH 44127-1093 | 2019-10-26 |
| Street Address |
21225 LORAIN RD |
| City | FAIRVIEW PARK |
| State | OH |
| Zip Code | 44126-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528537941 | Hilary Hewkin | Specialist/Technologist | 21225 Lorain Rd, Fairview Park, OH 44126-2120 | 2018-11-14 |
| 1063911477 | Katherine Damico | Physical Therapist | 21225 Lorain Rd, Fairview Park, OH 44126-2120 | 2018-02-12 |
| 1871001313 | Sarah Anne Sherwood | Physical Therapist | 21225 Lorain Rd, Fairview Park, OH 44126-2120 | 2018-01-18 |
| 1609293745 | Christine Marcinowski | Physical Therapist | 21225 Lorain Rd, Fairview Park, OH 44126-2120 | 2014-03-26 |
| 1265858518 | Rec2connect, LLC | Health Maintenance Organization | 21225 Lorain Rd, Fairview Park, OH 44126-2120 | 2014-03-11 |
| 1821414327 | Patrick Michael Rodkey | Physical Therapist | 21225 Lorain Rd, Cleveland Clinic Rehab and Sports Therapy, Fairview Park, OH 44126-2120 | 2014-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031506 | Robert Hutman Leathers | Home Health Aide | 22371 Lorain Road, Fairview Park, OH 44126 | 2020-07-30 |
| 1750916425 | Rachel Martin | Psychologist | 20800 Westgate Professional Center #200, Fairview Park, OH 44126 | 2020-03-03 |
| 1649810821 | John P Meehan | Counselor | 21139 Lorain Rd 12, Fairview, OH 44126 | 2020-01-15 |
| 1356856306 | Cynthia Takaht | Counselor | 20800 Westgate #200, Fairview Park, OH 44126 | 2017-12-12 |
| 1205383759 | Ashraf M.a Abushahin | Student in an Organized Health Care Education/Training Program | 20120 Lorain Raod, Apartment 602, Fairview Park, OH 44126 | 2016-09-01 |
| 1760853311 | Laveena A Meriga | Nurse Practitioner | 21358 Ellen Dr, Fairview Park, OH 44126 | 2015-10-08 |
| 1023425899 | Rafif Mousa | Obstetrics & Gynecology | 21500 Lorain Rd, Fairview Park, OH 44126 | 2014-07-14 |
| 1366878514 | Michael J Rudolph | Counselor | 20800 Westgate Prof Center, Suite 200, Fairview, OH 44126 | 2013-09-19 |
| 1336497924 | Dental 32 LLC | Dentist | 22640 Lorain Road, Fairview Park, OH 44126 | 2012-08-29 |
| 1871755660 | Varun Dixit | General Acute Care Hospital | 20120 Lorain Road, Apt 412, Fairview Park, OH 44126 | 2008-07-02 |
| Find all providers in zip 44126 | ||||
| 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 |
|---|---|---|---|---|
| 1164543930 | Jo-ann Badar | Specialist/Technologist | 22150 Macbeth Ave, Fairview Park, OH 44126-2964 | 2007-04-02 |
| 1528537941 | Hilary Hewkin | Specialist/Technologist | 21225 Lorain Rd, Fairview Park, OH 44126-2120 | 2018-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486313 | Jenifer Bojanowski | Specialist/Technologist | 1009 Parkleigh Rd, Columbus, OH 43220-4041 | 2020-11-01 |
| 1497355085 | Stephanie Soja | Specialist/Technologist | 4170 State Route 43, Kent, OH 44240-6916 | 2020-11-01 |
| 1518566769 | Hannah Dawn Bailey | Specialist/Technologist | 42338 State Route 7, Coolville, OH 45723-9519 | 2020-10-20 |
| 1790384949 | Erin Ball | Specialist/Technologist | 1121 Faircrest St Sw, Canton, OH 44706-4850 | 2020-10-20 |
| 1427657675 | Kacie Lucille Leppla | Specialist/Technologist | 6471 Township Road 346, Millersburg, OH 44654 | 2020-10-20 |
| 1144828815 | Sarah Abelseth | Specialist/Technologist | 2547 Panther Dr Ne, New Lexington, OH 43764-1396 | 2020-10-14 |
| 1235737511 | Kayla Marie Bartlett-ulrich | Specialist/Technologist | 1 University Dr # 128, Bluffton, OH 45817-2104 | 2020-10-09 |
| 1417554981 | Abbigayle Gesler | Specialist/Technologist | 1211 Oakridge Ct, Wapakoneta, OH 45895-9464 | 2020-10-07 |
| 1851998421 | Olivia A Saflund | Specialist/Technologist | 9514 Reiger Rd, Berlin Heights, OH 44814-9644 | 2020-10-06 |
| 1215534151 | Lideja White | Specialist/Technologist | 12507 Marston Ave, Cleveland, OH 44105-5452 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
| City | FAIRVIEW PARK |
| Zip Code | 44126 |
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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.