BRADY W CORSE (NPI# 1275809709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275809709 |
| Entity Type | Individual |
| Full Name | BRADY W CORSE |
| Credential | ATC/L |
| Practice Address |
200 Ne Mother Joseph Place Suite 100 Vancouver WA 98664 |
| Practice Telephone | 3605142048 |
| Mailing Telephone | 3605142048 |
| Mailing Fax Number | 3605145033 |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
60068895 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
200 NE MOTHER JOSEPH PLACE SUITE 100 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700858651 | Todd A. Borus | Orthopaedic Surgery | 200 Ne Mother Joseph Place, Suite 210, Vancouver, WA 98664 | 2006-02-05 |
| 1043433774 | Jerome J Dasilva | Orthopaedic Surgery | 200 Ne Mother Joseph Place, Suite 110, Vancouver, WA 98664 | 2007-04-11 |
| 1366536880 | Southwest Washington Regional Surgery Center, LLC | Clinic/Center | 200 Ne Mother Joseph Place, Suite 200, Vancouver, WA 98664-3294 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
| Find all providers in zip 98664 | ||||
| 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 |
|---|---|---|---|---|
| 1356957054 | Alex Vincent Pham | Specialist/Technologist | 3523 Se 176th Ave, Vancouver, WA 98683-3591 | 2020-09-17 |
| 1174086706 | Cameron Scot Townsen | Specialist/Technologist | 18510 Ne 30th St, Vancouver, WA 98682-3609 | 2019-04-10 |
| 1275030728 | Courtney Lynn Ryan | Specialist/Technologist | 14004 Nw 27th Ave, Vancouver, WA 98685-1871 | 2018-04-11 |
| 1902330665 | Jessica L. Padget | Specialist/Technologist | 10108 Ne 86th St, Vancouver, WA 98662-2114 | 2017-04-19 |
| 1659805315 | Vanessa Punches | Specialist/Technologist | 12810 Ne 43rd Cir, Vancouver, WA 98682-6492 | 2017-04-19 |
| 1609223478 | Anna Pengra | Specialist/Technologist | 10402 Ne 88th St, Vancouver, WA 98662-2178 | 2016-05-20 |
| 1710361225 | Amanda Widman | Specialist/Technologist | 6700 Ne 162nd Ave Ste 411, Vancouver, WA 98682-3863 | 2015-07-14 |
| 1710113501 | Neetu Rishiraj | Specialist/Technologist | Actin Health and Rehabilitation Inc., 5767 Oak Street, Vancouver, BRITISH COLUMBIA V6M2V7 | 2009-06-07 |
| 1669599320 | Chapman Leo Gee | Specialist/Technologist | 11604 Nw 30th Ct, Vancouver, WA 98685-3480 | 2007-03-26 |
| 1093832271 | Michael Scott Lefore | Specialist/Technologist | 7825 Ne 130th Ave, Vancouver, WA 98682-3316 | 2007-03-23 |
| Find all providers in VANCOUVER | ||||
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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.