DEREK FRY (NPI# 1316335268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316335268 |
| Entity Type | Individual |
| Full Name | DEREK FRY |
| Credential | A.T.C. |
| Practice Address |
200 Livingston Dr Granville OH 43023 |
| Mailing Address |
100 W College St Granville OH 43023-1100 |
| Practice Telephone | 7405876577 |
| Mailing Telephone | 7405876577 |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2014-12-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
003540 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
200 LIVINGSTON DR |
| City | GRANVILLE |
| State | OH |
| Zip Code | 43023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114562543 | Healing Horizons Professional Counseling LLC | Counselor | 927 River Road, Granville, OH 43023 | 2019-11-08 |
| 1376109892 | Kadian Samantha Miracle | Psychologist | 100 West College Street, Whisler Hall, Granville, OH 43023 | 2019-05-10 |
| 1710331715 | Navin Muni | Family Medicine | 1264 Weaver Drive, Granville, OH 43023 | 2016-04-16 |
| 1174880850 | Granville Township Trustees | Ambulance | 500 S. Main Street, Granville, OH 43023 | 2012-04-18 |
| 1700022639 | Mid-ohio Counseling, LLC | Community/Behavioral Health | 905a River Road, Granville, OH 43023 | 2008-12-24 |
| 1578718540 | Perry Franklin Watson IIi | Chiropractor | 119 South Prospect Street, Granville, OH 43023 | 2008-11-18 |
| 1053524611 | Eric Ross Winters | Specialist/Technologist | 200 Livingston Way, Denison University Department of Physical Education, Granville, OH 43023 | 2007-05-08 |
| 1699988659 | Lakeesha Nicole Leonard | Specialist/Technologist | Denison University Physical Education Department, 200 Livingston Dr, Granville, OH 43023 | 2007-05-07 |
| 1447386537 | Christopher D Avery | Dentist | 127 South Prospect St, Granville, OH 43023 | 2007-02-26 |
| 1326193517 | Brian Vincent Hortz | Specialist/Technologist | 200 Livingston Dr., Granville, OH 43023 | 2007-01-25 |
| Find all providers in zip 43023 | ||||
| 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 |
|---|---|---|---|---|
| 1558719963 | Kyle Matthewson | Specialist/Technologist | 100 W College St, Granville, OH 43023-1100 | 2016-05-25 |
| 1053524611 | Eric Ross Winters | Specialist/Technologist | 200 Livingston Way, Denison University Department of Physical Education, Granville, OH 43023 | 2007-05-08 |
| 1699988659 | Lakeesha Nicole Leonard | Specialist/Technologist | Denison University Physical Education Department, 200 Livingston Dr, Granville, OH 43023 | 2007-05-07 |
| 1326193517 | Brian Vincent Hortz | Specialist/Technologist | 200 Livingston Dr., Granville, OH 43023 | 2007-01-25 |
| 1710444211 | Jennifer L Schwinne | Specialist/Technologist | 204 Munson St, Granville, OH 43023-1284 | 2019-02-21 |
| 1902372352 | Patricia E Harris | Specialist/Technologist | 100 W College St, Granville, OH 43023-1100 | 2018-10-23 |
| 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 | ||||
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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.