STEPHANIE OLESTON (NPI# 1316489578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316489578 |
| Entity Type | Individual |
| Full Name | STEPHANIE OLESTON |
| Other Name | STEPHANIE BROWN |
| Credential | LATC |
| Practice Address |
5510 E State St Rockford IL 61108-2381 |
| Mailing Address |
11033 S State Road 140 Clinton WI 53525-8442 |
| Practice Telephone | 8157624468 |
| Mailing Telephone | 8157624468 |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
096003185 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ILLINOIS STATE LICENSE | 096003185 | 01 |
| IL | CERTIFICATION NUMBER | 2000007667 | 01 |
| Street Address |
5510 E STATE ST |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61108-2381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932172087 | Clayton A. Corless | Specialist/Technologist | 5510 E State St, Rockford, IL 61108-2381 | 2006-02-09 |
| 1558910232 | Tyler Glawe | Physical Therapist | 5510 E State St, Rockford, IL 61108-2381 | 2019-09-05 |
| 1548728538 | Brittni Zick | Physical Therapist | 5510 E State St, Rockford, IL 61108-2381 | 2019-03-08 |
| 1649760794 | Christina M Fomina | Physical Medicine & Rehabilitation | 5510 E State St, Rockford, IL 61108-2381 | 2018-05-15 |
| 1649781170 | Alex Daniel Folz | Physical Therapist | 5510 E State St, Rockford, IL 61108-2381 | 2017-10-24 |
| 1275072324 | Timothy Aurand | Physical Therapist | 5510 E State St, Rockford, IL 61108-2381 | 2017-02-21 |
| 1235677675 | Chas Ashton | Physical Therapist | 5510 E State St, Rockford, IL 61108-2381 | 2017-02-06 |
| 1467990853 | Erika Lenox | Physical Therapist | 5510 E State St, Rockford, IL 61108-2381 | 2017-02-06 |
| 1770025496 | Alissa M Bartel | Nurse Practitioner | 5510 E State St, Rockford, IL 61108-2381 | 2016-11-11 |
| 1235508300 | Samson Nguyen | Physical Therapist | 5510 E State St, Rockford, IL 61108-2381 | 2015-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952862617 | Isr Enterprises, Inc. | Homemaker | 129 Phelps Ave, Bldg 10, Ste 1008, Rockford, IL 61108 | 2019-03-26 |
| 1003306465 | Adrienne Nicole Black | Behavior Technician | 519 Woodland Dr, Woodland Dr, Rockford, IL 61108 | 2018-05-11 |
| 1184085201 | Integrative Healing Center, LLC | Clinic/Center | 6019 Fincham Drive, Rockford, IL 61108 | 2016-03-17 |
| 1730547936 | Perryville Dentist PC | Dentist | 845 S Perryville Rd, Unit 119, Rockford, IL 61108 | 2016-02-02 |
| 1023489853 | Nicole Ping Ticknor | Counselor | 433 S. Phelps Ave., Suite 2, Rockford, IL 61108 | 2015-10-20 |
| 1275940348 | Northwest Home Care, Inc. | Home Health | 1437 S. Bell School Road, Suite 7, Rockford, IL 61108 | 2014-07-21 |
| 1487072922 | Alecia Greenlee | Psychiatry & Neurology | Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 | 2014-04-02 |
| 1871925446 | Maria Laura Gustafson | Interpreter | 3208 Wesleyan Ave., Rockford, IL 61108 | 2013-08-06 |
| 1346582822 | Joseph Peevey | Pathology | 5666 E State Street, Department of Pathology, Rockford, IL 61108 | 2013-03-21 |
| 1134466923 | James Henry Peck | Hearing Instrument Specialist | 2424 Charles St, Rockford, IL 61108 | 2013-01-14 |
| Find all providers in zip 61108 | ||||
| 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 |
|---|---|---|---|---|
| 1730746116 | Kelsey Payge Edwards | Specialist/Technologist | 5125 20th St, Rockford, IL 61109-3803 | 2019-05-21 |
| 1649738709 | Amanda Carlen | Specialist/Technologist | 7600 County Road 50, Rockford, MN 55373-8100 | 2019-03-07 |
| 1861964736 | Britteny Weisensel | Specialist/Technologist | 5797 Kirkwood Dr, Rockford, IL 61109-3762 | 2018-12-17 |
| 1164947933 | Scarlett Waite | Specialist/Technologist | 9040 Courtland Dr Ne, Rockford, MI 49341-7200 | 2017-08-14 |
| 1912429473 | Courtney Leanne Gray | Specialist/Technologist | 319 Brown Ave, Rockford, IL 61103-4102 | 2017-07-16 |
| 1043677099 | Megan Blackburn | Specialist/Technologist | 5022 Arbutus Rd, Rockford, IL 61107-2402 | 2016-01-21 |
| 1124414842 | Jeremy Clausen | Specialist/Technologist | 6626 N Meridian Rd, Rockford, IL 61101-7879 | 2015-04-09 |
| 1861899692 | Erik John Smith | Specialist/Technologist | 321 W Jefferson St, Apt #2, Rockford, IL 61101-1024 | 2014-11-21 |
| 1063853794 | Ashley R Rogers | Specialist/Technologist | 714 Lundvall Ave, Rockford, IL 61107-3321 | 2013-07-10 |
| 1770787509 | Michael P Rose | Specialist/Technologist | 735 Highgrove Pl, Rockford, IL 61108-2520 | 2007-06-14 |
| Find all providers in ROCKFORD | ||||
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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.