MR. TIMOTHY E. COLBERT (NPI# 1346258639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346258639 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY E. COLBERT |
| Credential | ATC |
| Practice Address |
630 Jane St Cleveland MS 38732-2020 |
| Practice Telephone | 6627199153 |
| Mailing Telephone | 6627199153 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0166 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
630 JANE ST |
| City | CLEVELAND |
| State | MS |
| Zip Code | 38732-2020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
| 1417322587 | United Family Life Center | Clinic/Center | 1101 S Martin Luther King Drive, Cleveland, MS 38732 | 2015-12-01 |
| 1346661584 | Rebecca Winters | Speech-Language Pathologist | 4036 Hwy 8 East, Cleveland, MS 38732 | 2013-12-13 |
| 1982973186 | Delta Home Health Inc | Home Health | 300-b South Street, Cleveland, MS 38732 | 2011-12-19 |
| 1730467382 | Reid Farmer Davis Medico | Clinic/Center | 4080 Highway 8 West, Cleveland, MS 38732 | 2011-08-01 |
| 1700181427 | Sondra Speakes Huerta | Speech-Language Pathologist | 3939 Hwy 61 N. Suite 110, Cleveland, MS 38732 | 2011-01-12 |
| 1386956027 | Delta Soul Medical, LLC | Hospice Care, Community Based | 102 N. Pearman Ave., Ste. 1, Cleveland, MS 38732 | 2010-07-10 |
| 1700029675 | Jlrl, LLC | Dentist | 716 First Street, Cleveland, MS 38732 | 2009-04-08 |
| 1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
| 1902055767 | Word of Deliverance Adult Day Care | Custodial Care Facility | 509 Davis Avenue, Cleveland, MS 38732 | 2008-09-16 |
| Find all providers in zip 38732 | ||||
| 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 |
|---|---|---|---|---|
| 1215534151 | Lideja White | Specialist/Technologist | 12507 Marston Ave, Cleveland, OH 44105-5452 | 2020-10-05 |
| 1922624733 | Qiana Lanette Jones | Specialist/Technologist | 3549 E 118th St, Cleveland, OH 44105-1863 | 2020-06-18 |
| 1861023475 | Steven Bondor | Specialist/Technologist | 4561 Admiral Dr, Cleveland, OH 44109-3701 | 2020-02-01 |
| 1477112936 | Brianna Lee Pruitt | Specialist/Technologist | 2600 Highway 129 N, Cleveland, GA 30528-2710 | 2019-06-10 |
| 1306310487 | Kelsey Ivancic | Specialist/Technologist | 2121 Euclid Ave Bldg Sb6, Cleveland, OH 44115-2214 | 2019-01-11 |
| 1063985331 | Ashlyn Brooke Atnip | Specialist/Technologist | 441 Rainbow Cir, Cleveland, GA 30528-3274 | 2019-01-09 |
| 1407326507 | Jessica Ann Boiner | Specialist/Technologist | 1762 Crawford Rd, Cleveland, OH 44106-2028 | 2018-11-30 |
| 1083184311 | Abby Havard | Specialist/Technologist | Dsu Box A3, Cleveland, MS 38733 | 2018-11-29 |
| 1407322746 | Makayla Deshea Colbert | Specialist/Technologist | 146 Belle Chase Way Ne, Cleveland, TN 37312-2368 | 2018-10-14 |
| 1578049920 | George Morocco Freeman Sr. | Specialist/Technologist | 1554 E 85th St, Cleveland, OH 44106-3706 | 2018-07-18 |
| Find all providers in CLEVELAND | ||||
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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.