MR. BRYAN GIMA-DERROW (NPI# 1366896177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366896177 |
| Entity Type | Individual |
| Full Name | MR. BRYAN GIMA-DERROW |
| Credential | MS, LAT, ATC |
| Practice Address |
3003 W Casino Rd Mail Code: 0k-47 Everett WA 98204-1910 |
| Mailing Address |
13916 N Creek Dr 3131 Mill Creek WA 98012-8416 |
| Practice Telephone | 4259036204 |
| Mailing Telephone | 7076285058 |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
A160656701 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3003 W CASINO RD MAIL CODE: 0K-47 |
| City | EVERETT |
| State | WA |
| Zip Code | 98204-1910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912018664 | Karen Rogers | Physical Therapist | 3003 W Casino Rd, Everett, WA 98204-1910 | 2006-08-31 |
| 1679109847 | David Whitmore | Specialist/Technologist | 3003 W Casino Rd, Everett, WA 98204-1910 | 2020-03-19 |
| 1124580360 | Yukinori Oki | Specialist/Technologist | 3003 W Casino Rd, Everett, WA 98204-1910 | 2019-04-05 |
| 1942762448 | Sergiusz Monasterski | Specialist/Technologist | 3003 W Casino Rd, Everett, WA 98204-1910 | 2019-04-03 |
| 1568967495 | Patricia Meier-countryman | Physical Therapist | 3003 W Casino Rd, Everett, WA 98204-1910 | 2018-03-23 |
| 1538695028 | Nikita Vachhani | Physical Therapist | 3003 W Casino Rd, Mc 0y30 Building 40-421, Everett, WA 98204-1910 | 2017-05-03 |
| 1891189510 | Caitlyn Kiraly | Specialist/Technologist | 3003 W Casino Rd, Everett, WA 98204 | 2015-03-19 |
| 1609279041 | Erika Michelle Stinchcomb | Emergency Medical Technician, Basic | 3003 W Casino Rd, Everett, WA 98204-1910 | 2014-09-30 |
| 1861834509 | Jesseka S George | Massage Therapist | 3003 W Casino Rd, Everett, WA 98204-1910 | 2013-07-23 |
| 1891075891 | Carrie Lynn Dorrell | Physical Therapist | 3003 W Casino Rd, Everett, WA 98204-1910 | 2011-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262869 | Samuel Lin, Nd, Pllc | Naturopath | 13410 Hwy 99, Ste 202, Everett, WA 98204 | 2020-10-09 |
| 1003458225 | Svetlana A Gayevskaya | Technician | 12605 E. Gibson Rd. Unit # 87, Everett, WA 98204 | 2019-10-09 |
| 1821555921 | Kymberly Ann Shepherd | Counselor | 1011 128th St Sw, E201, Everett, WA 98204 | 2019-02-25 |
| 1609392653 | Mohammed Bayo | Nurse's Aide | 9217 4th Ave. West, Everett, WA 98204 | 2017-08-21 |
| 1962951582 | Abreham Shoangizaw | Pharmacist | 802 134th S B C, Everett, WA 98204 | 2016-09-23 |
| 1588012694 | Tammy J Laird | Counselor | 9300 Evergreen Way, Everett, WA 98204 | 2016-05-31 |
| 1083011282 | Bernadette K Stanek | Massage Therapist | 13410 Washington 99 #204, Everett, WA 98204 | 2014-12-03 |
| 1356771067 | Dixon Stopper | Hearing Instrument Specialist | 12811 8th Ave W Ste B203, Everett, WA 98204 | 2013-11-15 |
| 1427312495 | Dan Huy Nguyen | Respiratory Therapist, Registered | 1919 112th Street Southwest, Everett, WA 98204 | 2012-06-25 |
| 1942571880 | Alena A Klimenko | Specialist | 12811 8th- Ave W, Suite B-103, Everett, WA 98204 | 2012-01-24 |
| Find all providers in zip 98204 | ||||
| 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 |
|---|---|---|---|---|
| 1508425695 | Jamie Emerson | Specialist/Technologist | 7000 Hardeson Rd, Everett, WA 98203-5832 | 2019-06-11 |
| 1023571957 | Sherry Ann Hutto | Specialist/Technologist | 1600 121st St Se Apt K105, Everett, WA 98208-7908 | 2019-04-08 |
| 1639647399 | Dustin Paul Carnell | Specialist/Technologist | 427 E South St, Everett, PA 15537-1275 | 2018-11-10 |
| 1033642970 | Corinne Peltier | Specialist/Technologist | 13009 E Gibson Rd, Apt Q230, Everett, WA 98204-7348 | 2017-04-07 |
| 1912351529 | Alexandra Bryan | Specialist/Technologist | 10429 Rosewood Ave, Everett, WA 98204-3620 | 2016-04-20 |
| 1871955104 | Erin Hento | Specialist/Technologist | 6001 36th Ave W, Everett, WA 98203-1264 | 2016-03-25 |
| 1609234277 | Joshua Schueler | Specialist/Technologist | 2901 Rucker Ave, Apt 315, Everett, WA 98201-4252 | 2016-02-10 |
| 1598138539 | Jonathan William Crocker | Specialist/Technologist | 33 Clarence St Apt 2, Everett, MA 02149-5141 | 2015-11-12 |
| 1659784452 | Victoria Barr | Specialist/Technologist | 12911 39th Ave Se, Everett, WA 98208-6159 | 2014-06-09 |
| 1821364134 | Kirsten Denise Harvey | Specialist/Technologist | 4926 Dover St, Everett, WA 98203-1673 | 2012-03-30 |
| Find all providers in EVERETT | ||||
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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.