MR. DEREK JOSEPH KOPP I (NPI# 1376936450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376936450 |
| Entity Type | Individual |
| Full Name | MR. DEREK JOSEPH KOPP I |
| Practice Address |
1734 Caldwell Rd Imlay City MI 48444-9409 |
| Practice Telephone | 8104174202 |
| Mailing Telephone | 8104174202 |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1734 CALDWELL RD |
| City | IMLAY CITY |
| State | MI |
| Zip Code | 48444-9409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699244467 | Mark A. Lamb Dds PC | Dentist | 250 East Capac Rd, Imlay City, MI 48444 | 2018-11-21 |
| 1245771716 | Hannah Kay King | Behavior Technician | 8570 E Imlay City Rd., Imlay City, MI 48444 | 2017-03-16 |
| 1881729390 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 1813 South Van Dyke, Imlay City, MI 48444 | 2007-02-23 |
| 1194861310 | Daniel Jack Adams | Optometrist | 1813 S Van Dyke, Imlay City, MI 48444 | 2007-01-29 |
| 1255407243 | Michael Robert Warnars | Chiropractor | 125 E Capac Rd, Imlay City, MI 48444 | 2006-11-28 |
| 1477659761 | Laraine Kay Brower | Dental Hygienist | 124 N Saginaw Suite C, Holly, MI 48444 | 2006-09-15 |
| 1043278666 | Laura A Ellis | Physical Therapist | 1769 S Cedar, Imlay City, MI 48444 | 2006-05-03 |
| 1417920885 | Dobert LLC | Durable Medical Equipment & Medical Supplies | 325 E Capac Road, Imlay City, MI 48444 | 2006-02-08 |
| 1932185899 | David Andrew Noffert | Dentist | 6800 Newark Rd, #300, Imlay City, MI 48444 | 2005-12-21 |
| 1629537261 | Carolyn Eckhout | Pharmacist | 6672 Newark Rd, Imlay City, MI 48444 | 2019-03-13 |
| Find all providers in zip 48444 | ||||
| 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 |
|---|---|---|---|---|
| 1467052027 | Brianna Redmond | Specialist/Technologist | 2145 Sunset Ln, Saginaw, MI 48604-2443 | 2020-10-31 |
| 1386243913 | Carrie A Lindsay | Specialist/Technologist | 4761 Highland Rd, Waterford, MI 48328-1178 | 2020-10-24 |
| 1528667128 | Bethany Lynn York | Specialist/Technologist | 1461 Crest Rd, Gladwin, MI 48624-7606 | 2020-10-23 |
| 1255930962 | Benjamin Foddrill | Specialist/Technologist | 7380 Clearview Dr, Caledonia, MI 49316-9309 | 2020-10-22 |
| 1427656040 | Travis Zaborowski | Specialist/Technologist | 2412 W 4th Ave, Sault Sainte Marie, MI 49783-1212 | 2020-10-15 |
| 1730787912 | Batoul Kassem | Specialist/Technologist | 6045 Steadman St, Dearborn, MI 48126-2052 | 2020-10-11 |
| 1801493697 | Janelle Dorsey | Specialist/Technologist | 24311 Ithaca St, Oak Park, MI 48237-1788 | 2020-10-05 |
| 1194332379 | Bryan Keith Baines Sr. | Specialist/Technologist | 4333 John R Rd, Troy, MI 48085-3681 | 2020-09-30 |
| 1205443553 | Emma Weber | Specialist/Technologist | 7776 Percheron St, Kalamazoo, MI 49009-5990 | 2020-09-29 |
| 1295342616 | Margaret Ann Gilbeau | Specialist/Technologist | 38051 Metro Villa Dr Unit 114f, Harrison Township, MI 48045-3553 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | IMLAY CITY |
| Zip Code | 48444 |
Please comment or provide details below to improve the information on MR. DEREK JOSEPH KOPP I.
| 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.