AMANDA ROBERSON (NPI# 1386053163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386053163 |
| Entity Type | Individual |
| Full Name | AMANDA ROBERSON |
| Credential | MAT, ATC, LAT |
| Practice Address |
3400 S 103rd St 300 Milwaukee WI 53227-4163 |
| Practice Telephone | 2623663655 |
| Practice Fax Number | 2625654304 |
| Mailing Telephone | 2623663655 |
| Mailing Fax Number | 2625654304 |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2014-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1591-39 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922521525 | Amanda Ann Roberson | Counselor | 16110 Sw Regatta Ln, Beaverton, OR 97006-8942 | 2017-07-25 |
| 1922325570 | Amanda Tanner Roberson | Pharmacist | 342 Industrial Blvd, Suite A, Hawkinsville, GA 31036-2106 | 2010-04-22 |
| Street Address |
3400 S 103RD ST 300 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53227-4163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871588269 | Medical Art Resources, Inc | Prosthetic/Orthotic Supplier | 3400 S 103rd St, Suite 200, Milwaukee, WI 53227-4159 | 2005-09-13 |
| 1508298605 | Berry Family Chiropractic, LLC | Chiropractor | 3400 S 103rd St, 300, Milwaukee, WI 53227-4163 | 2013-07-31 |
| 1992944649 | Lisa Anne Berry | Chiropractor | 3400 S 103rd St, 300, Milwaukee, WI 53227-4163 | 2009-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451564 | Ginger Renee Bland | Nurse Practitioner | 11133 W. National Avenue, West Allis, WI 53227 | 2020-06-12 |
| 1003312141 | Dynamic Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 10236 W National Ave, West Allis, WI 53227 | 2018-04-05 |
| 1932572641 | Alissa Kristine Walker | Specialist/Technologist | 11601 W Lincoln Ave, West Allis, WI 53227 | 2015-11-03 |
| 1396155990 | Bradly Earl Helinski | Physical Therapy Assistant | 3023 S 84th St., Milwaukee, WI 53227 | 2014-05-05 |
| 1609299783 | Amy Renee Rozumalski | Occupational Therapy Assistant | 10150 W. National Ave, Suite 150, Premiere Medical Staffing Services, LLC, Milwaukee, WI 53227 | 2014-01-27 |
| 1497098438 | Kathleen Marie Schneider | Physical Therapy Assistant | 3023 S. 84th Street, Milwaukee, WI 53227 | 2013-03-28 |
| 1760723373 | Lee Ann Schraith | Physical Therapy Assistant | 3023 S. 84th St, Milwaukee, WI 53227 | 2013-03-06 |
| 1740520725 | Samantha Lynn Wozniak | Physical Therapist | 3023 S. 84th St., Milwaukee, WI 53227 | 2013-02-27 |
| 1831434901 | Andrew Paul Roeder | Physical Therapy Assistant | 3023 S. 89th Street, Milwaukee, WI 53227 | 2012-11-30 |
| 1538418116 | Christine Wilford | Social Worker | 2044 S 96th Street, West Allis, WI 53227 | 2012-08-29 |
| Find all providers in zip 53227 | ||||
| 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 |
|---|---|---|---|---|
| 1124649751 | Cody Scott Tesch | Specialist/Technologist | 6680 N Teutonia Ave, Milwaukee, WI 53209-3117 | 2020-05-05 |
| 1366070708 | Claire Duwell | Specialist/Technologist | 9111 W Bluemound Rd, Milwaukee, WI 53226-4506 | 2020-03-31 |
| 1851929491 | Frank Dore | Specialist/Technologist | 3265 N Oakland Ave, Milwaukee, WI 53211-3051 | 2020-03-30 |
| 1851923239 | Anna Barth | Specialist/Technologist | 1857 E Kenilworth Pl Apt 322, Milwaukee, WI 53202-4714 | 2020-02-04 |
| 1356903074 | Christian Garcia | Specialist/Technologist | 1930 W Grant St, Milwaukee, WI 53215-2614 | 2019-07-02 |
| 1801363403 | Jennifer A Merritt | Specialist/Technologist | 1245 N Broadway, Milwaukee, WI 53202-2507 | 2018-11-01 |
| 1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
| 1205344595 | Abigail Leisemann | Specialist/Technologist | 114 S 79th St, Milwaukee, WI 53214-1413 | 2018-01-20 |
| 1205299096 | Sarah Wenszell | Specialist/Technologist | 228 N 72nd St, Milwaukee, WI 53213-3752 | 2016-03-30 |
| 1396106993 | Ryan D Mccauley | Specialist/Technologist | 1732 N Prospect Ave Apt 408, Milwaukee, WI 53202-1937 | 2016-03-10 |
| Find all providers in MILWAUKEE | ||||
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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.