CARLY CUBBAGE (NPI# 1386183895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386183895 |
| Entity Type | Individual |
| Full Name | CARLY CUBBAGE |
| Credential | ATC |
| Practice Address |
2150 Stadium Dr 368 Ucb Boulder CO 80309-0001 |
| Practice Telephone | 3034923266 |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT.0001653 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2150 STADIUM DR 368 UCB |
| City | BOULDER |
| State | CO |
| Zip Code | 80309-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942309794 | Erica J. Meyer | Physical Therapist | 2150 Stadium Dr, Boulder, CO 80309-0001 | 2006-09-21 |
| 1487172508 | Natalie Victoria Markland | Physical Therapist | 2150 Stadium Dr, Boulder, CO 80309-4182 | 2017-09-08 |
| 1518487057 | Ellen P Smith | Physical Therapist | 2150 Stadium Dr, Boulder, CO 80309-0001 | 2017-06-26 |
| 1013456540 | Christopher Decarlo | Specialist/Technologist | 2150 Stadium Dr, Cu Athletics, 368 Ucb, Boulder, CO 80309-0001 | 2017-02-16 |
| 1720446222 | University Physicians Incorporated | Orthopaedic Surgery | 2150 Stadium Dr, 2nd Floor, Boulder, CO 80309 | 2016-01-29 |
| 1669880837 | Pawel Bronkowski | Physical Therapist | 2150 Stadium Dr, Boulder, CO 80309 | 2014-07-31 |
| 1790199883 | Lindsay Anne Donath | Physical Therapist | 2150 Stadium Dr, Boulder, CO 80309-0001 | 2014-06-17 |
| 1689006751 | Chelsea Coryn Holt | Physical Therapist | 2150 Stadium Dr, Boulder, CO 80309-0001 | 2013-07-31 |
| 1649519034 | Jeffrey Aaron South | Physical Therapist | 2150 Stadium Dr, Boulder, CO 80309-0001 | 2013-02-05 |
| 1093078438 | Pamela Bollinger Andringa | Physical Therapist | 2150 Stadium Dr, Boulder, CO 80309-0001 | 2012-06-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053887331 | Christina Riseman | Speech-Language Pathologist | Slhc, 2501 Kittredge Loop Rd., 409 Ucb, Boulder, CO 80309 | 2018-10-15 |
| 1942784228 | Janae Elise Bell | Specialist/Technologist | Cu Athletics 368 Ucb Dal Ward Center - 2100 Stadium Dr, Boulder, CO 80309 | 2018-09-21 |
| 1669856696 | Kathryn Blau | Psychologist | Wardenburg Health Services 119 Ucb, Boulder, CO 80309 | 2015-07-20 |
| 1407142623 | John D. Breck | Family Medicine | 1900 Wardenburg Way, Boulder, CO 80309 | 2011-06-27 |
| 1912217431 | Paul Calvert | Pharmacist | Campus Box 119, Boulder, CO 80309 | 2010-10-18 |
| 1568798536 | Brittany L Devoge | Pharmacist | 1800 Wardenburg Dr, Apothecary At Wardenburg Health Center, Boulder, CO 80309 | 2009-10-27 |
| 1295968949 | Mya M Bethune | Counselor | 104 Ucb, Center for Community S440, Boulder, CO 80309 | 2009-08-28 |
| 1245479377 | Susan E Mead | Pharmacist | 18th and Wardenburg Drive, University of Colorado, Boulder, CO 80309 | 2009-02-12 |
| 1881681120 | Anne Elizabeth Miller | Nurse Practitioner | 1900 Wardenburg Dr., 119 Ucb, Boulder, CO 80309 | 2005-10-03 |
| 1003179532 | Jessica Lee Hart | Family Medicine | 1900 Wardenburg Dr, Boulder, CO 80309 | 2012-06-19 |
| Find all providers in zip 80309 | ||||
| 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 |
|---|---|---|---|---|
| 1922607068 | Leslie Borough Dunlap | Specialist/Technologist | 4881 Kings Ridge Blvd, Boulder, CO 80301-5435 | 2020-10-20 |
| 1467061473 | Sarah Miller | Specialist/Technologist | 179 Cordova Ct, Boulder, CO 80303-4906 | 2020-07-26 |
| 1184192262 | Taylor Karty | Specialist/Technologist | 950 Regent Drive, Boulder, CO 80309-0001 | 2018-11-07 |
| 1942784228 | Janae Elise Bell | Specialist/Technologist | Cu Athletics 368 Ucb Dal Ward Center - 2100 Stadium Dr, Boulder, CO 80309 | 2018-09-21 |
| 1164913331 | Molly Sicard | Specialist/Technologist | 100 Stadium Dr University of Colorado, Boulder, CO 80309-0001 | 2018-05-23 |
| 1487174314 | Caitlyn M Kirkpatrick | Specialist/Technologist | 250 Stadium Dr, Boulder, CO 80309-0001 | 2017-06-21 |
| 1528505542 | Marissa Holliday | Specialist/Technologist | 950 Regent Dr, Coors Event Center Athletic Training Room, Boulder, CO 80309-0001 | 2017-01-28 |
| 1104844018 | Marci Roschke | Specialist/Technologist | 4650 Macarthur Ln, Boulder, CO 80303-1140 | 2006-07-18 |
| 1558387910 | Rebecca Jean Tober | Specialist/Technologist | 4900 Nautilus Ct N, Suite 100, Boulder, CO 80301-3251 | 2006-07-15 |
| 1265496194 | Kimberly R Detwiler | Specialist/Technologist | 2150 Stadium Drive, Boulder, CO 80309-7059 | 2006-04-17 |
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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.