KYLE J BERRA (NPI# 1386833390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386833390 |
| Entity Type | Individual |
| Full Name | KYLE J BERRA |
| Credential | ATC, LAT |
| Practice Address |
333 E. Second St Richland Center WI 53581 |
| Mailing Address |
P.o. Box 338 North Freedom WI 53951 |
| Practice Telephone | 6086476321 |
| Mailing Telephone | 6085224693 |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
573-039 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
333 E. SECOND ST |
| City | RICHLAND CENTER |
| State | WI |
| Zip Code | 53581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730687542 | Danielle Lea Spencer | Occupational Therapy Assistant | 25881 Severson Street, Richland Center, WI 53581 | 2018-01-26 |
| 1396997953 | Bonnie Lou Peer | Licensed Practical Nurse | 24096 County Hwy 2, Richland Center, WI 53581 | 2008-10-15 |
| 1225286081 | Lori Knapp Richland, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1140 Sextonville Road #5, Richland Center, WI 53581 | 2008-09-05 |
| 1881868768 | Patrick M Murphy | Chiropractor | 875 N Orange St, Richland Center, WI 53581 | 2008-04-22 |
| 1588838502 | Michael Joseph Pelsoh | Pharmacist | Richland Hospital 333 E 2nd St, Richland Center, WI 53581 | 2008-04-22 |
| 1902087653 | Patricia Ann Behn | Occupational Therapist | 222 Seminary St, Richland Center, WI 53581 | 2007-11-23 |
| 1487871653 | Daniel George Basarich | Dentist | 175 E Mill Street, Richland Center, WI 53581 | 2007-04-19 |
| 1851517312 | Bruce Todd Vermilyea | Dentist | 175 E Mill Str, Richland Center, WI 53581 | 2007-04-17 |
| 1144394735 | Debra Lynn Goplen | Licensed Practical Nurse | 24096 Hwy Z, Richland Center, WI 53581 | 2006-11-17 |
| 1982705810 | Chad R Overman | Optometrist | 2401 Highway 14 East, Richland Center, WI 53581 | 2006-09-25 |
| Find all providers in zip 53581 | ||||
| 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 |
|---|---|---|---|---|
| 1265801344 | Angela Hackl | Specialist/Technologist | 333 E 2nd St, Richland Center, WI 53581-1914 | 2015-09-18 |
| 1508913013 | Sharon M Panske | Specialist/Technologist | 333 E 2nd St, Richland Center, WI 53581-1914 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657329 | Tyler John Friis | Specialist/Technologist | 1514 E Keystone Ln, Appleton, WI 54913-7162 | 2020-10-21 |
| 1184222085 | Ryan James Mcnamara | Specialist/Technologist | 28914 Golden Cir, Waterford, WI 53185-1197 | 2020-10-13 |
| 1770198699 | Tanner Sterling | Specialist/Technologist | 2538 E Garrison Rd, Foxboro, WI 54836-9507 | 2020-09-09 |
| 1922626670 | Eric William Brostrom | Specialist/Technologist | 3305 Lilly Rd, Brookfield, WI 53005-7608 | 2020-07-09 |
| 1174146690 | Brycen Valiga | Specialist/Technologist | 4477 S 113th St, Greenfield, WI 53228-2566 | 2020-05-19 |
| 1104448307 | Xeing Randy Yang | Specialist/Technologist | 2207 Namekagon St, Hudson, WI 54016-9426 | 2020-05-11 |
| 1073134615 | Brian Wood | Specialist/Technologist | 1950 Washington St, Grafton, WI 53024-2103 | 2020-05-06 |
| 1124649751 | Cody Scott Tesch | Specialist/Technologist | 6680 N Teutonia Ave, Milwaukee, WI 53209-3117 | 2020-05-05 |
| 1659992642 | Kelley Potila | Specialist/Technologist | 255 Maggilu Ct, Jefferson, WI 53549-2095 | 2020-04-30 |
| 1366070708 | Claire Duwell | Specialist/Technologist | 9111 W Bluemound Rd, Milwaukee, WI 53226-4506 | 2020-03-31 |
| Find all providers with the same taxonomy | ||||
| City | RICHLAND CENTER |
| Zip Code | 53581 |
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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.