MICHELLE GLYMPH (NPI# 1417463555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417463555 |
| Entity Type | Individual |
| Full Name | MICHELLE GLYMPH |
| Credential | ATC |
| Practice Address |
1915 Randolph Rd Charlotte NC 28207-1101 |
| Mailing Address |
4608 Wedgewood Dr Charlotte NC 28210-2905 |
| Practice Telephone | 7043233000 |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2017-12-27 |
| Gender Code | F |
| 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 |
1915 RANDOLPH RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28207-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194711531 | Joseph Shepherd Cofer | Physician Assistant | 1915 Randolph Rd, Charlotte, NC 28207-1101 | 2005-09-21 |
| 1801449236 | Hanna Elizabeth Moore | Physical Therapist | 1915 Randolph Rd, Charlotte, NC 28207-1101 | 2019-07-24 |
| 1700362100 | Shelby Christine Wood | Physician Assistant | 1915 Randolph Rd, Charlotte, NC 28207-1101 | 2018-07-18 |
| 1386192698 | Halie Shipley Bryan | Physician Assistant | 1915 Randolph Rd, Charlotte, NC 28207 | 2016-09-15 |
| 1881047751 | Sean Casey Brown | Physical Therapist | 1915 Randolph Rd, Charlotte, NC 28207-1101 | 2016-07-15 |
| 1114380144 | Ashley Coudron | Occupational Therapist | 1915 Randolph Rd, Charlotte, NC 28207-1101 | 2016-03-29 |
| 1225497118 | Kaitlyn Barger | Physician Assistant | 1915 Randolph Rd, Charlotte, NC 28207 | 2016-02-19 |
| 1760853485 | Michael Edward Magalski | Physical Therapist | 1915 Randolph Rd, Charlotte, NC 28207-1101 | 2015-10-08 |
| 1669851416 | Nicholas Heller Lake | Orthopaedic Surgery | 1915 Randolph Rd, Charlotte, NC 28207-1101 | 2015-05-27 |
| 1821476839 | Alexander Rainer Manuel Bitzer | Orthopaedic Surgery | 1915 Randolph Rd, Charlotte, NC 28207-1101 | 2015-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013560739 | Louis Roncaglione | Dentist | 8815 Christenbury Pkway, Concord, NC 28207 | 2019-07-22 |
| 1619430014 | Khrystyna Levytska | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 | 2019-04-11 |
| 1649743584 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 1005 South Kings Drive, Charlotte, NC 28207 | 2019-01-03 |
| 1023584489 | Herron and Smith Associates, Pllc | Dentist | 135 Perrin Place, Suite 100, Charlotte, NC 28207 | 2018-10-23 |
| 1588161640 | Lauren Mogk | Student in an Organized Health Care Education/Training Program | Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 | 2018-04-06 |
| 1518462241 | Sarah Hollyn Carlock | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 | 2018-03-26 |
| 1083118178 | Claire Milam | Student in an Organized Health Care Education/Training Program | Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 | 2018-03-22 |
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
| 1063945467 | Kaitlyn O'keefe | Internal Medicine | 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 | 2017-04-04 |
| 1811432024 | Advanced Prosthetics of Easley, Inc | Durable Medical Equipment & Medical Supplies | 2310 Randolph Rd Ste A, Charlotte, NC 28207 | 2016-12-23 |
| Find all providers in zip 28207 | ||||
| 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 |
|---|---|---|---|---|
| 1306444278 | Tania Michelle Wilcox | Specialist/Technologist | 702 Potenza Dr Apt A, Charlotte, NC 28262-4601 | 2020-10-13 |
| 1962017798 | Kelby Rae Hurlocker | Specialist/Technologist | 500 Center Park Dr, Charlotte, NC 28217 | 2020-09-09 |
| 1629695085 | Zawadi Brown | Specialist/Technologist | 1621 Waybridge Ln Apt 1b, Charlotte, NC 28210-5774 | 2020-07-01 |
| 1518591973 | Brianna Marsicano | Specialist/Technologist | 4607 Rock Stream Dr, Charlotte, NC 28269-7150 | 2020-02-25 |
| 1124658075 | Mark Anthony Wright | Specialist/Technologist | 2301 Torrington Ln, Charlotte, NC 28262-3175 | 2020-01-20 |
| 1386281228 | Danielle Torp | Specialist/Technologist | 8920 Cliff Cameron Dr Apt 107, Charlotte, NC 28269-1059 | 2019-12-10 |
| 1568028470 | Cristian Black | Specialist/Technologist | 4845 Ashley Park Ln Apt 205, Charlotte, NC 28210-4126 | 2019-05-15 |
| 1841764545 | Jacqueline Marie Frithsen | Specialist/Technologist | 10220 Ardrey Kell Rd, Charlotte, NC 28277-4328 | 2019-01-15 |
| 1790259760 | Raul A Bermudez | Specialist/Technologist | 1410 Abbey Pl Apt 115, Charlotte, NC 28209-3039 | 2019-01-14 |
| 1750858429 | Lynnsey Morgan Price | Specialist/Technologist | 8464 Highland Glen Dr, Charlotte, NC 28269-6110 | 2018-10-30 |
| Find all providers in CHARLOTTE | ||||
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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.