KYLE THOMAS STOLBA (NPI# 1427516863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427516863 |
| Entity Type | Individual |
| Full Name | KYLE THOMAS STOLBA |
| Credential | N/A |
| Practice Address |
953 Danby Rd Ithaca NY 14850-7002 |
| Practice Telephone | 6317088952 |
| Mailing Telephone | 6317088952 |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
953 DANBY RD |
| City | ITHACA |
| State | NY |
| Zip Code | 14850-7002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992783153 | Jennifer Metzgar | Nurse Practitioner | 953 Danby Rd, Ithaca, NY 14850-7000 | 2006-01-06 |
| 1730790825 | Aaron Velazquez | Specialist/Technologist | 953 Danby Rd, Ithaca, NY 14850-7002 | 2020-08-12 |
| 1790319499 | Angelina M Domena | Specialist/Technologist | 953 Danby Rd, Ithaca, NY 14850-7002 | 2020-03-03 |
| 1538792767 | Logan Claypoole Ninos | Student in an Organized Health Care Education/Training Program | 953 Danby Rd, Ithaca, NY 14850-7000 | 2020-02-17 |
| 1255964623 | Alison Lipton | Specialist/Technologist | 953 Danby Rd, Ithaca, NY 14850-7002 | 2020-02-13 |
| 1821621392 | Kiana Marie Telano | Specialist/Technologist | 953 Danby Rd, Ithaca, NY 14850-7000 | 2020-02-12 |
| 1548892037 | Giana Earrusso | Specialist/Technologist | 953 Danby Rd, Ithaca, NY 14850-7000 | 2020-02-12 |
| 1831721703 | Kyle Daniel Berna | Student in an Organized Health Care Education/Training Program | 953 Danby Rd, Ithaca, NY 14850-7000 | 2020-02-10 |
| 1457983397 | Megan R O'reilly | Specialist/Technologist | 953 Danby Rd, Ithaca, NY 14850-7000 | 2020-02-09 |
| 1053943167 | Christina Nicole Esposito | Specialist/Technologist | 953 Danby Rd, Ithaca, NY 14850-7000 | 2020-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123897 | Michelle Lee Sanito | Registered Nurse | 400 Lake Street, Ithaca, NY 14850 | 2020-10-30 |
| 1457959843 | Summit Alternatives Lmsw PC | Community/Behavioral Health | 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 | 2020-10-16 |
| 1518581701 | Sameer Acharya | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-03 |
| 1699399873 | Anurag Aryal | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Internal Medicine Residency, Cayuga Med, Ithaca, NY 14850 | 2020-06-03 |
| 1932723228 | Binay Kumar Kshetree | Student in an Organized Health Care Education/Training Program | Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-02 |
| 1225657349 | Nima Hazrati Pour Fard | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Cayuga Medical Center, 101, Ithaca, NY 14850 | 2020-04-09 |
| 1326671090 | Garret Hoskey | Specialist/Technologist | 953 Dany Road, Ithaca, NY 14850 | 2020-02-20 |
| 1609407709 | En-ting Hsu | Marriage & Family Therapist | 110 N. Cayuga Street 4th Floor Suite 3, Ithaca, NY 14850 | 2020-01-28 |
| 1306491063 | Patrick Owen Mckeon | Specialist/Technologist | Hill Center G66, 953 South Danby Rd., Ithaca, NY 14850 | 2019-08-08 |
| 1538722343 | Priyesh Thakurathi | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Cayuga Medical Center, Internal Medicine Residency Program, Ithaca, NY 14850 | 2019-04-17 |
| Find all providers in zip 14850 | ||||
| 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 |
|---|---|---|---|---|
| 1326671090 | Garret Hoskey | Specialist/Technologist | 953 Dany Road, Ithaca, NY 14850 | 2020-02-20 |
| 1790334928 | Jocelyn Joy Stark | Specialist/Technologist | 512 N Campus, Ithaca, NY 14853-6007 | 2019-09-10 |
| 1124677356 | Casey Williamson | Specialist/Technologist | 521 N Campus, Ithaca, NY 14853-6007 | 2019-09-10 |
| 1306491063 | Patrick Owen Mckeon | Specialist/Technologist | Hill Center G66, 953 South Danby Rd., Ithaca, NY 14850 | 2019-08-08 |
| 1780198101 | Katelyn Ellen Dolan | Specialist/Technologist | 1033 Danby Rd, Ithaca, NY 14850-7007 | 2017-11-21 |
| 1629310685 | Adam J Long | Specialist/Technologist | 310 Taughannock Blvd Ste 5a, Ithaca, NY 14850-3251 | 2013-03-18 |
| 1033486899 | Philipp Ewert | Specialist/Technologist | 512 Campus Road, Tegal Hall, Ithaca, NY 14853 | 2011-11-22 |
| 1104193077 | Cody Mason Herbert | Specialist/Technologist | 512 Campus Rd., Teagle Hall, Ithaca, NY 14850 | 2011-11-21 |
| 1174828339 | Jennifer A Keough | Specialist/Technologist | Teagle Hall, Campus Rd, Cornell University, Ithaca, NY 14853 | 2011-01-20 |
| 1760705883 | Daniel Edward King | Specialist/Technologist | 891a Taughannock Blvd, Ithaca, NY 14850-9501 | 2010-03-03 |
| Find all providers in ITHACA | ||||
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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.