JEREMY MARRA (NPI# 1447458799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447458799 |
| Entity Type | Individual |
| Full Name | JEREMY MARRA |
| Credential | ATC,CSCS |
| Practice Address |
27165 John Dr New Boston MI 48164-9049 |
| Mailing Address |
215 Old Creek Dr Saline MI 48176-1761 |
| Practice Telephone | 7346471921 |
| Enumeration Date | 2007-07-09 |
| Last Update Date | 2011-12-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2601000082 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
27165 JOHN DR |
| City | NEW BOSTON |
| State | MI |
| Zip Code | 48164-9049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033545397 | Kimberly Ann Bailey | Social Worker | 18638 Lawrence Lane, New Boston, MI 48164 | 2013-09-18 |
| 1831378447 | Dario Merlos | Dentist | 37228 Huron River Dr, New Boston, MI 48164 | 2007-10-31 |
| 1275636342 | New Boston Dental Clinic PC | Dentist | 37228 Huron River Dr, New Boston, MI 48164-0217 | 2006-09-06 |
| 1205827383 | Paul Kent Voreis | Optometrist | 17901 Huron River Dr, Suite 101, New Boston, MI 48164-3200 | 2005-10-29 |
| 1639700107 | Medpro Primary Care Pllc | Internal Medicine | 17901 Huron River Dr, New Boston, MI 48164-3200 | 2020-02-03 |
| 1972706513 | Voreis Eye Care, P.C. | Optometrist | 17901 Huron River Dr, Suite 101, New Boston, MI 48164-3200 | 2007-06-11 |
| 1114441706 | Christina Erin Crutchfield | Speech-Language Pathologist | 23504 W Creek Dr, New Boston, MI 48164-7827 | 2017-07-26 |
| 1194172981 | Moya Tara Talley | Nurse Practitioner | 25140 Austin Dr, New Boston, MI 48164-8907 | 2016-05-21 |
| 1194964817 | Kristy Marie Cheslick | Occupational Therapist | 18655 Andrew Ln, New Boston, MI 48164-8915 | 2009-02-19 |
| 1861637266 | Duane Arthur Galloway | Registered Nurse | 26739 Trowbridge Sq, New Boston, MI 48164-8960 | 2008-12-13 |
| Find all providers in zip 48164 | ||||
| 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 |
|---|---|---|---|---|
| 1437763307 | Allison Drewyour | Specialist/Technologist | 19209 Craig St, New Boston, MI 48164-9589 | 2020-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467052027 | Brianna Redmond | Specialist/Technologist | 2145 Sunset Ln, Saginaw, MI 48604-2443 | 2020-10-31 |
| 1386243913 | Carrie A Lindsay | Specialist/Technologist | 4761 Highland Rd, Waterford, MI 48328-1178 | 2020-10-24 |
| 1528667128 | Bethany Lynn York | Specialist/Technologist | 1461 Crest Rd, Gladwin, MI 48624-7606 | 2020-10-23 |
| 1255930962 | Benjamin Foddrill | Specialist/Technologist | 7380 Clearview Dr, Caledonia, MI 49316-9309 | 2020-10-22 |
| 1427656040 | Travis Zaborowski | Specialist/Technologist | 2412 W 4th Ave, Sault Sainte Marie, MI 49783-1212 | 2020-10-15 |
| 1730787912 | Batoul Kassem | Specialist/Technologist | 6045 Steadman St, Dearborn, MI 48126-2052 | 2020-10-11 |
| 1801493697 | Janelle Dorsey | Specialist/Technologist | 24311 Ithaca St, Oak Park, MI 48237-1788 | 2020-10-05 |
| 1194332379 | Bryan Keith Baines Sr. | Specialist/Technologist | 4333 John R Rd, Troy, MI 48085-3681 | 2020-09-30 |
| 1205443553 | Emma Weber | Specialist/Technologist | 7776 Percheron St, Kalamazoo, MI 49009-5990 | 2020-09-29 |
| 1295342616 | Margaret Ann Gilbeau | Specialist/Technologist | 38051 Metro Villa Dr Unit 114f, Harrison Township, MI 48045-3553 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | NEW BOSTON |
| Zip Code | 48164 |
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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.