GENEVIEVE PETRICKA (NPI# 1457892945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457892945 |
| Entity Type | Individual |
| Full Name | GENEVIEVE PETRICKA |
| Practice Address |
110105 Pioneer Trl Suite 201 Chaska MN 55318-2680 |
| Mailing Address |
15360 18th Ave N Apt 1009 Plymouth MN 55447-2429 |
| Practice Telephone | 9525122470 |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2017-03-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2892 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
110105 PIONEER TRL SUITE 201 |
| City | CHASKA |
| State | MN |
| Zip Code | 55318-2680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548742968 | Elizabeth Ann Root | Counselor | 111 Hundertmark Rd Suite 450, Chaska, MN 55318 | 2018-09-01 |
| 1972002244 | Ruth Ann Plante | Counselor | 510 Chestnut Street Suite 201, Chaska, MN 55318 | 2018-02-01 |
| 1265959795 | Bhatti Gi Surgery Center LLC | Clinic/Center | 1447 White Oak Dr, Chaska, MN 55318 | 2017-08-25 |
| 1194241166 | Five Stars Recovery Center | Clinical Medical Laboratory | 1045 Stoughton Ave., Chaska, MN 55318 | 2017-08-21 |
| 1306383419 | Laurie Ann Sisser | Registered Nurse | 123 W. 3rd Street, Suite #1, Forever Life Home Health Care, Chaska, MN 55318 | 2017-01-26 |
| 1942756671 | David Erlandson | Physical Therapist | 110105 Pioneer Trail, #201, Chaska, MN 55318 | 2016-09-01 |
| 1912319286 | Chaska Commons Dental Group PC | Dentist | 114 Pioneer Trail, Chaska, MN 55318 | 2014-05-21 |
| 1063546620 | Laura Lee Bergjord | Social Worker | 600 East 4th St, Chaska, MN 55318 | 2007-03-15 |
| 1184758740 | Jennifer Ann Mueller | Social Worker | 401 East Fourth Street, Chaska, MN 55318 | 2007-03-15 |
| 1487785234 | The Salvation Army Harbor Light Center Beacon Program | Substance Abuse Rehabilitation Facility | 11065 Village Road, Chaska, MN 55318 | 2007-03-07 |
| Find all providers in zip 55318 | ||||
| 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 |
|---|---|---|---|---|
| 1235788704 | Lauren Shakon | Specialist/Technologist | 110105 Pioneer Trl W # 201, Chaska, MN 55318-2680 | 2019-09-08 |
| 1891266615 | Jesse James Moline | Specialist/Technologist | 1019 Bluff Pass S, Chaska, MN 55318-9713 | 2018-12-06 |
| 1326584913 | Benjamin Kroll | Specialist/Technologist | 110105 Pioneer Trl W Ste 201, Chaska, MN 55318-2680 | 2017-01-06 |
| 1679021554 | Nadia Karg | Specialist/Technologist | 7597 Augusta Rd, Chaska, MN 55318-9347 | 2016-09-20 |
| 1285030841 | Mairead Griffin | Specialist/Technologist | 1136 Crystal Pl W, Chaska, MN 55318-2248 | 2014-11-10 |
| 1467892851 | Abby Elizabeth Turbes | Specialist/Technologist | 111 Hundertmark Rd Ste 400, Chaska, MN 55318-1458 | 2013-06-28 |
| 1386192276 | Nik Gustafson | Specialist/Technologist | 110105 Pioneer Trl W, Suite 201, Chaska, MN 55318-2680 | 2016-09-20 |
| 1235686742 | Ethan Meyer | Specialist/Technologist | 110105 Pioneer Trl W, #201, Chaska, MN 55318-2680 | 2016-09-01 |
| 1932597424 | Sandra Hanson | Specialist/Technologist | 111 Hundertmark Rd, Suite 400, Chaska, MN 55318-4551 | 2015-01-06 |
| 1598755142 | Paul M Quale | Specialist/Technologist | 3000 Hundertmark Rd, Suite 10, Chaska, MN 55318-1150 | 2005-10-25 |
| Find all providers in CHASKA | ||||
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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.