MR. JASON MILES COBB (NPI# 1467414839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467414839 |
| Entity Type | Individual |
| Full Name | MR. JASON MILES COBB |
| Credential | MS, ATC/L |
| Practice Address |
2345 Main St Glastonbury CT 06033-2211 |
| Mailing Address |
3811 Gaywood Dr Louisville KY 40272-2903 |
| Practice Telephone | 8009980880 |
| Mailing Telephone | 5029370085 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT397 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841612397 | Jason Cobb | Nurse Anesthetist, Certified Registered | 2117 Blue Heron Cove Dr, Fleming Island, FL 32003-4929 | 2014-01-16 |
| 1407026818 | Jason Cobb | Internal Medicine | 550 Peachtree Street Mot 7th Floor Nephrology, Atlanta, GA 30308 | 2008-03-03 |
| 1073854436 | Jason Gregory Cobb | Marriage & Family Therapist | 15317 Rayen St, North Hills, CA 91343-5117 | 2013-03-11 |
| 1215164629 | Jason B Cobb | Family Medicine | 4010 S Mulberry St, Pine Bluff, AR 71603-7000 | 2009-06-12 |
| 1386870376 | Jason Michael Cobb | Internal Medicine | 1691 Galisteo St Ste D, Santa Fe, NM 87505-4781 | 2009-06-03 |
| 1235160847 | Jason Douglas Cobb | Orthopaedic Surgery | 731 Leighton Ave, Suite 300, Anniston, AL 36207-5761 | 2006-07-05 |
| Street Address |
2345 MAIN ST |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-2211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053659250 | Mark W Sarault | Specialist/Technologist | 2345 Main St, Glastonbury, CT 06033-2211 | 2013-01-22 |
| 1235372343 | Herman C Kruse | Specialist/Technologist | 2345 Main St, Glastonbury, CT 06033-2211 | 2009-04-20 |
| 1861674517 | Meagan Marie Semore | Specialist/Technologist | 2345 Main St, Glastonbury, CT 06033-2211 | 2007-12-04 |
| 1588785893 | Karla J Conroy | Specialist/Technologist | 2345 Main St, Glastonbury, CT 06033-2211 | 2007-04-03 |
| 1972676500 | Minal Mehta Kale | Physical Therapist | 2345 Main St, Glastonbury, CT 06033-2211 | 2006-11-15 |
| 1578661252 | Ahmed Paul Concepcion | Specialist/Technologist | 2345 Main St, Glastonbury, CT 06033 | 2006-09-20 |
| 1417914854 | Kimberly A. Divincenzo | Specialist/Technologist | 2345 Main St, Glastonbury, CT 06033-2211 | 2006-04-28 |
| 1003885682 | James Owenq Evans | Specialist/Technologist | 2345 Main St, Healthtrax Inc, Glastonbury, CT 06033 | 2006-03-16 |
| 1942279443 | Shannon J Jones | Specialist/Technologist | 2345 Main St, Glastonbury, CT 06033-2211 | 2006-03-16 |
| 1457329856 | Cheryl Lynn Steuhl | Specialist/Technologist | 2345 Main St, Glastonbury, CT 06033-2211 | 2006-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477074649 | Starling Physicians, PC | Durable Medical Equipment & Medical Supplies | 289 Western Blvd, Glastonbury, CT 06033 | 2017-06-28 |
| 1497284897 | D&l Eyecare | Optometrist | 33 Welles Street, Glastonbury, CT 06033 | 2017-06-08 |
| 1730626235 | Half Full Psychiatry LLC | Clinic/Center | 39 New London Tpke Ste 230f, Glastonbury, CT 06033 | 2017-01-23 |
| 1285000117 | Olga A Levkina | Physician Assistant | 2928 Main St Ste 101, Glastonbury, CT 06033 | 2015-08-14 |
| 1619350576 | Ryan Ilg Reichelt | Dentist | 131 New London Tpke Ste 211, Glastonbury, CT 06033 | 2015-07-09 |
| 1316320534 | Devon Banda | Orthopaedic Surgery | The Hand Center, 195 Eastern Blvd, # 200, Glastonbury, CT 06033 | 2015-07-07 |
| 1881073195 | Brittney Stanley | Counselor | 122 Naubuc Ave Ste 104, Glastonbury, CT 06033 | 2015-05-20 |
| 1780071878 | Richard T. Risinger | Dentist | 88 Citizens Drive, Glastonbury, CT 06033 | 2015-04-16 |
| 1639568751 | Carol Jane Gammell | Counselor | 140 Glastonbury Boulevard, Suite 30, Glastonbury, CT 06033 | 2015-01-13 |
| 1407262611 | Prashant Sinha | Dentist | 2874 Main Street, Glastonbury, CT 06033 | 2014-07-08 |
| Find all providers in zip 06033 | ||||
| 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 |
|---|---|---|---|---|
| 1154506152 | Sabrena Diana Lary | Specialist/Technologist | 330 Western Blvd Ste 101, Glastonbury, CT 06033-4383 | 2008-01-08 |
| 1407821242 | Tresa Lynn Alton | Specialist/Technologist | 2345 Main Street, Glastonbury, CT 06033 | 2006-02-22 |
| 1003303595 | Nancy Nguon | Specialist/Technologist | 59 Sycamore St, Glastonbury, CT 06033-4535 | 2018-04-19 |
| 1053659250 | Mark W Sarault | Specialist/Technologist | 2345 Main St, Glastonbury, CT 06033-2211 | 2013-01-22 |
| 1235372343 | Herman C Kruse | Specialist/Technologist | 2345 Main St, Glastonbury, CT 06033-2211 | 2009-04-20 |
| 1861674517 | Meagan Marie Semore | Specialist/Technologist | 2345 Main St, Glastonbury, CT 06033-2211 | 2007-12-04 |
| 1588785893 | Karla J Conroy | Specialist/Technologist | 2345 Main St, Glastonbury, CT 06033-2211 | 2007-04-03 |
| 1194853002 | Jared F Matkowski | Specialist/Technologist | 2928 Main St, Eastern Rehabilitation Network, Glastonbury, CT 06033-1007 | 2007-03-01 |
| 1578661252 | Ahmed Paul Concepcion | Specialist/Technologist | 2345 Main St, Glastonbury, CT 06033 | 2006-09-20 |
| 1417914854 | Kimberly A. Divincenzo | Specialist/Technologist | 2345 Main St, Glastonbury, CT 06033-2211 | 2006-04-28 |
| Find all providers in GLASTONBURY | ||||
| City | GLASTONBURY |
| Zip Code | 06033 |
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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.