KYLE J HALL (NPI# 1508216623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508216623 |
| Entity Type | Individual |
| Full Name | KYLE J HALL |
| Practice Address |
1110 Hammond Rd E 5 Traverse City MI 49686-9362 |
| Mailing Address |
790 Remington Blvd Bolingbrook IL 60440-4909 |
| Practice Telephone | 2319955210 |
| Practice Fax Number | 2319955213 |
| Mailing Telephone | 6302962223 |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2601001563 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437639705 | Kyle Hall | Speech-Language Pathologist | 911 Bern Ct Ste 130, San Jose, CA 95112-1242 | 2018-08-16 |
| 1285074294 | Kyle Hall | Counselor | 500 Crown Point Cir, Suite 100, Grass Valley, CA 95945-9561 | 2013-07-05 |
| 1942439724 | Kyle L Hall | Physical Therapist | 1661 Saint Anthony Ave, Saint Paul, MN 55104-7632 | 2009-07-14 |
| Street Address |
1110 HAMMOND RD E 5 |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49686-9362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104929488 | Sara Marie Riker | Physical Therapist | 1110 Hammond Rd E, Suite 5, Traverse City, MI 49686-9362 | 2006-09-05 |
| 1699950808 | Derek Walter Migazzi | Physical Therapist | 1110 Hammond Rd E, Ste 5, Traverse City, MI 49686-9362 | 2008-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245877208 | Jessica Marie Glowacki | Behavior Technician | 935 Hemlock St, Traverse City, MI 49686 | 2019-12-09 |
| 1568011542 | Joanne Kressley | Technician | 1693 Maylane Apt. 104, Traverse City, MI 49686 | 2019-09-11 |
| 1194283846 | Pace North | PACE Provider Organization | 2325 Garfield Road N., Traverse City, MI 49686 | 2019-03-12 |
| 1245749225 | Margaret Anne Goss | Speech-Language Pathologist | 1105 E. Eighth Street, Traverse City, MI 49686 | 2017-09-22 |
| 1467981811 | Joan Joyce Shirilla | Social Worker | 2124 Twin Eagles Dr, Traverse City, MI 49686 | 2017-06-08 |
| 1770028763 | Rehab and Mobility Systems, LLC | Durable Medical Equipment & Medical Supplies | 707 Parsons, Traverse City, MI 49686 | 2016-12-29 |
| 1629511316 | Kaitlyn Grangood | Social Worker | 415 Munson Avenue, Ste 101, Traverse City, MI 49686 | 2016-11-29 |
| 1811441132 | Jeffrey D Goodwin | Counselor | 430 Fair St., Traverse City, MI 49686 | 2016-08-04 |
| 1053779918 | Thomas Osborne | Counselor | 2014 Phelps Rd., Traverse City, MI 49686 | 2016-02-08 |
| 1982079588 | Marsha Lynne Dallas | Counselor | 2240 South Airport Road, Traverse City, MI 49686 | 2015-12-08 |
| Find all providers in zip 49686 | ||||
| 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 |
|---|---|---|---|---|
| 1013494368 | Alexis Brooke Donovan | Specialist/Technologist | 2636 Oakhill Ln Apt 308, Traverse City, MI 49686-5052 | 2018-07-19 |
| 1205297801 | Jeremy Taylor | Specialist/Technologist | 3833 Stone Ridge Dr, Traverse City, MI 49684-7219 | 2016-03-10 |
| 1013300938 | Ryan Schiller | Specialist/Technologist | 3796 Wemple Rd, Traverse City, MI 49686-9118 | 2015-03-17 |
| 1093153710 | Troy J Blasius | Specialist/Technologist | 514 Barlow St, Traverse City, MI 49686-2780 | 2013-06-05 |
| 1043679269 | Sydney Stiles | Specialist/Technologist | 415 Munson Ave, Traverse City, MI 49686-3059 | 2016-02-16 |
| 1467845578 | Tyler Jay Thompson | Specialist/Technologist | 206 S Elmwood Ave, Traverse City, MI 49684-2326 | 2015-03-13 |
| 1760888465 | Bethany Rohl | Specialist/Technologist | 5222 N Royal Dr, Traverse City, MI 49684-6883 | 2014-11-07 |
| 1306154505 | Karen Allison Miller | Specialist/Technologist | 4045 W Royal Dr, Traverse City, MI 49684-8965 | 2010-09-22 |
| 1811018930 | John Wismer Mcdougall | Specialist/Technologist | 550 Munson Ave, Traverse City, MI 49686-3580 | 2007-04-03 |
| 1730208349 | Amy Lynn Ream | Specialist/Technologist | 3643 W Front St, Suite B, Traverse City, MI 49684-7759 | 2007-03-28 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49686 |
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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.