MRS. ROXANNA LEIGH LARSEN (NPI# 1508801325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508801325 |
| Entity Type | Individual |
| Full Name | MRS. ROXANNA LEIGH LARSEN |
| Credential | ATC |
| Practice Address |
400 E 2nd St Bloomsburg PA 17815-1301 |
| Mailing Address |
1761 Main St Bloomsburg PA 17815-8841 |
| Practice Telephone | 5703894668 |
| Mailing Telephone | 5703875121 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
400 E 2ND ST |
| City | BLOOMSBURG |
| State | PA |
| Zip Code | 17815-1301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972578912 | Stacey L. Brunozzi | Nurse Practitioner | 400 E 2nd St, 324 Kehr Union Building, Bloomsburg, PA 17815-1301 | 2006-02-22 |
| 1538791538 | Bloomsburg University Speech & Hearing Clinic | Orthopaedic Surgery | 400 E 2nd St, Bloomsburg, PA 17815-1301 | 2020-02-07 |
| 1164933594 | Sharon M Blake | Speech-Language Pathologist | 400 E 2nd St, Bloomsburg, PA 17815-1301 | 2017-10-12 |
| 1750830881 | Kailyn R. Stewart | Speech-Language Pathologist | 400 E 2nd St, Centennial Hall, Bloomsburg, PA 17815-1301 | 2016-09-30 |
| 1700331881 | Becca Elizabeth Petrone | Speech-Language Pathologist | 400 E 2nd St, Bloomsburg, PA 17815-1301 | 2016-08-18 |
| 1548668155 | Kristin Funk Maguire | Specialist/Technologist | 400 E 2nd St, 161 Nelson Fieldhouse, Bloomsburg, PA 17815-1301 | 2014-12-12 |
| 1104102441 | Noah Jon Wasielewski | Specialist/Technologist | 400 E 2nd St, Bloomsburg University, Bloomsburg, PA 17815-1301 | 2011-11-01 |
| 1942518485 | Sophia Rush | Nurse Practitioner | 400 E 2nd St, Bloomsburg, PA 17815-1301 | 2010-09-17 |
| 1548573413 | Qing Yue | Specialist/Technologist, Other | 400 E 2nd St, Bloomsburg University, Centennial Hall, Bloomsburg, PA 17815-1301 | 2010-07-21 |
| 1215109061 | Lucinda Lee Harris | Nurse Practitioner | 400 E 2nd St, Rm. 324 Kub, Bloomsburg University of Pa, Bloomsburg, PA 17815-1301 | 2008-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780295733 | Geisinger Clinic | Emergency Medicine | 545 Fair Street, Bloomsburg, PA 17815 | 2020-08-13 |
| 1124457551 | Patricia Marie Archey | Physician Assistant | 93 Avon Ave, Bloomsburg, PA 17815 | 2013-11-06 |
| 1154684561 | Alice Michele Weaver Maczuga | Social Worker | 816 Central Road, Bollmsburg, PA 17815 | 2012-06-20 |
| 1396069332 | Cmsu Behavioral Health and Developmental Services | Community/Behavioral Health | 675 Locust St, Bloomsburg, PA 17815 | 2010-03-19 |
| 1922235829 | Joel Stephen Hamilton | Dentist | 2 Audubon Court, Bloomsburg, PA 17815 | 2009-06-18 |
| 1508011685 | Cindy A Prosseda | Social Worker | 6850 Lowes Road, Bloomsburg, PA 17815 | 2008-11-17 |
| 1881854271 | Francis Joseph Welk | Physical Therapist | 410 Glen Ave, Suite 101 Susquehanna Physical Therapy Associates, Bloomsburg, PA 17815 | 2008-06-10 |
| 1679652390 | John A Scerbo | Dentist | 812 Central Road, Bloomsburg, PA 17815 | 2006-11-03 |
| 1104914811 | Columbia Ancillary Services Inc | Durable Medical Equipment & Medical Supplies | 1141 Ridge Road, Bloomsburg, PA 17815 | 2006-10-10 |
| 1922192681 | Patricia M. Taylor | Speech-Language Pathologist | 6530 Main Street, Bloomsburg, PA 17815 | 2006-10-03 |
| Find all providers in zip 17815 | ||||
| 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 |
|---|---|---|---|---|
| 1033758958 | George Frank Salvaterra | Specialist/Technologist | 160 Nelson Fieldhouse, Bloomsburg, PA 17815-1301 | 2019-12-23 |
| 1881623262 | Allen Michael Larsen Jr. | Specialist/Technologist | 128 Nelson Field House, Bloomsburg University, Bloomsburg, PA 17815 | 2006-06-30 |
| 1568406585 | Joseph Barry Hazzard Jr. | Specialist/Technologist | 1197 Highland Dr, Bloomsburg, PA 17815-9409 | 2006-06-16 |
| 1548668155 | Kristin Funk Maguire | Specialist/Technologist | 400 E 2nd St, 161 Nelson Fieldhouse, Bloomsburg, PA 17815-1301 | 2014-12-12 |
| 1104102441 | Noah Jon Wasielewski | Specialist/Technologist | 400 E 2nd St, Bloomsburg University, Bloomsburg, PA 17815-1301 | 2011-11-01 |
| 1700081007 | David Benjamin Huber | Specialist/Technologist | 400 E 2nd St, Bloomsburg, PA 17815-1301 | 2007-06-18 |
| 1679500235 | Marilyn Kay Miller | Specialist/Technologist | 400 E 2nd St, Dept. of Exercise Science, Bloomsburg, PA 17815-1301 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801642 | Allison Zilonis | Specialist/Technologist | 1923 Oak Hills Dr, Hanover, PA 17331-8522 | 2020-11-08 |
| 1487255642 | Siarra Grace Crum | Specialist/Technologist | 102 Bellwood Lane, Portage, PA 15946-1441 | 2020-11-04 |
| 1841891108 | Sydney Charles | Specialist/Technologist | 6325 Martins Mill Rd, Philadelphia, PA 19111-5321 | 2020-11-03 |
| 1871194308 | Alexander Hedrick | Specialist/Technologist | 33 Derstine Rd, Hatfield, PA 19440-3406 | 2020-11-02 |
| 1114528684 | Kelsey E Craig | Specialist/Technologist | 1856 N 16th St Apt 1r, Philadelphia, PA 19121-3301 | 2020-11-02 |
| 1740881333 | David Williams | Specialist/Technologist | 3100 W Thompson St Apt 42, Philadelphia, PA 19121-4485 | 2020-11-02 |
| 1992305940 | Alexandra Bossi | Specialist/Technologist | 450 N 18th St Apt 1032, Philadelphia, PA 19130-4198 | 2020-10-29 |
| 1043810021 | Randy W Dillon | Specialist/Technologist | 617c Chester Pike, Prospect Park, PA 19076-1506 | 2020-10-28 |
| 1871193086 | Troy Olsheski | Specialist/Technologist | 1970 Easton Tpke, Lake Ariel, PA 18436-4661 | 2020-10-27 |
| 1982203055 | Josiah Thompson | Specialist/Technologist | 20 Heather Rd, Feasterville Trevose, PA 19053-6320 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMSBURG |
| Zip Code | 17815 |
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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.