MR. WILLIAM CLARK (NPI# 1528454154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528454154 |
Entity Type | Individual |
Full Name | MR. WILLIAM CLARK |
Credential | ATC |
Practice Address |
8501 Silverbrook Rd Lorton VA 22079-3015 |
Practice Telephone | 7034461563 |
Mailing Telephone | 7034461563 |
Enumeration Date | 2015-04-10 |
Last Update Date | 2015-04-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
020202230 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447819677 | William Eugene Clark | Nurse's Aide | 2869 Howey Rd, Columbus, OH 43224-4028 | 2019-06-11 |
1639575830 | William Clark | Specialist/Technologist | 7 Reef Rd, Anderson, GU 83901 | 2014-11-15 |
1730423278 | William Douglas Clark | Mechanotherapist | 1617 Highway 20 W, Mcdonough, GA 30253-7311 | 2012-11-21 |
1487950606 | William D Clark | Massage Therapist | 1160 Lucerne Loop Rd Ne, Winter Haven, FL 33881-9681 | 2011-02-04 |
1124320692 | William Warren Clark | Recreation Therapist | 2118 Stagecoach Trl, Temple, TX 76502-3224 | 2010-12-03 |
1407093875 | William Todd Clark | Specialist/Technologist, Other | 305 Greenbriar Ct, Otisco, IN 47163-9601 | 2009-01-07 |
1922244524 | William J Clark | Technician/Technologist | 3984 Drexel Rd, Pittsburgh, PA 15212-1512 | 2009-01-02 |
1023274503 | William Dave Clark | Counselor | 1421 Ossahatchie Creek Rd, Ellerslie, GA 31807-5339 | 2008-08-04 |
1598938219 | William Little Clark | Orthopaedic Surgery | 5 Retreat Rd, Augusta, GA 30909-1837 | 2008-04-03 |
1245415116 | William J Clark | Pharmacist | 5335 W Genesee St, Suite 20, Camillus, NY 13031-2265 | 2008-01-09 |
Street Address |
8501 SILVERBROOK RD |
City | LORTON |
State | VA |
Zip Code | 22079-3015 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750992558 | Shannon O'connor | Occupational Therapist | 8350 Silverbrook Rd, Lorton, VA 22079 | 2020-08-14 |
1548746688 | Kevin Maurice Gleaton | Driver | 9209 Sheffield Hunt Court, Lorton, VA 22079 | 2018-07-12 |
1750714754 | Kenneth Ashton Freeman | Internal Medicine | 8915 Rhododendron Circle, Lorton, VA 22079 | 2013-08-13 |
1194068577 | Kraidy & Alkaffaf, LLC | Legal Medicine | 9025 Kiger Street, Lorton, VA 22079 | 2013-04-03 |
1720339559 | Jacqueline K Campbell | Nurse Practitioner | 8988 Lorton Market Street, # 100, Lorton, VA 22079 | 2012-09-19 |
1104176437 | Tiffany L Johnson | Occupational Therapy Assistant | 8828 Western Hemlock Way, Lorton, VA 22079 | 2012-09-13 |
1386908630 | William Hyong-sok Lee | Surgery | 8350-c Terminal Road, Newington, VA 22079 | 2012-07-02 |
1356668156 | Turn of A Newleaf,inc | Psychologist | 9693 Hagel Circle, Lorton, VA 22079 | 2010-05-03 |
1174848477 | Baseline Financial Management Group Corp | General Practice | 7217 Lockport Pl, Suite 102, Lorton, VA 22079 | 2010-03-30 |
1720211501 | Eugenia A. Walsh, Dds, PC | Dentist | 9010 Lorton Station Blvd., Suite 150, Lorton, VA 22079 | 2009-08-27 |
Find all providers in zip 22079 |
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 |
---|---|---|---|---|
1134519242 | Derek Carter | Specialist/Technologist | 7735 Grandwind Dr, Lorton, VA 22079-4738 | 2015-01-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295335487 | Sukyoon Chang | Specialist/Technologist | 6001 Grove Ave, Richmond, VA 23226-2603 | 2020-10-28 |
1912507302 | Madeline Joanna Bills | Specialist/Technologist | 308 Locust Grove Dr, Purcellville, VA 20132-3391 | 2020-10-27 |
1679171193 | Camden Oakes Bentley | Specialist/Technologist | 634 Treys Dr, Winchester, VA 22601-3230 | 2020-10-16 |
1932707437 | Madison Dobscha | Specialist/Technologist | 1706 Revere Ct Ne, Leesburg, VA 20176-6634 | 2020-10-15 |
1710584792 | Melvin Enderes | Specialist/Technologist | 42678 Frontier Dr, Brambleton, VA 20148-7207 | 2020-10-02 |
1285249755 | Amy Virostek | Specialist/Technologist | 1015 Heathercroft Cir Ste 200, Crozet, VA 22932-3370 | 2020-09-11 |
1255942264 | Xavier Thompson | Specialist/Technologist | 210 Emmet St S Rm 222, Charlottesville, VA 22903-2455 | 2020-08-13 |
1225647969 | Madison Polk | Specialist/Technologist | 9229 Arnie Ct, Manassas Park, VA 20111-3071 | 2020-07-29 |
1760090955 | Alymaris O'reilly | Specialist/Technologist | 5211 Duncan Trl, Reva, VA 22735-2016 | 2020-07-14 |
1740808377 | Aimee Gardanier | Specialist/Technologist | 2526 24th St N Lowr Unit, Arlington, VA 22207-4907 | 2020-07-09 |
Find all providers with the same taxonomy |
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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.