MRS. MIEKA LISE DAVIS (NPI# 1558398107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558398107 |
| Entity Type | Individual |
| Full Name | MRS. MIEKA LISE DAVIS |
| Credential | ATC, CMT |
| Practice Address |
20 South Street Westborough MA 01581 |
| Mailing Address |
36 Worthington Ave Shrewsbury MA 01545 |
| Practice Telephone | 5082774156 |
| Mailing Telephone | 5082774156 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2015-03-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
771AT | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
771 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225700000X | Massage Therapist | 7426MT | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225700000X | Massage Therapist | 7426 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
20 SOUTH STREET |
| City | WESTBOROUGH |
| State | MA |
| Zip Code | 01581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043791957 | Colby Schulz | Occupational Therapist | Kindred Transitional Care - Therapy Department, 8 Colonial Drive, Westborough, MA 01581 | 2018-08-28 |
| 1134621055 | Rachel Bennet | Counselor | 288 Lyman Street, Allen Hall- Suite 2, Westborough, MA 01581 | 2018-03-07 |
| 1003318031 | Adrienne Gladding | Social Worker | 288 Lynam St, Suite 2, Westborough, MA 01581 | 2018-03-06 |
| 1760997670 | Westborough Dental Partners, P.C. | Dentist | 176 E Main St Ste 2, Westborough, MA 01581 | 2017-12-14 |
| 1578912432 | Daylene Marshall | Counselor | 155a Oak Street, Westborough, MA 01581 | 2016-06-10 |
| 1366890709 | Autism Resource &therapy Center | Behavioral Analyst | 1900 West Park Dr, Westborough, MA 01581 | 2016-05-26 |
| 1649699802 | Jean Breen | Counselor | 154 Oak Street, Westboro, MA 01581 | 2014-04-15 |
| 1760772123 | Ayon Bose | Counselor | 45 Lyman St Ste 11, Westborough, MA 01581 | 2011-04-19 |
| 1437472917 | Sharon Levesque Courville | Social Worker | 5 East Main St., Ste. 3, Westborough, MA 01581 | 2010-03-11 |
| 1063645844 | Town of Westborough | Counselor | 45 West Main St, Westborough, MA 01581 | 2009-08-27 |
| Find all providers in zip 01581 | ||||
| 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 |
|---|---|---|---|---|
| 1518986165 | Aaron T Wolfe | Specialist/Technologist | 115 Flanders Rd Ste 130, Westborough, MA 01581-1083 | 2006-07-18 |
| 1588200992 | Bruce Robert Mendelsohn | Specialist/Technologist | 4 Valente Dr, Westborough, MA 01581-2876 | 2019-11-20 |
| 1588791271 | Valerie Ann Hamel | Specialist/Technologist | 90 W Main St, Westborough, MA 01581-2535 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225682 | Jacob Hebert | Specialist/Technologist | 177 Wenonah Rd, Longmeadow, MA 01106-1929 | 2020-11-03 |
| 1700486693 | Mark Comstock | Specialist/Technologist | 74 Union Park St, Boston, MA 02118-2142 | 2020-10-29 |
| 1962000422 | Allison Damigella | Specialist/Technologist | 20 Cobblestone Ln, Bridgewater, MA 02324-2277 | 2020-10-15 |
| 1669088712 | Ryan Donovan | Specialist/Technologist | 4 Paul Ave, Peabody, MA 01960-2620 | 2020-09-23 |
| 1619583119 | Seth Travers | Specialist/Technologist | 179 Wimbleton Dr, Longmeadow, MA 01106-2744 | 2020-09-20 |
| 1306451091 | Stephanie Wilson | Specialist/Technologist | 315 Turnpike St Stop 2247, North Andover, MA 01845-5800 | 2020-09-10 |
| 1467067116 | Devon Choi | Specialist/Technologist | Merrimack College, 315 Turnpike St, North Andover, MA 01845-0184 | 2020-09-10 |
| 1295349140 | Katelyn Charlotte Richardson | Specialist/Technologist | 2002 Lords Ct, Wilmington, MA 01887-4514 | 2020-09-08 |
| 1386256360 | William Conrad Desjardins | Specialist/Technologist | 20 Manhattan Dr, Burlington, MA 01803-1905 | 2020-08-20 |
| 1942812128 | Samantha Norman Kheboian | Specialist/Technologist | 71 Lakeshore Ave, Beverly, MA 01915-1907 | 2020-08-19 |
| Find all providers with the same taxonomy | ||||
| City | WESTBOROUGH |
| Zip Code | 01581 |
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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.