JACOB E BALLARD (NPI# 1558645713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558645713 |
| Entity Type | Individual |
| Full Name | JACOB E BALLARD |
| Credential | ATC |
| Practice Address |
464 Saint Lukes Dr Montgomery AL 36117-7104 |
| Practice Telephone | 3342720853 |
| Practice Fax Number | 3342720871 |
| Mailing Telephone | 3342720853 |
| Mailing Fax Number | 3342720871 |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1049 | AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558993667 | Jacob James Ballard | Nurse Practitioner | 302 Hobart St, Cadillac, MI 49601-2379 | 2020-02-06 |
| 1891340311 | Jacob Scott Ballard | Chiropractor | 300 Beardsley Ln Bldg E, Austin, TX 78746-4954 | 2019-08-02 |
| Street Address |
464 SAINT LUKES DR |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36117-7104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083688733 | Chris Vista Cardona | Specialist/Technologist | 464 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2006-02-16 |
| 1861006546 | Sarah Joy Cundiff | Physical Therapist | 464 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2020-09-01 |
| 1174135768 | Derick Deante Bothwell | Physical Therapist | 464 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2020-08-17 |
| 1346706504 | Mallory Lambeth | Physical Therapist | 464 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2019-02-13 |
| 1720485022 | Ray Anthony Hall Jr. | Physical Therapist | 464 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2014-12-02 |
| 1649551003 | Tony Bridges | Specialist/Technologist | 464 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2011-08-30 |
| 1871618793 | Angela Mazza Reeves | Physical Therapist | 464 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2007-03-20 |
| 1134260789 | Rehab Associates LLC | Clinic/Center | 464 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2007-02-08 |
| 1891704383 | Rehab Associates, LLC | Clinic/Center | 464 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2006-08-05 |
| 1427094630 | Steven David Bryson | Physical Therapist | 464 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2006-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1417421496 | Tiffany Webb | Specialist | 411 Twain Curve, E, Montgomey, AL 36117 | 2019-01-14 |
| 1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
| 1770050791 | Blair Henderson Parks | Speech-Language Pathologist | 7088 University Court, Montgomery, AL 36117 | 2018-10-29 |
| 1629557822 | Evelyn F Crayton | Dietitian, Registered | 124 Elm Dr, Montgomery, AL 36117 | 2018-08-08 |
| 1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
| 1063912301 | Gardenia Cove Mental Health PC | Psychiatry & Neurology | 6771 Taylor Circle, Montgomery, AL 36117 | 2018-02-13 |
| 1760900294 | Montgomery Auburn Homecare LLC | In Home Supportive Care | 2569 Bell Rd, Montgomery, AL 36117 | 2017-09-05 |
| 1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
| Find all providers in zip 36117 | ||||
| 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 |
|---|---|---|---|---|
| 1518421494 | Jakob Rodriguez | Specialist/Technologist | 2311 Thunder Gulch Rd, Montgomery, IL 60538-3442 | 2019-01-25 |
| 1285122747 | Joshua Michael Walter | Specialist/Technologist | 62 Sierra Rd, Montgomery, IL 60538-2434 | 2018-04-30 |
| 1497254247 | Nathan Mccroskey | Specialist/Technologist | 7932 Norris Farms Rd, Montgomery, AL 36116-2228 | 2018-02-07 |
| 1619405081 | Christa Canty | Specialist/Technologist | 5724 Arbor Station Rd Apt A, Montgomery, AL 36117-4664 | 2017-05-30 |
| 1720524481 | Ashley Williamson | Specialist/Technologist | 9668 Bent Brook Dr, Montgomery, AL 36117-5188 | 2017-01-18 |
| 1639626799 | Hailey Anthony | Specialist/Technologist | 402 Patchett Way, Montgomery, NY 12549-1225 | 2016-09-07 |
| 1629522388 | Vanual Rickey Hayes IIi | Specialist/Technologist | 3533 Oak Shadow Ct, Montgomery, AL 36116-1915 | 2016-08-11 |
| 1356730246 | Elizabeth Schmidt | Specialist/Technologist | 84 River St, Montgomery, NY 12549-1306 | 2015-01-14 |
| 1205244829 | Jennifer Perrine | Specialist/Technologist | 2337 Brookstone Dr, Montgomery, AL 36117-6929 | 2014-07-28 |
| 1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36117 |
Please comment or provide details below to improve the information on JACOB E BALLARD.
| 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.