JOVON PETTY (NPI# 1619441912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619441912 |
Entity Type | Individual |
Full Name | JOVON PETTY |
Practice Address |
629 Laverock Rd Glenside PA 19038-2817 |
Practice Telephone | 2159101476 |
Enumeration Date | 2019-01-20 |
Last Update Date | 2019-01-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
629 LAVEROCK RD |
City | GLENSIDE |
State | PA |
Zip Code | 19038-2817 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639723042 | Kristen Lea Badawy | Nurse Practitioner | 910 East Willow Grove, Wyndmoor, PA 19038 | 2019-07-25 |
1437634581 | Francis Anthony Angiolillo | Physical Therapist | 417 Montier Rd, Glenside, PA 19038 | 2018-09-25 |
1760972277 | Eminence Home Care LLC | In Home Supportive Care | 32541 Chestnut St, #800, Philadelphia, PA 19038 | 2018-05-10 |
1346764875 | Carly Michel Mcdade | Marriage & Family Therapist | 629 Bethlehem Pike, Erdenheim, PA 19038 | 2017-07-26 |
1639606015 | Leslie Aurino | Acupuncturist | 7817-b Queen Street, Wyndmoor, PA 19038 | 2017-05-17 |
1255765962 | Albert Vincent La Rocca | Dentist | 111 N. Easton Rd., Glenside, PA 19038 | 2013-08-29 |
1801127469 | Chestnut Hill Allergy and Asthma Associates, LLC | Internal Medicine | 8200 Flourtown Ave Ste 4, Wyndmoor, PA 19038 | 2010-01-21 |
1588895817 | Marie C. Kelly-tralies | Nurse Practitioner | 2704 Spear Ave, Glenside, PA 19038 | 2009-08-04 |
1477781946 | James P. Soulges | Family Medicine | 7607 Louise Lane, Glenside, PA 19038 | 2009-06-23 |
1598947038 | Barbara Carol Holder | Psychologist | 2711 West Church Road, Glenside, PA 19038 | 2007-11-27 |
Find all providers in zip 19038 |
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 |
---|---|---|---|---|
1124674874 | Lee Deheer | Specialist/Technologist | 212 Harrison Ave, Glenside, PA 19038-3904 | 2019-08-16 |
1720560220 | John Waldinger | Specialist/Technologist | 525 Roberts Ave, Glenside, PA 19038-3708 | 2018-08-30 |
1134669682 | Kelly Graham | Specialist/Technologist | 601 Custis Rd, Glenside, PA 19038-2013 | 2017-03-02 |
1811448988 | Justin Cobb | Specialist/Technologist | 845 G Ave, Glenside, PA 19038-1806 | 2016-10-24 |
1164077574 | Danielle M Duffy | Specialist/Technologist | 450 S Easton Rd, Glenside, PA 19038-3215 | 2019-08-03 |
1497231088 | Heather Marie Olex | Specialist/Technologist | 450 S Easton Rd, Glenside, PA 19038-3215 | 2018-07-17 |
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 |
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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.