GRETCHEN MARIE RODENBERGER (NPI# 1619477494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619477494 |
Entity Type | Individual |
Full Name | GRETCHEN MARIE RODENBERGER |
Practice Address |
2449 Shibley Ave San Jose CA 95125-4070 |
Practice Telephone | 4088398260 |
Mailing Telephone | 4088398260 |
Enumeration Date | 2018-02-18 |
Last Update Date | 2018-02-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
2449 SHIBLEY AVE |
City | SAN JOSE |
State | CA |
Zip Code | 95125-4070 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285245431 | Carmen J. Frank | Marriage & Family Therapist | 913 Willow St., Suite 103, San Jose, CA 95125 | 2020-08-12 |
1376197848 | Mariam Samir Abadir | Dentist | 1670 Westwood Dr. Suite K, San Jose, CA 95125 | 2019-08-01 |
1750870747 | Gertrud Stojancic | Massage Therapist | 3315 Almaden Expressway, # 27/29, San Jose, CA 95125 | 2018-05-04 |
1659809259 | Edward Escoto | Assistant Behavior Analyst | 2075 Lincoln Ave Ste D, San Jose, CA 95125 | 2017-05-25 |
1104288422 | Kristin Ann Dessau | Counselor | 1261 Lincoln Avenue, Suite 202, San Jose, CA 95125 | 2016-03-25 |
1275964488 | Indian Health Center of Santa Clara Valley | Clinic/Center | 1685 Westwood Dr Ste 1, San Jose, CA 95125 | 2013-12-13 |
1598042905 | Walgreens | Exclusive Provider Organization | 2585 Almaden Road, San Jose, CA 95125 | 2011-11-14 |
1881981488 | Kevin Jia-chian Yen | Dentist | 1660 Willow St Ste 5, San Jose, CA 95125 | 2011-07-02 |
1699093724 | Lokahi Acupuncture, Inc. | Acupuncturist | 1688 Willow Street, Suite B, San Jose, CA 95125 | 2010-05-13 |
1538482468 | Mark Lucius Yoslow | Psychologist | 970 Minnesota Avenue, San Jose, CA 95125 | 2010-03-06 |
Find all providers in zip 95125 |
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 |
---|---|---|---|---|
1093326324 | Kyungmo Han | Specialist/Technologist | Department of Kinesiology One Washington Square, San Jose, CA 95192-0001 | 2020-08-11 |
1518587021 | Scott Allen Zimmerman | Specialist/Technologist | 5000 Mitty Way, San Jose, CA 95129-1868 | 2020-04-24 |
1407406788 | Binh Hung Ton-that | Specialist/Technologist | 4198 Gion Ave, San Jose, CA 95127-1908 | 2019-09-18 |
1184279226 | Tanner Fowler | Specialist/Technologist | 1306 The Alameda Apt 221, San Jose, CA 95126-5014 | 2019-08-06 |
1447804521 | Michael Tai Tang | Specialist/Technologist | 424 S 7th St, San Jose, CA 95112-3809 | 2019-07-28 |
1376001784 | Wilson Hsieh | Specialist/Technologist | 4648 Park Milford Pl, San Jose, CA 95136-2521 | 2019-03-05 |
1376012948 | Theresa Ortiz | Specialist/Technologist | 796 Amanda Dr, San Jose, CA 95136-1909 | 2018-11-13 |
1073091625 | Rachel Ann Vaccaro | Specialist/Technologist | 1539 Hervey Ln, San Jose, CA 95125-1849 | 2018-08-04 |
1063909190 | Mayuresh Nandkeolyar | Specialist/Technologist | 5460 Don Diablo Ct, San Jose, CA 95123-3113 | 2018-04-14 |
1164929873 | Catherine English | Specialist/Technologist | 850 The Alameda Ste 20, San Jose, CA 95126-3146 | 2018-04-09 |
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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.