JOHN RANDALL WOODWORTH (NPI# 1629695929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629695929 |
| Entity Type | Individual |
| Full Name | JOHN RANDALL WOODWORTH |
| Practice Address |
383 S Colorow Dr Rm 392 Salt Lake City UT 84108-1245 |
| Mailing Address |
1860 E 250 S Hper East, Room 208 Salt Lake City UT 84112 |
| Practice Telephone | 8015851820 |
| Mailing Telephone | 8015851820 |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-07-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518921725 | John C Woodworth | Family Medicine | 8941 N Rodgers Ct Se, Caledonia, MI 49316-8013 | 2006-04-14 |
| Street Address |
383 S COLOROW DR RM 392 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84108-1245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477161735 | Caroline Mccleery | Specialist/Technologist | 383 S Colorow Dr Rm 392, Salt Lake City, UT 84108-1245 | 2020-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548753056 | Maxine Ht Erickson | Assistant Behavior Analyst | 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 | 2018-06-08 |
| 1841704061 | Robyn Carver | Occupational Therapist | 421 Wakara Wat, Salt Lake City, UT 84108 | 2017-11-27 |
| 1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
| 1447708912 | Aubrianne Squire Evans | Occupational Therapist | 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 | 2016-09-14 |
| 1629524426 | Ryan Weisenbeck | Specialist/Technologist | 580 S Guardsman Way, Salt Lake City, UT 84108 | 2016-08-31 |
| 1164885547 | Michael Fazzone | Student in an Organized Health Care Education/Training Program | 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 | 2016-04-01 |
| 1669833489 | Bryon Claflin | Registered Nurse | 650 S Komas Ste 200, Salt Lake City, UT 84108 | 2016-03-08 |
| 1801283833 | Autism Assement Treatment Program Adult | Psychologist | 650 S Komas, Suite 200, Salt Lake City, UT 84108 | 2015-04-16 |
| 1578993275 | Matthew and David Dental Pllc | Dentist | 1355 Foothill Drive, Salt Lake City, UT 84108 | 2013-11-15 |
| 1841631520 | Deepika Garg | Internal Medicine | 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 | 2013-07-10 |
| Find all providers in zip 84108 | ||||
| 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 |
|---|---|---|---|---|
| 1780202978 | Katie Marie Plyer | Specialist/Technologist | 1860 E 250 S, Salt Lake City, UT 84112-4531 | 2020-07-14 |
| 1932727724 | Jose Luis Sandoval De Leon | Specialist/Technologist | 260 S 1850 E Rm 208, Salt Lake City, UT 84112-0910 | 2020-07-08 |
| 1114548310 | Sarah Elizabeth Christensen | Specialist/Technologist | 1215 N 2200 W, Salt Lake City, UT 84116-4128 | 2020-04-29 |
| 1174167035 | Nicole Schonrock | Specialist/Technologist | 3584 E Kings Hill Cir, Salt Lake City, UT 84121-6009 | 2019-11-04 |
| 1174186977 | Carly Reilly | Specialist/Technologist | 843 S Lincoln St, Salt Lake City, UT 84102-3612 | 2019-04-17 |
| 1083177505 | Vitor Gabriel Giuliani Alcantara Carioca | Specialist/Technologist | 1850 South Campus Drive, Salt Lake City, UT 84115 | 2019-04-11 |
| 1407313224 | Elenore Reid | Specialist/Technologist | 48 S 1300 E, Salt Lake City, UT 84102-1730 | 2019-02-28 |
| 1205306248 | Eric Raustein | Specialist/Technologist | 650 S 1100 E, Salt Lake City, UT 84102-3902 | 2018-12-03 |
| 1245723931 | Clinton James Bowser | Specialist/Technologist | 255 N 400 W Apt 5, Salt Lake City, UT 84103-1233 | 2018-06-07 |
| 1760998546 | Nixon Dorvilien | Specialist/Technologist | 1420 S 500 W, Salt Lake City, UT 84115-5149 | 2017-12-16 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84108 |
Please comment or provide details below to improve the information on JOHN RANDALL WOODWORTH.
| 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.