JASON LUTY


Address: 205 S Providence Rd, Wallingford, PA 19086-6333
Phone: 6103107690

JASON LUTY (NPI# 1659706943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659706943
Entity Type Individual
Full Name JASON LUTY
Credential ATC
Practice Address 205 S Providence Rd
Wallingford
PA 19086-6333
Mailing Address 23 Sandy Ln
Malvern
PA 19355-3027
Practice Telephone 6103107690
Enumeration Date 2013-09-05
Last Update Date 2013-09-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
PA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 205 S PROVIDENCE RD
City WALLINGFORD
State PA
Zip Code 19086-6333

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487200473 Andrew Paul Bucko Specialist/Technologist 205 S Providence Rd, Wallingford, PA 19086-6333 2019-08-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780168997 Cara Grace Termini Speech-Language Pathologist 315 Prichard Ln, Wallingford, PA 19086 2018-09-24
1235633637 Katharina Stephanie Shaw Student in an Organized Health Care Education/Training Program 100 Blackthorn Rd, Wallingford, PA 19086 2018-03-20
1750790382 Debra Thompson Psychologist 715 Scott Lane, Wallingford, PA 19086 2014-08-07
1265853709 Tamar V Jefferis Internal Medicine 19 N. Providence Road, Box 267, Wallingford, PA 19086 2013-12-31
1396052460 Sabina Sharmeen Internal Medicine 1161, Putnam Boulovard, Wallingford, PA 19086 2010-09-09
1790922789 Carol Lecleire Dentist 9 Dale Lane, Wallingford, PA 19086 2009-01-13
1104885995 Wallingford-swarthmore Sd Speech-Language Pathologist 200 South Providence Rd, Wallingford, PA 19086-3817 2006-03-21
1700841780 Wallingford Swarthmore Sd Clinic/Center 200 South Providence Rd, Wallingford, PA 19086-3817 2006-04-20
1477890317 Alison S. Neuhaus Lactation Consultant, Non-RN 305 Dogwood Ln, Wallingford, PA 19086-6007 2013-01-11
1881648095 Amir Katz Physical Medicine & Rehabilitation 303 Plush Mill Rd, Wallingford, PA 19086-6022 2006-05-20
Find all providers in zip 19086

Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629686316 Thomas Mansfield Specialist/Technologist 222 Brentwood Dr, Wallingford, CT 06492-4352 2020-07-19
1225545148 Michael Richard Sampson Specialist/Technologist 61 N Plains Industrial Rd, Wallingford, CT 06492-5841 2017-12-30
1982110144 Kurt Johnson Specialist/Technologist 10 Pond Ct, Wallingford, CT 06492-2142 2017-12-22
1912435835 George Dechello IIi Specialist/Technologist 317 Harrison Rd, Wallingford, CT 06492-5407 2017-05-23
1326585589 Meghan Castellano Specialist/Technologist 65 Kingsland Ave, Wallingford, CT 06492-3957 2017-01-26
1528437068 Tyler Konopka Specialist/Technologist 2 Tennessee Ave, Wallingford, CT 06492-3017 2015-09-15
1659752269 Alicia Marie Pike Specialist/Technologist 41 Jobs Rd, Wallingford, CT 06492-2531 2015-06-10
1609282557 Kaitlin Fionna Leddy Specialist/Technologist 36 Waterford Way, Wallingford, PA 19086-7217 2014-07-10
1902022148 Gary David Dormandy Specialist/Technologist 333 Christian Street, Choate Rosemary Hall, Wallingford, CT 06492 2007-04-17
1083707806 Brian Edward Holloway Jr. Specialist/Technologist 333 Christian St, Wallingford, CT 06492-3818 2006-10-02
Find all providers in WALLINGFORD

Competitor

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City WALLINGFORD
Zip Code 19086

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Dataset Information

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.

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