KOREY BLODGETT (NPI# 1720618556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720618556 |
| Entity Type | Individual |
| Full Name | KOREY BLODGETT |
| Practice Address |
635 Commonwealth Ave Boston MA 02215-1605 |
| Mailing Address |
1469 Cedar Ave Mc Lean VA 22101-3515 |
| Practice Telephone | 6173532713 |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-01-21 |
| Gender Code | M |
| 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 |
635 COMMONWEALTH AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023095890 | Jonathan Mead Raymond | Physical Therapist | 635 Commonwealth Ave, Boston, MA 02215-1605 | 2005-12-22 |
| 1003417908 | Dagny Yuuki Barclay | Occupational Therapist | 635 Commonwealth Ave, Boston, MA 02215-1605 | 2020-11-06 |
| 1225662778 | Taishi Liu | Student in an Organized Health Care Education/Training Program | 635 Commonwealth Ave, Boston, MA 02215-1605 | 2020-02-24 |
| 1043843394 | Elizabeth Mehalick | Specialist/Technologist | 635 Commonwealth Ave, Boston, MA 02215-1605 | 2020-02-14 |
| 1972136372 | Hannah Ellen Stelman | Student in an Organized Health Care Education/Training Program | 635 Commonwealth Ave, Boston, MA 02215-1605 | 2020-02-14 |
| 1295367779 | Hiroki Tokunaga | Specialist/Technologist | 635 Commonwealth Ave, Boston, MA 02215-1605 | 2020-02-12 |
| 1003446592 | Jenna Scheeland | Specialist/Technologist | 635 Commonwealth Ave, Boston, MA 02215-1605 | 2020-01-23 |
| 1649800327 | Madison Jennings | Specialist/Technologist | 635 Commonwealth Ave, Boston, MA 02215-1605 | 2020-01-22 |
| 1982234654 | Alison Barahona | Specialist/Technologist | 635 Commonwealth Ave, Boston, MA 02215-1605 | 2020-01-22 |
| 1154951820 | Shayna Nicole Lewis | Specialist/Technologist | 635 Commonwealth Ave, Boston, MA 02215-1605 | 2020-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| 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 |
|---|---|---|---|---|
| 1700486693 | Mark Comstock | Specialist/Technologist | 74 Union Park St, Boston, MA 02118-2142 | 2020-10-29 |
| 1194289892 | Jacob White | Specialist/Technologist | 580 Commonwealth Ave Unit 501, Boston, MA 02215-2509 | 2019-01-27 |
| 1508333642 | Varshini Balasubramanian | Specialist/Technologist | 580 Commonwealth Ave Unit 307, Boston, MA 02215-2511 | 2018-10-26 |
| 1770081143 | Brittney Ann Harkey | Specialist/Technologist | 60 Fenwood Rd Ste 5016, Boston, MA 02115-6128 | 2018-01-31 |
| 1942708169 | Matthew Stephen Harkey | Specialist/Technologist | 35 Kneeland Street, 4th Floor, Boston, MA 02115-0211 | 2018-01-23 |
| 1740798065 | Hannah Oyedeji | Specialist/Technologist | 627 Commonwealth Ave, Boston, MA 02215-1606 | 2018-01-22 |
| 1205364247 | Emma Marie Gay | Specialist/Technologist | 285 Babcock Street, Case Center Athletic Training Clinic, Boston, MA 02215-1003 | 2017-06-02 |
| 1962959825 | Anna Jeanne Applegate | Specialist/Technologist | 140 Bay State Rd, Box 5361, Boston, MA 02215-1701 | 2016-09-07 |
| 1023475076 | Calleigh Fangmeyer | Specialist/Technologist | 65 North Harvard Street, Boston, MA 02163 | 2016-01-21 |
| 1053700955 | Cynthia Lopez | Specialist/Technologist | 254 Allston St # B, Boston, MA 02135-7660 | 2015-01-15 |
| Find all providers in BOSTON | ||||
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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.