MR. DAVID RANDALL BOKULICH (NPI# 1740254077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740254077 |
| Entity Type | Individual |
| Full Name | MR. DAVID RANDALL BOKULICH |
| Credential | ATC |
| Practice Address |
3200 Pleasant Valley Blvd Altoona PA 16602-4310 |
| Practice Telephone | 8149499500 |
| Mailing Telephone | 8149499500 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2013-12-24 |
| 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 |
3200 PLEASANT VALLEY BLVD |
| City | ALTOONA |
| State | PA |
| Zip Code | 16602-4310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427045640 | Hope Eileen Sheehan | Occupational Therapist | 3200 Pleasant Valley Blvd, Altoona, PA 16602-4310 | 2005-10-03 |
| 1295291524 | Shelley Marie Leap | Physical Therapist | 3200 Pleasant Valley Blvd, Altoona, PA 16602-4310 | 2019-02-12 |
| 1649638248 | Matthew Thomas Repko | Physical Therapist | 3200 Pleasant Valley Blvd, Altoona, PA 16602-4310 | 2016-02-10 |
| 1386985810 | Wesley Lyons | Specialist/Technologist | 3200 Pleasant Valley Blvd, Altoona, PA 16602-4310 | 2013-03-07 |
| 1851628614 | Ashlee Autumn Gray | Specialist/Technologist | 3200 Pleasant Valley Blvd, Altoona, PA 16602-4310 | 2009-11-14 |
| 1508063363 | Jessica Ann Sposito | Specialist/Technologist | 3200 Pleasant Valley Blvd, Altoona, PA 16602-4310 | 2007-06-27 |
| 1689704314 | Craig Matthew Sechler | Specialist/Technologist | 3200 Pleasant Valley Blvd, Altoona, PA 16602-4310 | 2007-03-06 |
| 1629087713 | Shalonne N Sipes | Occupational Therapist | 3200 Pleasant Valley Blvd, Altoona, PA 16602-4310 | 2006-08-07 |
| 1942220462 | Kristen Ann Hesketh | Specialist/Technologist | 3200 Pleasant Valley Blvd, Altoona, PA 16602 | 2006-07-20 |
| 1952335341 | John Dean Burmeister Jr. | Physical Therapist | 3200 Pleasant Valley Blvd, Altoona, PA 16602-4310 | 2006-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817646 | John Francis Cain | Registered Nurse | 319 Meadowlark Ave, Altoona, PA 16602 | 2020-10-06 |
| 1023650991 | Rahaf Obeid | Pharmacist | 508 E Plank Road, Altoona, PA 16602 | 2019-10-12 |
| 1346713641 | Justin M Delasko | Dietitian, Registered | 905 Logan Blvd, Altoona, PA 16602 | 2019-01-09 |
| 1679932420 | Dottie Jean Morgan | Speech-Language Pathologist | 501 Valley View Blvd., Altoona, PA 16602 | 2016-02-22 |
| 1922409283 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 1600 9th Avenue, Altoona, PA 16602 | 2014-09-05 |
| 1972918878 | Grane Hospice Care, Inc. | Hospice Care, Community Based | 115 Union Ave Ste 100, Altoona, PA 16602 | 2014-06-30 |
| 1033524921 | Grane Hospice Care, Inc. | Home Health | 115 Union Ave Ste 300, Altoona, PA 16602 | 2014-06-30 |
| 1306184858 | Lighthouse Medical, LLC | Physical Medicine & Rehabilitation | 301 E. Pleasant Valley Blvd, Altoona, PA 16602 | 2013-01-17 |
| 1497042576 | Michala Seidel | Counselor | 3010 7th Avenue, Alternative Community Resource Program, Altoona, PA 16602 | 2011-07-08 |
| 1205121647 | Rebekah Brown | Preventive Medicine | 301 E Pleasant Valley Blvd., Altoona, PA 16602 | 2011-06-14 |
| Find all providers in zip 16602 | ||||
| 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 |
|---|---|---|---|---|
| 1144784331 | Philip Jason Mazzei | Specialist/Technologist | 1200 Oakleaf Way # A, Altoona, WI 54720-2245 | 2019-01-22 |
| 1609324367 | Spencer Luciano | Specialist/Technologist | 423 22nd Ave, Altoona, PA 16601-4144 | 2016-09-12 |
| 1659724938 | Joshua Lawrence | Specialist/Technologist | 1603 3rd Ave Se, Altoona, IA 50009-2074 | 2016-07-21 |
| 1023463304 | James Watters | Specialist/Technologist | 210 E Alta Ave, Altoona, PA 16601-3702 | 2016-04-25 |
| 1124218235 | Eric Scott Gormont | Specialist/Technologist | 5720 Ohio Ave, Altoona, PA 16602-1145 | 2007-07-26 |
| 1639682743 | Heather Dayton | Specialist/Technologist | 1200 Oakleaf Way, Altoona, WI 54720-2245 | 2017-11-10 |
| 1609233485 | Steven Reimer | Specialist/Technologist | 1415 6th Ave, Altoona, PA 16602-2427 | 2016-01-25 |
| 1386985810 | Wesley Lyons | Specialist/Technologist | 3200 Pleasant Valley Blvd, Altoona, PA 16602-4310 | 2013-03-07 |
| 1851628614 | Ashlee Autumn Gray | Specialist/Technologist | 3200 Pleasant Valley Blvd, Altoona, PA 16602-4310 | 2009-11-14 |
| 1538350061 | Dana Nicole Johnson | Specialist/Technologist | 612 8th St Sw, Altoona, IA 50009-2301 | 2007-08-08 |
| Find all providers in ALTOONA | ||||
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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.