ADAM GROOSE (NPI# 1740696210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740696210 |
| Entity Type | Individual |
| Full Name | ADAM GROOSE |
| Credential | M.S., LAT, PES |
| Practice Address |
975 Port Washington Rd Grafton WI 53024-9201 |
| Practice Telephone | 2623292700 |
| Mailing Telephone | 2623292700 |
| Enumeration Date | 2014-07-06 |
| Last Update Date | 2014-07-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1468-38 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
975 PORT WASHINGTON RD |
| City | GRAFTON |
| State | WI |
| Zip Code | 53024-9201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942292610 | Robert N. Fish | Anesthesiology | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2005-08-18 |
| 1700499845 | Melissa A Stock | Nurse Practitioner | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2020-08-28 |
| 1689292708 | Scott Thompson | Physical Therapist | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2020-07-07 |
| 1740807296 | Todd R Stanley | Registered Nurse | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2020-07-01 |
| 1639792666 | Emily Ann Feather | Physical Therapist | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2020-05-26 |
| 1073136180 | Jasleen Guru | Physical Therapist | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2020-05-22 |
| 1811517097 | William Knox | Occupational Therapist | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2020-04-17 |
| 1679192314 | Caitlin Marie Hill | Speech-Language Pathologist | 975 Port Washington Rd, Grafton, WI 53024-9204 | 2020-04-13 |
| 1447888789 | Beverly Altman | Massage Therapist | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2020-03-31 |
| 1013540566 | Matthew David Poli | Physician Assistant | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2020-02-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739135 | Kathy Anne Herzog | Counselor | 101 Falls Rd Suite 210, Grafton, WI 53024 | 2018-02-06 |
| 1992215867 | Caroline Marie Brandt | Nurse Practitioner | 975 Port Washington Rd Ste 310, Grafton, WI 53024 | 2017-10-05 |
| 1124569181 | Quirt Family Dentistry, Sc | Dentist | 1580 Port Washington Road, Grafton, WI 53024 | 2017-03-10 |
| 1639626260 | Jennifer Pogodzinski | Physical Therapist | 975 N. Port Washington Avenue, Grafton, WI 53024 | 2016-09-01 |
| 1750790119 | Amanda K Olejniczak | Dentist | 1505 Wisconsin Ave, Ste 130, Grafton, WI 53024 | 2014-08-10 |
| 1992053680 | Liliya Lakshtanov | Registered Nurse | 910 E. Paradise Dr., West Bend, WI 53024 | 2012-08-28 |
| 1467708446 | Trevor Holwell | Pharmacist | 1600 N Port Washington Rd, Grafton, WI 53024 | 2012-07-27 |
| 1770838120 | Brian A. Vetterkind | Physical Therapist | 2225 Wisconsin Ave Ste 100, Grafton, WI 53024 | 2012-07-20 |
| 1366774689 | Tracy Lynn Doro-krueger | Counselor | 1814 Arapaho Court, Grafton, WI 53024 | 2010-02-11 |
| 1659507754 | Karen Marie Geschke | Physical Therapist | 2020 Cheyenne Ct., Grafton, WI 53024 | 2009-06-03 |
| Find all providers in zip 53024 | ||||
| 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 |
|---|---|---|---|---|
| 1073134615 | Brian Wood | Specialist/Technologist | 1950 Washington St, Grafton, WI 53024-2103 | 2020-05-06 |
| 1851813604 | Veronica Annmarie Burke | Specialist/Technologist | 13 Pullard Rd Unit 8, Grafton, MA 01519-1127 | 2017-07-13 |
| 1902344831 | Sarah Renae Brown | Specialist/Technologist | 1233 Hinkle Rd, Grafton, WV 26354-7947 | 2017-02-11 |
| 1992108922 | James Daniel Scanlon | Specialist/Technologist | 24 Providence Rd, Grafton, MA 01519-1178 | 2014-10-05 |
| 1144612573 | Nathan David Harshberger | Specialist/Technologist | 400 Riverside Dr, Grafton, WV 26354-1654 | 2015-02-23 |
| 1720477797 | Sarah Mealy | Specialist/Technologist | 24 Providence Rd, Grafton, MA 01519 | 2015-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657329 | Tyler John Friis | Specialist/Technologist | 1514 E Keystone Ln, Appleton, WI 54913-7162 | 2020-10-21 |
| 1184222085 | Ryan James Mcnamara | Specialist/Technologist | 28914 Golden Cir, Waterford, WI 53185-1197 | 2020-10-13 |
| 1770198699 | Tanner Sterling | Specialist/Technologist | 2538 E Garrison Rd, Foxboro, WI 54836-9507 | 2020-09-09 |
| 1922626670 | Eric William Brostrom | Specialist/Technologist | 3305 Lilly Rd, Brookfield, WI 53005-7608 | 2020-07-09 |
| 1174146690 | Brycen Valiga | Specialist/Technologist | 4477 S 113th St, Greenfield, WI 53228-2566 | 2020-05-19 |
| 1104448307 | Xeing Randy Yang | Specialist/Technologist | 2207 Namekagon St, Hudson, WI 54016-9426 | 2020-05-11 |
| 1124649751 | Cody Scott Tesch | Specialist/Technologist | 6680 N Teutonia Ave, Milwaukee, WI 53209-3117 | 2020-05-05 |
| 1659992642 | Kelley Potila | Specialist/Technologist | 255 Maggilu Ct, Jefferson, WI 53549-2095 | 2020-04-30 |
| 1366070708 | Claire Duwell | Specialist/Technologist | 9111 W Bluemound Rd, Milwaukee, WI 53226-4506 | 2020-03-31 |
| 1851929491 | Frank Dore | Specialist/Technologist | 3265 N Oakland Ave, Milwaukee, WI 53211-3051 | 2020-03-30 |
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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.