ASHLEY MICHELLE GRODECKI (NPI# 1740734250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740734250 |
| Entity Type | Individual |
| Full Name | ASHLEY MICHELLE GRODECKI |
| Credential | ATC |
| Practice Address |
151 Ribault St Spartanburg SC 29302-2630 |
| Practice Telephone | 8644722836 |
| Mailing Telephone | 8644722836 |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1706 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
151 RIBAULT ST |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29302-2630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073071049 | Marcia Traviss Stevens | Physical Therapist | 151 Ribault St, Spartanburg, SC 29302-2630 | 2019-03-07 |
| 1396280319 | Young Men's Christian Association of Greater Spartanburg | Health Educator | 151 Ribault St, Spartanburg, SC 29302-2630 | 2016-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226476 | Healthstat Inc Grace Management | Preventive Medicine | 951 South Pin Street, Suite 200, Spartanburg, SC 29302 | 2020-08-18 |
| 1467978304 | Katherine Tomes | Speech-Language Pathologist | 355 Cedar Springs Road, Spartanburg, SC 29302 | 2017-08-22 |
| 1396291167 | Brent Timothy Smith | Specialist | 151 Ribault Street Suite 200, Spartanburg, SC 29302 | 2016-08-31 |
| 1376995159 | Natalie Nicole Kellett | Nurse Practitioner | 120 Heywood Avenue Suite 200, Spartanburg, SC 29302 | 2016-07-06 |
| 1902273808 | Tamieka Latrell Alston-gibson | Nurse Practitioner | 101 North Pine Street, Suite 210, Spartanburg, SC 29302 | 2015-08-26 |
| 1700209905 | Robert W Wyatt | Pharmacist | 203 Cedar Springs Rd, Spartanburg, SC 29302 | 2014-01-24 |
| 1952735748 | James Sidney Fulmer Sr. | Obstetrics & Gynecology | 167 Ivy Court, Spartanburg, SC 29302 | 2013-08-28 |
| 1053651828 | Jennifer Geddes Hall | Counselor | 101 N Pine St Ste 210, Spartanburg, SC 29302 | 2013-02-15 |
| 1487875514 | Park Place Spartanburg | Assisted Living Facility | 2720 Country Clud Road, Spartanburg, SC 29302 | 2007-05-02 |
| 1740304401 | Leon Derek Herring | Dentist | 270 Cedar Spring Rd, Spartanburg, SC 29302 | 2007-03-19 |
| Find all providers in zip 29302 | ||||
| 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 |
|---|---|---|---|---|
| 1417580861 | Kristin Schmidt | Specialist/Technologist | 1600 Bethpage Dr, Spartanburg, SC 29301-3340 | 2020-02-13 |
| 1275186496 | April Taylor | Specialist/Technologist | 500 Dupre Dr, Spartanburg, SC 29307-2978 | 2019-07-17 |
| 1740700905 | Jennifer Nixon | Specialist/Technologist | 151 Ribault St Ste 200, Spartanburg, SC 29302-2630 | 2017-06-20 |
| 1205204278 | Joel Curry | Specialist/Technologist | 256 Holly Dr, Spartanburg, SC 29301-2855 | 2015-09-09 |
| 1104215771 | Matthew Rabalais | Specialist/Technologist | 110 Southport Rd Apt 77, Spartanburg, SC 29306-3867 | 2015-01-20 |
| 1255601845 | Sarah Christine Jordan | Specialist/Technologist | 1000 Powell Mill Rd, Spartanburg, SC 29301-5808 | 2012-01-12 |
| 1437382454 | Brian Curtis Keim | Specialist/Technologist | 1650 Skylyn Dr Ste 320, Spartanburg, SC 29307-1081 | 2009-08-25 |
| 1891936449 | Mark William Mancebo | Specialist/Technologist | 429 N. Church Street, Spartanburg, SC 29303 | 2009-03-11 |
| 1982744603 | William Lawrence Christman II | Specialist/Technologist | 429 N Church St, Spartanburg, SC 29303-3612 | 2007-02-08 |
| 1134180508 | John Douglas Handley | Specialist/Technologist | 800 University Way, Spartanburg, SC 29303-4932 | 2006-03-28 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29302 |
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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.