KEEGAN FLYNN (NPI# 1750749024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750749024 |
| Entity Type | Individual |
| Full Name | KEEGAN FLYNN |
| Credential | ATC |
| Practice Address |
169 Lake St Hamburg NY 14075-4823 |
| Practice Telephone | 7169124257 |
| Mailing Telephone | 7169124257 |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2016-02-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| 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 |
169 LAKE ST |
| City | HAMBURG |
| State | NY |
| Zip Code | 14075-4823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538781281 | Devan Fischer | Student in an Organized Health Care Education/Training Program | 6490-17 Taylor Woods Road, Hamburg, NY 14075 | 2020-05-15 |
| 1417590746 | Jackson Mar | Counselor | 140 Pine St., Hamburg, NY 14075 | 2019-10-18 |
| 1831666122 | Andrea Lynn Baron | Physician Assistant | 5022 Morgan Parkway, Hamburg, NY 14075 | 2018-10-25 |
| 1164905584 | Michael Grundtisch | Physical Therapist | 5284 Briercliff Drive, Hamburg, NY 14075 | 2018-09-11 |
| 1629571187 | Dawn Rydzynski | Counselor | 140 Pin St, Hamburg, NY 14075 | 2018-03-12 |
| 1760990873 | Buffalo Orthopaedic Group, LLP | Orthopaedic Surgery | 4901 Camp Rd. Suite 100, Buffalo Orthopaedic Group, LLP, Hamburg, NY 14075 | 2018-01-11 |
| 1821500562 | Theresa M Tripi | Counselor | 140 Pin Street, Hamburg, NY 14075 | 2017-11-03 |
| 1831548841 | Mary Coble | Student in an Organized Health Care Education/Training Program | 6490-17 Taylor Road, Hamburg, NY 14075 | 2016-06-09 |
| 1700287737 | Jessica Schreiner | Occupational Therapist | 6490-17 Taylor Rd, Hamburg, NY 14075 | 2014-09-09 |
| 1235576976 | Christina Lowman | Dietitian, Registered | 4535 Southwestern Blvd Suite 804a, Southtowns Medical and Professional Park, Hamburg, NY 14075 | 2013-06-03 |
| Find all providers in zip 14075 | ||||
| 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 |
|---|---|---|---|---|
| 1386270726 | Jordan D Wissinger | Specialist/Technologist | 404 Florence Ave, Hamburg, PA 19526-8318 | 2020-03-17 |
| 1861890808 | Gregory Peri | Specialist/Technologist | 5200 S Park Ave, Hamburg, NY 14075-1519 | 2014-12-08 |
| 1174931497 | Wayne Resh | Specialist/Technologist | 33 Alpine Rd, Hamburg, PA 19526-8531 | 2014-07-30 |
| 1245643766 | John Munro | Specialist/Technologist | 90 Newton Rd, Hamburg, NY 14075-5325 | 2014-06-03 |
| 1710004445 | Amy J Cameron | Specialist/Technologist | 3058 Pleasant Ave, Hamburg, NY 14075-3626 | 2007-03-26 |
| 1255469060 | Cynthia Catherine Dematteis | Specialist/Technologist | 10020 Professional Center Drive, Hamburg, MI 48139 | 2007-03-01 |
| 1932205085 | Scott Robert Leiter | Specialist/Technologist | 10 Grumm Rd, Hamburg, NJ 07419-2327 | 2006-09-16 |
| 1861454134 | Stephen Gleason | Specialist/Technologist | 43 Oakhill Dr, Hamburg, NY 14075-4620 | 2006-04-03 |
| 1407375231 | Michael Robert Armstrong | Specialist/Technologist | 12 Prospect Ave, Hamburg, NJ 07419 | 2017-09-13 |
| 1922525211 | Katie Ann Miller | Specialist/Technologist | 4432 Bay View Rd, Hamburg, NY 14075-1335 | 2017-08-28 |
| Find all providers in HAMBURG | ||||
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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.