DEREK RAYNES (NPI# 1770035594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770035594 |
| Entity Type | Individual |
| Full Name | DEREK RAYNES |
| Credential | MS, ATC, PES, CFCE |
| Practice Address |
5510 Maccorkle Ave Se Charleston WV 25304-2320 |
| Practice Telephone | 3047205433 |
| Mailing Telephone | 3047205433 |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT001306 | WV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5510 MACCORKLE AVE SE |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25304-2320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932580065 | Dpt, Inc | Clinic/Center | 5510 Maccorkle Ave Se, Charleston, WV 25304 | 2015-06-15 |
| 1962057067 | Andrew Wright | Physical Therapist | 5510 Maccorkle Ave Se, Charleston, WV 25304-2320 | 2019-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893908 | Sade Yvonne Rice | Technician | 392 B South Parkd Rd, Charleston, WV 25304 | 2020-08-27 |
| 1053931410 | Pir Ali Shah | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 | 2020-04-25 |
| 1649807603 | Jasmine Shah | Student in an Organized Health Care Education/Training Program | 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 | 2020-03-26 |
| 1447811872 | Kwasi Amponsah Gambrah | Student in an Organized Health Care Education/Training Program | 3200 Mac Corkle Ave. Se, Robert C. Byrd Clinical Teaching Center, 5th Floor, Charlestoni, WV 25304 | 2019-06-26 |
| 1457916751 | Divya Kalluru | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, 4th Floor Internal Medicine Department, Charleston, WV 25304 | 2019-05-02 |
| 1841854965 | Sean Michael Percy Losier | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave., Se, Camc Family Medicine Center Robert C. Byrd Clinical Tea, Charleston, WV 25304 | 2019-04-24 |
| 1700440047 | Priyanka Chowdhry | Student in an Organized Health Care Education/Training Program | Robert C. Bird Clinical Training Center, 4th Floor, 3200 Maccorkle Avenue, Southeast, Charleston, WV 25304 | 2019-04-23 |
| 1568925469 | Saranya Dinesan | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave. Se, 4th Floor, Robert C. Byrd Clini, Charleston, WV 25304 | 2019-04-09 |
| 1043771694 | Mary Elizabeth Novak | Student in an Organized Health Care Education/Training Program | Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 | 2019-03-27 |
| 1124518600 | Abdullah Sohail | Student in an Organized Health Care Education/Training Program | 4th Floor, 3200 Maccorkle Ave, South East Robert C. Bir, Charleston, WV 25304 | 2018-05-10 |
| Find all providers in zip 25304 | ||||
| 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 |
|---|---|---|---|---|
| 1689291874 | Stephanie Davey | Specialist/Technologist | 1250 Marshview Dr, Charleston, SC 29412-8200 | 2020-07-03 |
| 1730704669 | Lester Groves Pittman | Specialist/Technologist | 1 Bishop Gadsden Way Apt 130, Charleston, SC 29412-3569 | 2020-06-16 |
| 1174159594 | Meagan B. Rasberry | Specialist/Technologist | 1047 Barbados Way, Charleston, SC 29412-8648 | 2020-03-17 |
| 1740744994 | Kalissa Bannister | Specialist/Technologist | 408 Jerick Cir, Charleston, WV 25302-4470 | 2019-01-22 |
| 1083188759 | Kailey Garten | Specialist/Technologist | 5242 Kanawha Blvd E, Charleston, WV 25306-6256 | 2019-01-16 |
| 1528532645 | Madyson Paige Hawley | Specialist/Technologist | 118 Shadowmoss Pkwy, Charleston, SC 29414-6845 | 2019-01-11 |
| 1174093413 | Perry Louisa Mcghee | Specialist/Technologist | 1390 Nottingham Rd, Charleston, WV 25314-2432 | 2018-11-29 |
| 1922575562 | Casandre Worsdorfer | Specialist/Technologist | 123 Presidio Pointe, Charleston, WV 25313-1591 | 2018-11-01 |
| 1679066773 | Jennifer Hess | Specialist/Technologist | 2506 Lantz Building, Charleston, IL 61920 | 2018-06-13 |
| 1144759689 | Julie Ann Bamberg | Specialist/Technologist | 1906 Gammon St, Charleston, SC 29414-8129 | 2017-06-08 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25304 |
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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.