DOMINIC MICHAEL WORRELL (NPI# 1770819195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770819195 |
| Entity Type | Individual |
| Full Name | DOMINIC MICHAEL WORRELL |
| Credential | ATC |
| Practice Address |
802 W Genesee St Lansing MI 48915-1841 |
| Practice Telephone | 5175058033 |
| Mailing Telephone | 5175058033 |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |
| 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 |
802 W GENESEE ST |
| City | LANSING |
| State | MI |
| Zip Code | 48915-1841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245844042 | Connie Elaine Crump | Home Health | 730 W. Ionia St Apt 303, Lansing, MI 48915 | 2020-08-31 |
| 1164905675 | Jenna Debryn | Counselor | The Guidance Center, 13101 Allen Rd. Building 4, Southgate, MI 48915 | 2018-09-11 |
| 1417315466 | Team Wellness | Community/Behavioral Health | 14799 Dix-toledo Rd, Southgate, MI 48915 | 2016-02-05 |
| 1154799419 | Amy S Campbell | Marriage & Family Therapist | 1805 Inverness Ave, Lansing, MI 48915 | 2015-09-03 |
| 1619206513 | Professional Peer Services | Community/Behavioral Health | 316 S Martin L King Blvd, # 2, Lansing, MI 48915 | 2009-12-24 |
| 1750551651 | Steven Shawn Sylvertooth | Physical Therapy Assistant | 818 Max Ave, Lansing, MI 48915-1016 | 2008-03-06 |
| 1225654361 | Latoria Hudson Mcdonald | Case Manager/Care Coordinator | 400 Everett Dr, Lansing, MI 48915-1106 | 2020-06-24 |
| 1174064901 | Kristen Cole Boeskool | Social Worker | 516 Everett Dr, Lansing, MI 48915-1108 | 2017-03-13 |
| 1245352087 | Maxine Thome | Social Worker | 1531 Osborn Rd, Lansing, MI 48915-1282 | 2007-04-04 |
| 1902432875 | Tiffany Jackson | Technician | 712 N Jenison Ave, Lansing, MI 48915-1309 | 2020-03-23 |
| Find all providers in zip 48915 | ||||
| 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 |
|---|---|---|---|---|
| 1508480005 | Functional Mobility and Health, LLC | Specialist/Technologist | 13575 S Airport Rd, Lansing, MI 48906-9101 | 2020-06-01 |
| 1770116162 | Maddie Boerman | Specialist/Technologist | 81 Wilson Rd, Lansing, NY 14882-9017 | 2020-02-13 |
| 1023572716 | Courtney Chanel Young | Specialist/Technologist | 5515 Pembrook Pl, Lansing, MI 48917-3953 | 2019-01-26 |
| 1194250191 | Nicole Dedrick | Specialist/Technologist | 1009 W Barnes Ave, Lansing, MI 48910-1307 | 2017-04-27 |
| 1396297008 | Ryan Morrison | Specialist/Technologist | 4821 Duvernay Dr Apt 103, Lansing, MI 48910-8233 | 2016-10-28 |
| 1760836845 | Kyle Knapp | Specialist/Technologist | 7402 Westshire Dr, Suite 105, Lansing, MI 48917-8988 | 2016-04-14 |
| 1205210580 | Julie Ascher | Specialist/Technologist | 1412 147th Street, Lansing, KS 66043 | 2015-07-16 |
| 1710371430 | Melanie Burkholder | Specialist/Technologist | 2028 Robinson Rd, Lansing, MI 48910-4838 | 2015-03-19 |
| 1609265818 | Ryan Johnson | Specialist/Technologist | 4336 Dell Rd Apt K, Lansing, MI 48911-8136 | 2015-01-12 |
| 1679998371 | Brittany Mitacek | Specialist/Technologist | 18500 Burnham Ave, Lansing, IL 60438-3046 | 2014-03-04 |
| Find all providers in LANSING | ||||
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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.