JORDON WEISE (NPI# 1770989204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770989204 |
| Entity Type | Individual |
| Full Name | JORDON WEISE |
| Credential | LAT,ATC |
| Practice Address |
878 Highway 411 N Etowah TN 37331-1912 |
| Mailing Address |
8823 Production Ln Ooltewah TN 37363-6511 |
| Practice Telephone | 4232637070 |
| Practice Fax Number | 4232637077 |
| Mailing Telephone | 4232387217 |
| Mailing Fax Number | 4232856647 |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2015-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1926 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
878 HIGHWAY 411 N |
| City | ETOWAH |
| State | TN |
| Zip Code | 37331-1912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083669550 | Richard H Cawthorn | Physical Therapist | 878 Highway 411 N, Etowah, TN 37331-1912 | 2006-05-23 |
| 1164787446 | Logan Whitfield Curry | Physical Therapist | 878 Highway 411 N, Etowah, TN 37331-1912 | 2012-07-12 |
| 1972803476 | Jennifer Evangeline Clark | Physical Therapy Assistant | 878 Highway 411 N, Etowah, TN 37331-1912 | 2010-10-30 |
| 1396050001 | Benchmark Healthcare Services LLC | Clinic/Center | 878 Highway 411 N, Etowah, TN 37331-1912 | 2010-08-18 |
| 1487975314 | Beth Elaine Atchley | Physical Therapist | 878 Highway 411 N, Etowah, TN 37331-1912 | 2010-06-15 |
| 1225264641 | Jameson Luke Riner | Physical Therapist | 878 Highway 411 N, Etowah, TN 37331-1912 | 2009-06-01 |
| 1548422579 | Carol W Bell | Physical Therapist | 878 Highway 411 N, Etowah, TN 37331-1912 | 2008-07-01 |
| 1043487754 | Independent Physical Therapy LLC | Speech-Language Pathologist | 878 Highway 411 N, Etowah, TN 37331-1912 | 2008-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083081277 | K Va T Food Stores, Inc | Durable Medical Equipment & Medical Supplies | 841 Us 411 North, Etowah, TN 37331 | 2015-08-24 |
| 1891979969 | Tennessee Valley Bone and Joint, PC | Orthopaedic Surgery | 410 Grady Road, Etowah, TN 37331 | 2007-12-24 |
| 1992835037 | Jarrett Swafford | Pharmacist | 733 Lawrence St, Etowah, TN 37331 | 2007-03-07 |
| 1982750402 | Yung Gil Lee | General Practice | 315 Grady Rd, Etowah, TN 37331 | 2007-01-26 |
| 1770636227 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 733 Lawrence Street, Etowah, TN 37331 | 2007-01-19 |
| 1356499172 | Tennessee Cancer Specialists, Pllc | Internal Medicine | Highway 411 North, Etowah, TN 37331 | 2007-01-08 |
| 1831265941 | Charles David Brown | Dentist | 920 Highway 411 North, Etowah, TN 37331 | 2006-11-28 |
| 1326066788 | Jeffrey Allan Anderson | Pharmacist | 725 Tennessee Ave, Etowah, TN 37331 | 2006-07-17 |
| 1316920135 | Air Evac Ems Inc | Ambulance | 100 Robinson St, Etowah, TN 37331 | 2005-11-25 |
| 1134185358 | Nathan Craig Trentham | Internal Medicine | 301 Grady Road, Etowah, TN 37331-0325 | 2006-04-25 |
| Find all providers in zip 37331 | ||||
| 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 |
|---|---|---|---|---|
| 1124628979 | Casey Brooks | Specialist/Technologist | 1223 Huntsville Hwy, Fayetteville, TN 37334-3617 | 2020-10-30 |
| 1275147761 | Samantha Michelle Howell | Specialist/Technologist | 1551 Lake Loudon Blvd Ofc A111, Knoxville, TN 37916-4009 | 2020-09-02 |
| 1447869391 | Kurt Howard Robbins | Specialist/Technologist | 7855 Racquetball Ln Apt 317, Cordova, TN 38016-8629 | 2020-07-27 |
| 1285242529 | Kelley Anne Seekins | Specialist/Technologist | 204 E. College St., Athens, TN 37303 | 2020-07-22 |
| 1437776143 | Kayla Hayes | Specialist/Technologist | 305 W Bell Ave, Chattanooga, TN 37405-3401 | 2020-06-29 |
| 1952928673 | Ashton Bailey Sexton | Specialist/Technologist | 622 Steekee St, Loudon, TN 37774-1167 | 2020-06-29 |
| 1710504303 | David Spencer Hiland | Specialist/Technologist | 150 Jake Branch Rd, Beechgrove, TN 37018-3177 | 2020-06-29 |
| 1659998367 | Kristopher Ace Ippolito | Specialist/Technologist | 212 Walnut St Apt 254, Chattanooga, TN 37403-4400 | 2020-06-29 |
| 1316564032 | Zachary Peter Brown | Specialist/Technologist | 24 Mountain Orchard Path, Signal Mountain, TN 37377-2663 | 2020-06-29 |
| 1518584218 | Christopher Zane Slater | Specialist/Technologist | 1915 Miller Crossroads Rd, Hillsboro, TN 37342-3720 | 2020-06-29 |
| Find all providers with the same taxonomy | ||||
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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.