MR. BRANDON JENTINK (NPI# 1780052449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780052449 |
| Entity Type | Individual |
| Full Name | MR. BRANDON JENTINK |
| Credential | LAT, ATC |
| Practice Address |
1381 Jefferson Rd Northfield MN 55057 |
| Mailing Address |
1381 Jefferson Rd Northfield MN 55057-3080 |
| Practice Telephone | 5076468800 |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2019-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1381 Jefferson Rd, Northfield, MN 55057 | 5076468800 | |
| 94-294 Anania Dr, Mililani, HI 967892525 | 9209123574 |
| Street Address |
1381 JEFFERSON RD |
| City | NORTHFIELD |
| State | MN |
| Zip Code | 55057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205862844 | Northfield Hospital | Orthopaedic Surgery | 1381 Jefferson Rd, Northfield, MN 55057 | 2006-06-24 |
| 1124669767 | Kaitlyn Kristine Bicek | Clinic/Center | 1381 Jefferson Rd, Northfield, MN 55057-3080 | 2019-10-04 |
| 1205496601 | Elle Kingsley | Physical Therapist | 1381 Jefferson Rd, Northfield, MN 55057-3080 | 2019-06-18 |
| 1558845016 | Sarah Elaine Whitmore | Physical Therapist | 1381 Jefferson Rd, Northfield, MN 55057-3080 | 2018-09-20 |
| 1194209916 | Sheila Marie Wirfs | Occupational Therapist | 1381 Jefferson Rd, Northfield, MN 55057-3080 | 2018-09-18 |
| 1407339997 | Barbara J. Norstad | Physical Therapist | 1381 Jefferson Rd, Northfield, MN 55057-3080 | 2018-09-11 |
| 1437636933 | Christopher James Myatt | Physical Therapist | 1381 Jefferson Rd, Northfield, MN 55057-3080 | 2018-07-26 |
| 1811347800 | Nathan Prissel | Physical Therapist | 1381 Jefferson Rd, Northfield, MN 55057-3080 | 2016-06-21 |
| 1053704288 | Samuel Erickson | Specialist/Technologist | 1381 Jefferson Rd, Northfield, MN 55057-3080 | 2015-03-12 |
| 1043612260 | Amy Marie Guenther | Specialist/Technologist | 1381 Jefferson Rd, Northfield, MN 55057-3080 | 2014-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831750322 | Rebecca Brooks Amundson | Marriage & Family Therapist | 570 Professional Drive, Northfield, MN 55057 | 2019-06-25 |
| 1639734635 | Benedictine Living Community of Northfield, LLC | Assisted Living Facility | 2030 North Avenue, Northfield, MN 55057 | 2019-05-06 |
| 1053798637 | Kevin Cassin | Optometrist | 2019 Jefferson Rd Ste A, Northfield, MN 55057 | 2015-05-02 |
| 1538446059 | Salwa Bakkali Derksen | Hospitalist | 2000 N Avenue, Northfield, MN 55057 | 2011-11-11 |
| 1689804783 | Angela Lynn Burt | Occupational Therapist | 815 Forest Ave., Three Links Care Center, Northfield, MN 55057 | 2009-07-23 |
| 1659519106 | Heidi Lee Auge | Physical Therapist | 805 Forest Avenue, Three Links Care Center-therapy, Northfield, MN 55057 | 2009-01-21 |
| 1639326689 | Tina Swenson | Speech-Language Pathologist | 1 Northfield, Northfield, MN 55057 | 2008-08-21 |
| 1356567739 | Eric Allen Cram | Chiropractor | 158 Water St. N, Suite 2, Northfield, MN 55057 | 2007-04-17 |
| 1407072689 | Justine Faye Politz | Nurse Practitioner | Northfield Hopital, 2000 N. Ave., Northfield, MN 55057 | 2007-04-17 |
| 1518080399 | John Jacques Hilo | Chiropractor | 158 Water St. N., Suite 2, Northfield, MN 55057 | 2007-04-09 |
| Find all providers in zip 55057 | ||||
| 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 |
|---|---|---|---|---|
| 1033731575 | Courtney Amell | Specialist/Technologist | 139 Freeman Rd, Northfield, VT 05663-6203 | 2020-05-06 |
| 1093352742 | Nicholas Richard Lastovka | Specialist/Technologist | 224 Seiberling Dr, Northfield, OH 44067-3237 | 2019-12-02 |
| 1013471895 | Noah Pennypacker | Specialist/Technologist | 50 Scupper Ln, Northfield, OH 44067-3022 | 2019-01-25 |
| 1841796497 | Janine Ann Osterman | Specialist/Technologist | 1667 Cox Brook Rd, Northfield, VT 05663-6909 | 2018-04-03 |
| 1629573191 | Christopher Timmons | Specialist/Technologist | 2642 Stony Brook Rd, Northfield, VT 05663-6188 | 2018-03-27 |
| 1962907394 | Brianne Billig | Specialist/Technologist | 158 Harmon Dr # Nu86, Northfield, VT 05663-1000 | 2018-03-27 |
| 1366984882 | Quinton Dj Evans | Specialist/Technologist | 9110 Cranbrook Dr, Northfield, OH 44067-1321 | 2016-11-15 |
| 1871949313 | Edward Dobrowolski | Specialist/Technologist | 131 Spring Creek Rd, Northfield, OH 44067-2031 | 2016-05-13 |
| 1518336718 | Jacqueline Companey | Specialist/Technologist | 120 Huntington Dr Unit 3, Northfield, OH 44067-1344 | 2015-09-17 |
| 1811261092 | Jordan Allen Anderson | Specialist/Technologist | 7 Happ Road, New Trier Township High School, Northfield, IL 60093 | 2012-03-06 |
| Find all providers in NORTHFIELD | ||||
| City | NORTHFIELD |
| Zip Code | 55057 |
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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.