MS. BROOKE HAVENS (NPI# 1780065847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780065847 |
| Entity Type | Individual |
| Full Name | MS. BROOKE HAVENS |
| Credential | ATC, OTC |
| Practice Address |
1200 Constitution Ave Suite 110 Philadelphia PA 19112-1329 |
| Practice Telephone | 6092040627 |
| Mailing Telephone | 6092040627 |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
RT005550 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1200 CONSTITUTION AVE SUITE 110 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19112-1329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437196482 | William Clark Meyers | Surgery | 1200 Constitution Ave, Suite 110, Philadelphia, PA 19112-1329 | 2006-05-31 |
| 1538716378 | Rachel Stephanie Hoffman | Physical Therapist | 1200 Constitution Ave, Philadelphia, PA 19112-1329 | 2019-08-26 |
| 1912371048 | Core Performance Physicians | Psychiatry & Neurology | 1200 Constitution Ave, Suite 110, Philadelphia, PA 19112-1329 | 2015-12-01 |
| 1558730010 | Alex Skacel | Physical Therapist | 1200 Constitution Ave, Philadelphia, PA 19112-1329 | 2015-09-15 |
| 1518366517 | Core Performance Physicians, LLC | Surgery | 1200 Constitution Ave, Suite 110, Philadelphia, PA 19112-1329 | 2014-08-15 |
| 1699186940 | Robyn Mccrossin | Physical Therapist | 1200 Constitution Ave, Suite 210, Philadelphia, PA 19112-1329 | 2014-05-08 |
| 1235571605 | Cara Marzano | Physical Therapist | 1200 Constitution Ave, Suite 210, Philadelphia, PA 19112-1306 | 2013-07-25 |
| 1346680675 | Vincera Rehab, LLC | Clinic/Center | 1200 Constitution Ave, Suite 210, Philadelphia, PA 19112-1306 | 2013-07-01 |
| 1366886913 | Vincera Surgery Center, LLC | Clinic/Center | 1200 Constitution Ave, Suite 100, Philadelphia, PA 19112-1306 | 2013-04-25 |
| 1396084497 | Independence Imaging, LLC | Clinic/Center | 1200 Constitution Ave, Suite 120, Philadelphia, PA 19112-1329 | 2013-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265950802 | M&m Surgical Center PC | Clinic/Center | 1 Crescent Dr. Suite 300, Philadelphia, PA 19112 | 2017-09-05 |
| 1710114293 | Riverview Surgery Center At The Navy Yard Lp | Clinic/Center | Three Crescent Drive, Navy Yard Corporate Center, Philadelphia, PA 19112 | 2009-06-11 |
| 1023136942 | Susan Elizabeth Fredericks | Physician Assistant | 1 Crescent Drive Suite 100, Navy Yard Corporate Center, Philadelphia, PA 19112 | 2007-03-27 |
| 1023132867 | Healthmark, Incorporated | Clinic/Center | 1 Crescent Dr., Navy Yard Suite 100, Philadelphia, PA 19112 | 2007-03-19 |
| 1932526258 | Anne Catherine Kane | Otolaryngology | 3 Crescent Dr, Philadelphia, PA 19112 | 2014-03-25 |
| 1255539896 | Sheldon Gottlieb | Physical Medicine & Rehabilitation | 1 Crescent Dr, Suite 100, Philadelphia, PA 19112 | 2007-07-05 |
| 1407074750 | Jennifer L Johansen | Pharmacist | 5 Crescent Dr, Ny0200, Philadelphia, PA 19112-1001 | 2007-04-23 |
| 1679981708 | Andrew Trofa | Internal Medicine | 5 Crescent Dr, Ny 0300, Philadelphia, PA 19112-1001 | 2014-08-01 |
| 1508029463 | Robert Williams Carr | Preventive Medicine | 5 Crescent Dr, Ny 0300, Philadelphia, PA 19112-1001 | 2008-07-09 |
| 1952947152 | Navy Yard Dental Associates, Pllc | Dentist | 1 Crescent Dr Ste 300, Philadelphia, PA 19112-1015 | 2019-11-22 |
| Find all providers in zip 19112 | ||||
| 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 |
|---|---|---|---|---|
| 1841891108 | Sydney Charles | Specialist/Technologist | 6325 Martins Mill Rd, Philadelphia, PA 19111-5321 | 2020-11-03 |
| 1114528684 | Kelsey E Craig | Specialist/Technologist | 1856 N 16th St Apt 1r, Philadelphia, PA 19121-3301 | 2020-11-02 |
| 1740881333 | David Williams | Specialist/Technologist | 3100 W Thompson St Apt 42, Philadelphia, PA 19121-4485 | 2020-11-02 |
| 1992305940 | Alexandra Bossi | Specialist/Technologist | 450 N 18th St Apt 1032, Philadelphia, PA 19130-4198 | 2020-10-29 |
| 1427661842 | Autumn Kelly | Specialist/Technologist | 3300 Henry Ave Apt 522, Philadelphia, PA 19129-1160 | 2020-08-25 |
| 1558984609 | Keri Lapinski | Specialist/Technologist | 929 N 6th St Apt 2, Philadelphia, PA 19123-1405 | 2020-05-24 |
| 1356975445 | Shaun Shields | Specialist/Technologist | 1814 N. Broad Street, Philadelphia, PA 19121 | 2020-02-27 |
| 1619500410 | Halie Ann Maria Hurtado | Specialist/Technologist | 1000 S Broad St Apt 833, Philadelphia, PA 19146-2261 | 2020-02-20 |
| 1215569561 | Danielle Quigley | Specialist/Technologist | 6903 Shalkop St, Philadelphia, PA 19128-3218 | 2020-02-05 |
| 1457982076 | Jacie Fabro | Specialist/Technologist | 4136 Mitchell St Apt 407, Philadelphia, PA 19128-3511 | 2020-02-02 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19112 |
Please comment or provide details below to improve the information on MS. BROOKE HAVENS.
| 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.