ANDREW JACOB ROUSH (NPI# 1780210062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780210062 |
| Entity Type | Individual |
| Full Name | ANDREW JACOB ROUSH |
| Practice Address |
226 E 400 N Provo UT 84606-2914 |
| Mailing Address |
226e 400 North Provo UT 84606 |
| Practice Telephone | 8017258522 |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-03-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2000038169 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 102 Field House Drive, Provo, UT 84604 | 8017258522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366530610 | Andrew F Roush | Physician Assistant | 200 Academy Street, Gainesville, GA 30501 | 2006-10-11 |
| Street Address |
226 E 400 N |
| City | PROVO |
| State | UT |
| Zip Code | 84606-2914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935551 | Olivia Stiles | Specialist/Technologist | 200 E 515 N, Provo, UT 84606 | 2020-06-01 |
| 1417439076 | Quin Spencer Volpe | Counselor | 1035 E 560 N, Provo, UT 84606 | 2018-08-30 |
| 1700365434 | Hyunwook Lee | Specialist/Technologist | 1369 S 1500 E, Provo, UT 84606 | 2018-08-13 |
| 1598268930 | Victor Bert Arthur Moxley | Specialist | 290 N 300 E, Provo, UT 84606 | 2018-03-12 |
| 1184132623 | Academy Dental LLC | Advanced Practice Dental Therapist | 488 N 100 E St., Provo, UT 84606 | 2018-01-18 |
| 1720433485 | Sean Lamb | Counselor | 231 S. 100 E., Provo, UT 84606 | 2016-05-02 |
| 1508236795 | Forever Young Dentistry Pllc | Clinic/Center | 2335 S. State Street, Ste #200, Provo, UT 84606 | 2015-09-30 |
| 1558766014 | Nancy Huber | Physician Assistant | Mountainland Community Health Center, 529 South State Street, Provo, UT 84606 | 2014-10-27 |
| 1356778377 | Myrna Suzanne Gillis | Marriage & Family Therapist | 1726 Buckley Drive, Provo, UT 84606 | 2013-10-04 |
| 1558651067 | Melissa Anne Mccreary | Counselor | 151 S.state St. University Ave., Ste 1400, Provo, UT 84606 | 2011-04-18 |
| Find all providers in zip 84606 | ||||
| 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 |
|---|---|---|---|---|
| 1144847161 | Tara Marquez | Specialist/Technologist | Brigham Young University Sports Medicine 123 Sab, Provo, UT 84602 | 2020-06-26 |
| 1053935551 | Olivia Stiles | Specialist/Technologist | 200 E 515 N, Provo, UT 84606 | 2020-06-01 |
| 1578194577 | Veronica R Montes | Specialist/Technologist | 1060 E 450 N Apt 335, Provo, UT 84606-3433 | 2020-01-28 |
| 1417591728 | Christine Padilla | Specialist/Technologist | 331 Student Athlete Building, Provo, UT 84602 | 2019-10-30 |
| 1093356131 | Krystall Greenwell | Specialist/Technologist | 1130 Smith Field House, Brigham Young University, Provo, UT 84604-8460 | 2019-09-30 |
| 1174173710 | Kathleen Nichole Thiriot | Specialist/Technologist | 396 S 1350 E, Provo, UT 84606-5320 | 2019-09-16 |
| 1083270276 | Jessica Marie Wetsel | Specialist/Technologist | 761 W 600 S Apt 14, Provo, UT 84601-4125 | 2019-05-14 |
| 1558829911 | Devin Anderson | Specialist/Technologist | 123 Sab, Provo, UT 84602-1547 | 2019-03-05 |
| 1376016790 | Carolyn Billings | Specialist/Technologist | 1140 Smith Fieldhouse, Provo, UT 84602-2246 | 2019-01-08 |
| 1881179323 | David Inouye Takasaki | Specialist/Technologist | 331 Sab, Provo, UT 84602 | 2018-10-01 |
| Find all providers in PROVO | ||||
Please comment or provide details below to improve the information on ANDREW JACOB ROUSH.
| 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.