MR. BRADON THOMAS BOECKMAN (NPI# 1790122802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790122802 |
| Entity Type | Individual |
| Full Name | MR. BRADON THOMAS BOECKMAN |
| Credential | PTA, ATC/L |
| Practice Address |
1111 Sweitzer St Greenville OH 45331-1189 |
| Mailing Address |
10052 Conover Rd Versailles OH 45380-8490 |
| Practice Telephone | 9376380783 |
| Mailing Telephone | 9376380783 |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2014-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT.003824 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1111 SWEITZER ST |
| City | GREENVILLE |
| State | OH |
| Zip Code | 45331-1189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063414712 | David Kinnaird Johnson | Physical Medicine & Rehabilitation | 1111 Sweitzer St, Greenville, OH 45331-1189 | 2005-08-12 |
| 1891137147 | Compunet Clinical Laboratories, LLC | Clinical Medical Laboratory | 1111 Sweitzer St, Greenville, OH 45331-1189 | 2013-07-26 |
| 1508100777 | Bastrop Dialysis LLC | Clinic/Center | 1111 Sweitzer St, Ste B, Greenville, OH 45331-1189 | 2012-11-12 |
| 1033300215 | Praveena Cheruvu | Internal Medicine | 1111 Sweitzer St, Suite C, Greenville, OH 45331 | 2007-08-05 |
| 1679555932 | Dialysis Centers of Dayton, LLC | Clinic/Center | 1111 Sweitzer St, Suite B, Greenville, OH 45331-1189 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467960195 | Karen Droesch | Dietitian, Registered | 835 Sweitzer Street, Greenville, OH 45331 | 2018-01-16 |
| 1679002745 | Maria C Muhlenkamp | Nurse Practitioner | 1101 Jackson St., Suite B, Bethel Cardiology, Greenville, OH 45331 | 2017-06-12 |
| 1457803447 | Ginger Aldora | Counselor | 600 Walnut Street, Greenville, OH 45331 | 2016-10-26 |
| 1649631664 | Danielle D Mckenzie | Social Worker | 1101 Jackson St Ste C, Greenville, OH 45331 | 2016-03-18 |
| 1811354426 | Lonnie Smith | Social Worker | 1199 E. Russ Rd, Apt/ E-1, Greenville, OH 45331 | 2016-01-27 |
| 1851795496 | Rhonda Fields | Social Worker | 212 S. Main Street, Greenville, OH 45331 | 2014-10-10 |
| 1205136504 | Michelle Marie Dickey | Physical Therapy Assistant | 5162 Children's Home Bradford Rd., Amedisys Home Health Care, Greenville, OH 45331 | 2010-11-02 |
| 1386960870 | Matthew David Painting | Podiatrist | 415 West Russ Road, Greenville, OH 45331 | 2010-04-09 |
| 1487892337 | Ina J. Lilly | Licensed Practical Nurse | 1001 Donald Dr., Greenville, OH 45331 | 2009-01-30 |
| 1285821595 | Assisted Living Concepts Inc | Assisted Living Facility | 1275 Northview Drive, Greenville, OH 45331 | 2007-10-01 |
| Find all providers in zip 45331 | ||||
| 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] |
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| 1861988743 | Rachel Hoover | Specialist/Technologist | 7481 S Grow Rd, Greenville, MI 48838 | 2018-07-03 |
| 1669965018 | Evanna Lonnique Evans | Specialist/Technologist | 402 S Texas Ave, Greenville, SC 29611-5619 | 2018-06-11 |
| 1376036939 | Tristan Prescott Morrison | Specialist/Technologist | 530a Lake Rd, Greenville, NC 27834-4956 | 2018-06-08 |
| 1144734500 | John Jacob Trundle | Specialist/Technologist | 2006 Worthington Rd, Greenville, NC 27858-8377 | 2017-11-21 |
| 1871002899 | Michael Thompson | Specialist/Technologist | 1504 Manning Forest Dr Apt B5, Greenville, NC 27834-6248 | 2017-09-21 |
| 1225550346 | Matthew Aiello | Specialist/Technologist | 650 N Academy St, Greenville, SC 29601-2246 | 2017-07-11 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 45331 |
Please comment or provide details below to improve the information on MR. BRADON THOMAS BOECKMAN.
| 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.