MR. DANIEL TRAVIS JOHNSTON (NPI# 1790154276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790154276 |
| Entity Type | Individual |
| Full Name | MR. DANIEL TRAVIS JOHNSTON |
| Credential | ATC |
| Practice Address |
100 Perimeter Road Clemson SC 29633-0031 |
| Mailing Address |
Po Box 31 Clemson SC 29633-0031 |
| Practice Telephone | 8646564226 |
| Mailing Telephone | 8646564226 |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
985 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114368925 | Daniel Thomas Johnston | Military Health Care Provider | Mcm Crew Bulwark, Fpo, AP 96601-0201 | 2013-07-09 |
| 1629343538 | Daniel Clay Johnston | Chiropractor | 1130 Senoia Rd, Suite B4, Tyrone, GA 30290-1678 | 2012-03-12 |
| 1639248982 | Daniel H Johnston | Psychologist | 144 Pierce Ave, Macon, GA 31204-2860 | 2006-11-08 |
| 1891727137 | Daniel Morgan Johnston | Physical Therapist | 500 Paseo Camarillo # 105, Camarillo, CA 93010-5900 | 2006-07-07 |
| 1831161744 | Daniel P. Johnston | Optometrist | 923 Paoli Pike, West Chester, PA 19380-4527 | 2006-02-03 |
| 1750731535 | Daniel Levi Johnston | Nurse Practitioner | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2016-06-13 |
| 1881034890 | Daniel Travis Johnston | Dentist | 101 N Industrial Rd, Suite A., Tupelo, MS 38801-3441 | 2013-07-05 |
| 1669818936 | Daniel Johnston | Counselor | 941 El Dorado Ave, Santa Cruz, CA 95062-2863 | 2013-05-14 |
| 1487885596 | Daniel P Johnston | Physician Assistant | 5200 Hummingbird Rd, Ste 100, Wausau, WI 54401-6312 | 2009-08-06 |
| 1891922712 | Daniel Alan Johnston | Physical Therapy Assistant | 115 S Washington St, Ottumwa, IA 52501-2531 | 2009-06-18 |
| Street Address |
100 PERIMETER ROAD |
| City | CLEMSON |
| State | SC |
| Zip Code | 29633-0031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477518504 | Danny Gene Poole Jr. | Specialist/Technologist | 100 Perimeter Road, Clemson, SC 29634-0001 | 2006-04-20 |
| 1972123834 | Mita A Patel | Specialist/Technologist | 100 Perimeter Road, Clemson, SC 29631 | 2020-04-21 |
| 1245568369 | Abby Taylor Dedecker | Specialist/Technologist | 100 Perimeter Road, Clemson, SC 29631 | 2009-12-01 |
| 1932149572 | William Robert Stewart IIi | Specialist/Technologist | 100 Perimeter Road, Clemson, SC 29633-0031 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900047 | Jacob Louis Slann | Physical Medicine & Rehabilitation | 408 College Ave, Clemson, SC 29631-1441 | 2020-07-24 |
| 1154947208 | Southern Way Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 145 Thomas Green Blvd Ste 100, Clemson, SC 29631-2172 | 2020-06-24 |
| 1639703820 | Benson Elliott Bagwell | Nurse Practitioner | 111 Evergreen Dr, Clemson, SC 29631-2057 | 2020-02-26 |
| 1053941898 | Mary Ashley Allen | Psychologist | 1011 Tiger Blvd Ste 610, Clemson, SC 29631-1401 | 2020-01-21 |
| 1700425063 | Michelle Spearman Nutrition LLC | Dietitian, Registered | 407 Old Central Rd Apt 1, Clemson, SC 29631-3137 | 2020-01-03 |
| 1154960151 | Alison Lynne Cory | Counselor | 209c Pendleton Rd Ste C, Clemson, SC 29631-2262 | 2019-12-23 |
| 1063059038 | James Ryan Small | Specialist/Technologist | 212 Vista Cir, Clemson, SC 29631 | 2019-12-09 |
| 1619529708 | Kelly Leahy Turney | Specialist/Technologist | 100 Perimeter Dr, Clemson, SC 29634-0001 | 2019-07-10 |
| 1811559883 | Cheyenne Leigh Reynolds | Specialist/Technologist | 100 Reeves Way, Clemson, SC 29631 | 2019-07-01 |
| 1942763750 | Kristi Thompson | Technician/Technologist | 100 Pershing Ave Ste 1, Clemson, SC 29631-2193 | 2019-04-09 |
| Find all providers in CLEMSON | ||||
| 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 |
|---|---|---|---|---|
| 1063059038 | James Ryan Small | Specialist/Technologist | 212 Vista Cir, Clemson, SC 29631 | 2019-12-09 |
| 1619529708 | Kelly Leahy Turney | Specialist/Technologist | 100 Perimeter Dr, Clemson, SC 29634-0001 | 2019-07-10 |
| 1811559883 | Cheyenne Leigh Reynolds | Specialist/Technologist | 100 Reeves Way, Clemson, SC 29631 | 2019-07-01 |
| 1417484502 | Alora Marie Sullivan | Specialist/Technologist | 310 Perimeter Rd, Clemson, SC 29634-0001 | 2017-05-19 |
| 1548612823 | Gage Nathaniel Berry | Specialist/Technologist | 110 Heisman St, Clemson, SC 29634-0001 | 2016-07-11 |
| 1932503182 | Nadia Marie Ghassan Najm | Specialist/Technologist | 310 Crawford Ct, Apt 3, Clemson, SC 29631-1132 | 2014-10-17 |
| 1043627342 | Jeffie Trammell | Specialist/Technologist | 301 Centennial Blvd, Clemson, SC 29634-0001 | 2014-07-18 |
| 1649483314 | Fred W Hoover | Specialist/Technologist | 207 Mountain View Ln, Clemson, SC 29631-1030 | 2007-05-08 |
| 1427158922 | Jerome Razayeski | Specialist/Technologist | 100 Perimeter Rd, Clemson, SC 29634-0001 | 2006-09-24 |
| 1477518504 | Danny Gene Poole Jr. | Specialist/Technologist | 100 Perimeter Road, Clemson, SC 29634-0001 | 2006-04-20 |
| Find all providers in CLEMSON | ||||
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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.