ORTHOPAEDIC SPECIALISTS (NPI# 1790194546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790194546 |
| Entity Type | Organization |
| Organization Name | ORTHOPAEDIC SPECIALISTS |
| Other Organization Name | PLAZA PHYSICAL THERAPY |
| Practice Address |
3385 Dexter Ct Ste 301 Davenport IA 52807-3471 |
| Practice Telephone | 5633446645 |
| Mailing Telephone | 5633446645 |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2014-08-06 |
| Authorized Official Name | JOHN HOFFMAN (PRESIDENT) |
| Authorized Official Telephone | 5633449292 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
074290 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Plaza Physical Therapy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ORTHOPAEDIC SPECIALISTS OF GREATER NEW YORK, P.C. | 19-19 24th Avenue, Apt L-708, Astoria, Ny 11102 |
| Massachusetts Corporations | ORTHOPAEDIC SPECIALISTS OF MASSACHUSETTS, LLC | 825 Washington St., Suite 260, Norwood, MA 02062 |
| Oklahoma Business Registrations | ORTHOPAEDIC SPECIALISTS OF THE FOUR-STATES, L.L.C. | 10403 Highway 59 North, Grove, OK 74344 |
| Street Address |
3385 DEXTER CT STE 301 |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52807-3471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508016122 | Craig Stephen Wainwright | Specialist/Technologist | 3385 Dexter Ct Ste 301, Davenport, IA 52807-3471 | 2008-09-19 |
| 1871984963 | Jessica Marie Wooldridge | Specialist/Technologist | 3385 Dexter Ct Ste 301, Davenport, IA 52807-3471 | 2015-02-10 |
| 1619237385 | Matthew G. Rokes | Physical Therapist | 3385 Dexter Ct Ste 301, Davenport, IA 52807 | 2012-05-29 |
| 1699064626 | Daniel R Burich | Physical Therapist | 3385 Dexter Ct Ste 301, Davenport, IA 52807-3471 | 2011-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710455423 | Sarah Duvall | Pharmacist | 2790 East 53rd Street, Davenport, IA 52807 | 2018-11-12 |
| 1932686375 | Costco Wholesale Corporation | Hearing Aid Equipment | 2790 East 53rd St., Davenport, IA 52807 | 2018-07-27 |
| 1902258379 | Secure Dental II, LLC | Dentist | 5025 Utica Ridge Rd, Suite 103, Davenport, IA 52807 | 2016-07-08 |
| 1003288663 | Kristin Landram | Pharmacist | 4011 E 53rd Street, Davenport, IA 52807 | 2015-10-22 |
| 1912384918 | Toshia Johnson | Counselor | 3515 Spring Street, Davenport, IA 52807 | 2015-04-29 |
| 1366849440 | Dennis Aaron Brown | Counselor | 2322 E. Kimberly Rd., Ste. 200 N., Davenport, IA 52807 | 2014-12-04 |
| 1033514914 | Rachel J Staron | Counselor | 2028 E 38th St Ste 3-5, Davenport, IA 52807 | 2014-11-04 |
| 1447651518 | Anthony B. Dexter | Chiropractor | 2178 E Kimberly Rd Ste 400, Davenport, IA 52807 | 2014-09-09 |
| 1932517588 | Alan Christopher Rubach | Dentist | 3435 Spring St Ste 2, Davenport, IA 52807 | 2014-07-28 |
| 1851707459 | Allison Maxwell | Behavioral Analyst | 4959 Utica Ridge Rd, Davenport, IA 52807 | 2014-07-03 |
| Find all providers in zip 52807 | ||||
| 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 |
|---|---|---|---|---|
| 1790137768 | Teresa Bjurstrom | Specialist/Technologist | 2410 W 58th St, Davenport, IA 52806-2709 | 2016-07-01 |
| 1649636507 | David Timothy Ruiz | Specialist/Technologist | 347 Allison Ave, Davenport, FL 33897-5405 | 2016-01-07 |
| 1023496254 | Elizabeth Vondera | Specialist/Technologist | 6128 Jebens Ave, Davenport, IA 52806-2766 | 2015-05-07 |
| 1508016122 | Craig Stephen Wainwright | Specialist/Technologist | 3385 Dexter Ct Ste 301, Davenport, IA 52807-3471 | 2008-09-19 |
| 1710182753 | Kirsten Anne Reutebuch | Specialist/Technologist | 42719 Highway 27, Suite 103, Davenport, FL 33837-6821 | 2007-06-19 |
| 1538181433 | Daniel Mar Chong | Specialist/Technologist | 702 Grovepark Dr, Davenport, FL 33837-5834 | 2006-07-23 |
| 1205872652 | Dean J Beauchamp | Specialist/Technologist | 518 W Locust St, Davenport, IA 52803-2829 | 2006-06-22 |
| 1831608850 | Anthony Burke | Specialist/Technologist | 6101 Northwest Blvd, Davenport, IA 52806-1861 | 2017-09-21 |
| 1235657198 | Julie Ann Wunder | Specialist/Technologist | 6101 Northwest Blvd, Davenport, IA 52806-1861 | 2017-08-31 |
| 1427575414 | Kaelene Kragenbrink-voorhees | Specialist/Technologist | 6101 Northwest Blvd, Davenport, IA 52806-1861 | 2017-08-29 |
| Find all providers in DAVENPORT | ||||
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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.