MR. BRENT ROGERS RYAN (NPI# 1801858998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801858998 |
| Entity Type | Individual |
| Full Name | MR. BRENT ROGERS RYAN |
| Credential | ATC/L |
| Practice Address |
2335 N Washington Ave Cookeville TN 38501-4889 |
| Mailing Address |
5125 Hickory Valley Rd Sparta TN 38583-3773 |
| Practice Telephone | 9315202287 |
| Mailing Telephone | 9317388760 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
500 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780861476 | Brent Jonathan Ryan | Internal Medicine | 800 E 28th St, Mail Route 11326, Minneapolis, MN 55407-3799 | 2008-01-25 |
| Street Address |
2335 N WASHINGTON AVE |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-4889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| 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 |
|---|---|---|---|---|
| 1932723426 | Lexa Mclauchlin | Specialist/Technologist | 2980 W Haven Dr, Cookeville, TN 38501-5622 | 2020-06-01 |
| 1396366191 | Renee Candace Mickey | Specialist/Technologist | 89 Messenger Rd Apt C2, Cookeville, TN 38506-5781 | 2020-05-03 |
| 1932643665 | Anthony R. Walukonis | Specialist/Technologist | 1160 N Peachtree, Cookeville, TN 38505-0001 | 2016-12-14 |
| 1053728535 | Adam Graham | Specialist/Technologist | 1160 N Peachtree Rd Es Rm 114, Box 5102, Cookeville, TN 38505-0001 | 2014-07-17 |
| 1477743896 | Russell David Darley | Specialist/Technologist | Box 5102, 1160 N Peachtree Rm 114, Cookeville, TN 38505-0001 | 2007-08-01 |
| 1174732507 | Ryan Louis Zink | Specialist/Technologist | 1160 N Peachtree-room # 114, Cookeville, TN 38505-0001 | 2007-05-22 |
| 1487776977 | Charles Wheeler | Specialist/Technologist | 2728 Preakness Dr, Cookeville, TN 38506-5614 | 2007-04-04 |
| 1619905759 | Vernita Reena Young | Specialist/Technologist | Mid-state Sports Medicine, 221 N. Oak Ave, Cookeville, TN 38501 | 2006-06-29 |
| 1366487951 | Jennifer Marie Winningham | Specialist/Technologist | Tennessee Tech University Sports Medicine, 1600 Peachtree Ave, Cookeville, TN 38505-0001 | 2006-06-18 |
| 1144282062 | Christopher M Clifford | Specialist/Technologist | 1160 N. Peachtree Rm 114, Cookeville, TN 38505-0001 | 2006-04-05 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
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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.