MRS. JULIE DUTTON X (NPI# 1902297609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902297609 |
| Entity Type | Individual |
| Full Name | MRS. JULIE DUTTON X |
| Credential | ATC |
| Practice Address |
586 Middle Tpke E Manchester CT 06040-3730 |
| Mailing Address |
11 Cindy Dr Coventry CT 06238-3469 |
| Practice Telephone | 8606453810 |
| Mailing Telephone | 8607424428 |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2015-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
000634 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013136423 | Julie Dutton | Nurse Practitioner | 4855 Atherton Ave Ste 101, San Jose, CA 95130-1026 | 2007-04-24 |
| 1518925379 | Julie Dutton | Anesthesiology | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2006-05-02 |
| Street Address |
586 MIDDLE TPKE E |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-3730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124051255 | Christine M Knight | Physical Therapist | 586 Middle Tpke E, Manchester, CT 06040-3730 | 2006-07-09 |
| 1215410253 | Jordan Taylor Honahan | Physical Therapist | 586 Middle Tpke E, Manchester, CT 06040-3730 | 2018-09-14 |
| 1760840839 | Ryan Vannieuwenhuyze | Physical Therapist | 586 Middle Tpke E, Manchester, CT 06040-3730 | 2016-02-04 |
| 1437541398 | Stacy Garceau | Specialist/Technologist | 586 Middle Tpke E, Manchester, CT 06040-3730 | 2015-03-02 |
| 1962800540 | Kacey Busque | Physical Therapist | 586 Middle Tpke E, Manchester, CT 06040-3730 | 2014-12-12 |
| 1720414972 | Katelyn Olson | Physical Therapist | 586 Middle Tpke E, Manchester, CT 06040-3730 | 2013-09-19 |
| 1538409446 | Kristen Lindsay | Physical Therapist | 586 Middle Tpke E, Manchester, CT 06040-3730 | 2013-03-01 |
| 1598031726 | Michael Dalmolin | Physical Therapist | 586 Middle Tpke E, Manchester, CT 06040-3730 | 2012-04-02 |
| 1598799587 | Eric J Stearns | Physical Therapist | 586 Middle Tpke E, Manchester, CT 06040-3730 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
| Find all providers in zip 06040 | ||||
| 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 |
|---|---|---|---|---|
| 1598363095 | Shayna Deluca | Specialist/Technologist | 178 New State Rd Apt 8, Manchester, CT 06042-7941 | 2020-10-15 |
| 1053952804 | Dhruv Darji | Specialist/Technologist | 548 Center St, Manchester, CT 06040-3935 | 2019-10-02 |
| 1376191320 | Edgar Marceleno | Specialist/Technologist | 1402 5th Ave, Manchester, TN 37355-2544 | 2019-09-03 |
| 1073167292 | Andrew Mustone | Specialist/Technologist | 129 Flint St, Manchester, NH 03103-7600 | 2019-07-25 |
| 1356800643 | Sanjay Gurung | Specialist/Technologist | 170 Conant St, Manchester, NH 03102-4308 | 2019-03-15 |
| 1194283739 | Sydney Christopher | Specialist/Technologist | 28 Forest St, Manchester, MA 01944-1209 | 2019-03-02 |
| 1780163329 | Dallyn J Putz | Specialist/Technologist | 1892 150th St, Manchester, IA 52057-8727 | 2018-08-13 |
| 1881108157 | Sarabeth Seagreaves | Specialist/Technologist | 1700 Summer St Apt A36, Manchester, TN 37355 | 2017-11-25 |
| 1003332651 | Jessica L Walz | Specialist/Technologist | 9235 Grossman Rd, Manchester, MI 48158 | 2017-08-16 |
| 1104341148 | Coby Jamison Reed | Specialist/Technologist | All Saints, All Saints Building, Manchester, GREATER MANCHESTER M15 6BH | 2017-08-10 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06040 |
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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.