KAYLA NICOLE RODEBAUGH (NPI# 1912146614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912146614 |
| Entity Type | Individual |
| Full Name | KAYLA NICOLE RODEBAUGH |
| Credential | ATC |
| Practice Address |
1010 Fairway Drive Freeport IL 61032 |
| Mailing Address |
1045 W Stephenson St Po Box 857 Freeport IL 61032-4864 |
| Practice Telephone | 8155996000 |
| Mailing Telephone | 8155996000 |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
096002486 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1010 FAIRWAY DRIVE |
| City | FREEPORT |
| State | IL |
| Zip Code | 61032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517713 | Saad Awan | Pharmacist | 2545 Illinois 26 S, Freeport, IL 61032 | 2020-10-30 |
| 1891354460 | Freeport Chiropractic LLC | Chiropractor | 2 W Stephenson St, Freeport, IL 61032 | 2019-06-07 |
| 1487168373 | Lindsey Rae Harris-baker | Speech-Language Pathologist | 1802 W Laurel St, Freeport, IL 61032 | 2017-11-30 |
| 1861871246 | Pearl Pavilion LLC | Skilled Nursing Facility | 910 Kiwanis Drive, Freeport, IL 61032 | 2015-05-19 |
| 1245584598 | Mary E Brown | Massage Therapist | 815 W. Pleasant Street, Freeport, IL 61032 | 2012-11-07 |
| 1700135803 | April Braband | Specialist | 421 Exchange, Freeport, IL 61032 | 2012-09-05 |
| 1518198662 | Quad City Prosthetic Inc | Prosthetic/Orthotic Supplier | 1013 W Loras Dr, Suite A, Freeport, IL 61032 | 2009-08-06 |
| 1447486501 | Gary Alan Besley | Dentist | 1450 S. West Ave., Freeport, IL 61032 | 2009-06-03 |
| 1023244290 | Allies In Health Sc | Chiropractor | 418 W Meadows Dr., Freeport, IL 61032 | 2009-06-02 |
| 1710158233 | Joseph Davis | Specialist/Technologist | 1045 W Stephenson Street, Freeport, IL 61032 | 2008-03-13 |
| Find all providers in zip 61032 | ||||
| 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 |
|---|---|---|---|---|
| 1033777040 | Catherine Marie Cavanagh | Specialist/Technologist | 73 Elliott Pl, Freeport, NY 11520-4812 | 2019-06-04 |
| 1376001941 | Kaitlyn Frey | Specialist/Technologist | 117 Gordon Pl, Freeport, NY 11520-5617 | 2019-03-03 |
| 1871057034 | Bryce Brown | Specialist/Technologist | 6688 N Oak Rd, Freeport, IL 61032-9084 | 2019-01-22 |
| 1518464767 | Molly Lutz | Specialist/Technologist | 12615 Business Hwy 331, Freeport, FL 32439 | 2018-04-12 |
| 1295243301 | Jerek Charles Pontius | Specialist/Technologist | 627 N Greenfield Dr, Freeport, IL 61032-2914 | 2018-01-11 |
| 1023558335 | Kearney Gutierrez | Specialist/Technologist | 156 N Brookside Ave, Freeport, NY 11520-1931 | 2017-03-06 |
| 1952840266 | Katherine Mclelland | Specialist/Technologist | 12615 U.S. 331 Bus, Freeport, FL 32439 | 2017-02-20 |
| 1912355033 | Katherine Shipe | Specialist/Technologist | 169 Foreman Rd, Freeport, PA 16229-1797 | 2016-05-31 |
| 1366729741 | Devon D Taylor | Specialist/Technologist | 455 W Merrick Rd, Freeport, NY 11520-4123 | 2011-11-13 |
| 1710158233 | Joseph Davis | Specialist/Technologist | 1045 W Stephenson Street, Freeport, IL 61032 | 2008-03-13 |
| Find all providers in FREEPORT | ||||
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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.