MR. MICHAEL GLENN HORNBUCKLE (NPI# 1922093418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922093418 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL GLENN HORNBUCKLE |
| Credential | ATC, L.A.T. |
| Practice Address |
9711 Valparaiso Dr Suite #1 Munster IN 46321-2866 |
| Mailing Address |
5023 W 92nd Ave Crown Point IN 46307-1677 |
| Practice Telephone | 2199243512 |
| Mailing Telephone | 2199243512 |
| Enumeration Date | 2005-09-12 |
| 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 |
36001065A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9711 VALPARAISO DR SUITE #1 |
| City | MUNSTER |
| State | IN |
| Zip Code | 46321-2866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881731818 | David Ray Newbolds | Physical Therapist | 9711 Valparaiso Dr, Munster, IN 46321-2866 | 2007-01-31 |
| 1215970983 | Diane Dinino | Physical Therapist | 9711 Valparaiso Dr, Suite 1, Munster, IN 46321-2866 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1467092668 | Barbara Armstrong-whitaker | Counselor | 8855 Columbia Ave, Munster, IN 46321 | 2020-01-15 |
| 1427537661 | Courtney Szydelko | Physical Therapist | 759 45th St Ste 202, Munster, IN 46321 | 2018-08-08 |
| 1407341787 | New Harvest Therapy Services, Inc. | Clinic/Center | 8124 Calumet Ave Ste B, Munster, IN 46321 | 2018-06-28 |
| 1043717945 | Region Eye Care LLC | Optometrist | 10413 Calumet Ave., Munster, IN 46321 | 2018-04-09 |
| 1003318122 | Jean M Nanos | Psychologist | 8124 Calumet Ave, Munster, IN 46321 | 2018-03-05 |
| 1841706330 | Avalon Marciniak | Speech-Language Pathologist | 1950 West 45th St., Munster, IN 46321 | 2017-12-19 |
| 1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
| 1457871774 | Shannon Nicole Riley | Behavior Technician | 8113 Howard Ave., Munster, IN 46321 | 2017-06-27 |
| 1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
| Find all providers in zip 46321 | ||||
| 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 |
|---|---|---|---|---|
| 1659849461 | Catherine Louise Lebryk | Specialist/Technologist | 9042 Columbia Ave Ste B, Munster, IN 46321-2928 | 2018-11-09 |
| 1386134666 | Victoria Kalene Wilson | Specialist/Technologist | 801 Macarthur Blvd Ste 405, Munster, IN 46321-2919 | 2018-05-13 |
| 1730616574 | Michael John Doherty | Specialist/Technologist | 10133 Devonshire Ln, Munster, IN 46321-4376 | 2017-05-11 |
| 1033570833 | Samuel Toth | Specialist/Technologist | 1939 Rosewood Ct, Munster, IN 46321 | 2016-03-08 |
| 1548654106 | Kyle O'brien | Specialist/Technologist | 1148 Fran Lin Pkwy, Munster, IN 46321-3607 | 2015-03-22 |
| 1265821938 | Erica Applegate | Specialist/Technologist | 540 Cambridge Ct, Apt 2a, Munster, IN 46321-2456 | 2015-01-17 |
| 1134499270 | Diana Miller | Specialist/Technologist | 1950 45th Ave Ste 200, Munster, IN 46321-3958 | 2012-01-06 |
| 1528626454 | Rachel Gene Marie Roths | Specialist/Technologist | 9042 Columbia Ave, Munster, IN 46321-2927 | 2019-06-05 |
| 1164993317 | Elaine Kate Lustgarten | Specialist/Technologist | 9042 Columbia Ave Ste B, Munster, IN 46321-2928 | 2018-12-16 |
| 1972083814 | Brian Zolner | Specialist/Technologist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2018-08-20 |
| Find all providers in MUNSTER | ||||
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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.