MR. BRENT ALAN RIDDLE (NPI# 1932235165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932235165 |
| Entity Type | Individual |
| Full Name | MR. BRENT ALAN RIDDLE |
| Credential | M.ED., ATC, CSCS |
| Practice Address |
24 Williams Rd North Grafton MA 01536-1238 |
| Practice Telephone | 5088390089 |
| Mailing Telephone | 5088390089 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1183 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
24 WILLIAMS RD |
| City | NORTH GRAFTON |
| State | MA |
| Zip Code | 01536-1238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003372996 | Pic A Nit LLC | Specialist | 111 Worcester Street, North Grafton, MA 01536 | 2019-02-15 |
| 1215395082 | Eric Levitre | Developmental Therapist | 70 Waterville Street, Grafton, MA 01536 | 2016-02-08 |
| 1528453925 | New England Psychological Assesment Center, Inc | Psychologist | 13 Centennial Drive, North Grafton, MA 01536 | 2015-04-02 |
| 1023112422 | William Albert Fazzino | Chiropractor | 202 Worcester St, Suite 10, North Grafton, MA 01536 | 2006-09-08 |
| 1477561710 | Mark Scott Polasky | Dentist | 200 Worcester St, North Grafton, MA 01536 | 2006-08-03 |
| 1811949886 | Anthony Robert Molinari | Optometrist | 1 Hollywood Drive, Grafton, MA 01536 | 2006-05-17 |
| 1831616846 | Alexandra Jo Warden-michl | Physical Therapist | 204 Worcester St, North Grafton, MA 01536 | 2017-08-30 |
| 1982063004 | Shayla Lorraine Johnson | Counselor | 13 Centennial Dr, North Grafton, MA 01536 | 2016-02-17 |
| 1790157311 | Jennifer Jefferson | Developmental Therapist | 31 Wesson Street, North Grafton, MA 01536-0000 | 2015-10-22 |
| 1952815813 | Simply Orthodontics Grafton Pllc | Dentist | 103 Worcester St Ste C, North Grafton, MA 01536-1019 | 2017-11-29 |
| Find all providers in zip 01536 | ||||
| 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 |
|---|---|---|---|---|
| 1184154593 | Nicholas John Bertone | Specialist/Technologist | 207 Worcester St Apt 2, North Grafton, MA 01536-1266 | 2017-06-18 |
| 1154967347 | Bella Thornton | Specialist/Technologist | 15 Maplewood Dr, North Grafton, MA 01536-1235 | 2019-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225682 | Jacob Hebert | Specialist/Technologist | 177 Wenonah Rd, Longmeadow, MA 01106-1929 | 2020-11-03 |
| 1700486693 | Mark Comstock | Specialist/Technologist | 74 Union Park St, Boston, MA 02118-2142 | 2020-10-29 |
| 1962000422 | Allison Damigella | Specialist/Technologist | 20 Cobblestone Ln, Bridgewater, MA 02324-2277 | 2020-10-15 |
| 1669088712 | Ryan Donovan | Specialist/Technologist | 4 Paul Ave, Peabody, MA 01960-2620 | 2020-09-23 |
| 1619583119 | Seth Travers | Specialist/Technologist | 179 Wimbleton Dr, Longmeadow, MA 01106-2744 | 2020-09-20 |
| 1306451091 | Stephanie Wilson | Specialist/Technologist | 315 Turnpike St Stop 2247, North Andover, MA 01845-5800 | 2020-09-10 |
| 1467067116 | Devon Choi | Specialist/Technologist | Merrimack College, 315 Turnpike St, North Andover, MA 01845-0184 | 2020-09-10 |
| 1295349140 | Katelyn Charlotte Richardson | Specialist/Technologist | 2002 Lords Ct, Wilmington, MA 01887-4514 | 2020-09-08 |
| 1386256360 | William Conrad Desjardins | Specialist/Technologist | 20 Manhattan Dr, Burlington, MA 01803-1905 | 2020-08-20 |
| 1942812128 | Samantha Norman Kheboian | Specialist/Technologist | 71 Lakeshore Ave, Beverly, MA 01915-1907 | 2020-08-19 |
| Find all providers with the same taxonomy | ||||
| City | NORTH GRAFTON |
| Zip Code | 01536 |
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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.