MS. PEGGY L BRATT (NPI# 1942264676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942264676 |
| Entity Type | Individual |
| Full Name | MS. PEGGY L BRATT |
| Credential | ATC, EMT-IV |
| Practice Address |
1412 Sevierville Rd Maryville TN 37804-5108 |
| Mailing Address |
509 Borghild Dr Maryville TN 37801-5468 |
| Practice Telephone | 8652386077 |
| Practice Fax Number | 8652386094 |
| Mailing Telephone | 8652168204 |
| Mailing Fax Number | 8659820143 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2020-05-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
570 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1412 SEVIERVILLE RD |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37804-5108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659835825 | Matthew David Mallory | Physical Therapist | Morning View Village 2320 E. Lamar Alexander Parway, Maryville, TN 37804 | 2019-01-22 |
| 1063937290 | Rachel Ryan Mcmillan | Counselor | 362 High Street, Maryville, TN 37804 | 2017-08-09 |
| 1316461460 | Steven Casey Boring | Nurse Practitioner | 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 | 2017-07-31 |
| 1851738751 | Robert Kane Mccall | Pathology | 250 E. Broadway, Maryville, TN 37804 | 2013-05-31 |
| 1619242849 | Jennifer Mcclements | Physical Therapy Assistant | 4004 Samuel Circle, Maryville, TN 37804 | 2012-03-21 |
| 1316223886 | Sabrina Nicole Powers | Social Worker | 1704 East Broadway, Maryville, TN 37804 | 2011-10-28 |
| 1407138381 | Russmann, Inc. | Ambulance | 4163 Benny Delozier Drive, Maryville, TN 37804 | 2011-09-15 |
| 1184932485 | Complete Family Care of Maryville, Pllc | Internal Medicine | 2004 E. Broadway, Maryville, TN 37804 | 2010-09-21 |
| 1093975096 | Kristi Clark Correll | Speech-Language Pathologist | 2030 East Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-12 |
| 1134388267 | Barbara Frantz Poulsen | Speech-Language Pathologist | 2030 E Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-04 |
| Find all providers in zip 37804 | ||||
| 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 |
|---|---|---|---|---|
| 1790340693 | Cody Moon | Specialist/Technologist | 515 W 11th St Apt 16, Maryville, MO 64468-3509 | 2019-05-06 |
| 1770029233 | Amanda Joyce Cagle | Specialist/Technologist | 1410 Sevierville Rd, Maryville, TN 37804-5108 | 2017-01-09 |
| 1588032825 | Paul Snow | Specialist/Technologist | 1503 S Munn Ave, Maryville, MO 64468-2757 | 2015-09-03 |
| 1982814554 | Kelly Leann Quinlin | Specialist/Technologist | Northwest Missouri State University, 800 University Drive, Lac 45, Maryville, MO 64468-2712 | 2007-05-23 |
| 1124087069 | David Eaton Colt | Specialist/Technologist | 800 University Dr, Lac - 043, Maryville, MO 64468-6015 | 2006-03-20 |
| 1629604996 | Kelly Griffith | Specialist/Technologist | 800 University Dr, Maryville, MO 64468-6015 | 2020-03-19 |
| 1184139545 | David Montes | Specialist/Technologist | 502 E Lamar Alexander Pkwy, Maryville, TN 37804-5907 | 2017-12-07 |
| 1548704950 | Sheena Macgowan | Specialist/Technologist | 502 E Lamar Alexander Pkwy, Maryville, TN 37804-5907 | 2016-12-05 |
| 1376095463 | Christina Tapps | Specialist/Technologist | 800 University Dr, Northwest Missouri State University Lamkin Center, Maryville, MO 64468-6015 | 2016-10-25 |
| 1043697899 | Elizabeth Hevern | Specialist/Technologist | 800 University Dr, Maryville, MO 64468-6015 | 2015-04-30 |
| Find all providers in MARYVILLE | ||||
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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.