NATHANIEL BLAIR (NPI# 1952645970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952645970 |
| Entity Type | Individual |
| Full Name | NATHANIEL BLAIR |
| Credential | ATC |
| Practice Address |
4251 Lahmeyer Rd Fort Wayne IN 46815-5676 |
| Practice Telephone | 2604324700 |
| Practice Fax Number | 2604599262 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
36001993A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4251 LAHMEYER RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46815-5676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386710093 | Terra Marie Williams | Physical Therapist | 4251 Lahmeyer Rd, Fort Wayne, IN 46815-5676 | 2006-11-27 |
| 1003467655 | Tia Schrader | Physical Therapist | 4251 Lahmeyer Rd, Fort Wayne, IN 46815-5676 | 2019-09-25 |
| 1376199653 | Allison Guitar | Physical Therapist | 4251 Lahmeyer Rd, Fort Wayne, IN 46815-5676 | 2019-08-13 |
| 1730731746 | Kevin Subler | Physical Therapist | 4251 Lahmeyer Rd, Fort Wayne, IN 46815-5676 | 2019-07-10 |
| 1265098057 | Grant Yoder | Physical Therapist | 4251 Lahmeyer Rd, Fort Wayne, IN 46815-5676 | 2019-05-16 |
| 1174080055 | Jarred Burns | Physical Therapist | 4251 Lahmeyer Rd, Fort Wayne, IN 46815-5676 | 2019-02-27 |
| 1922591403 | Matthew M Pennucci | Physical Therapist | 4251 Lahmeyer Rd, Fort Wayne, IN 46815-5676 | 2018-06-11 |
| 1881147544 | Aaron Franke | Physical Therapist | 4251 Lahmeyer Rd, Fort Wayne, IN 46815-5676 | 2016-07-29 |
| 1477897981 | Benjamin Carl Schafer | Specialist/Technologist | 4251 Lahmeyer Rd, Fort Wayne, IN 46815-5676 | 2012-11-21 |
| 1275877201 | Jerry Donnell Ford | Specialist/Technologist | 4251 Lahmeyer Rd, Fort Wayne, IN 46815-5676 | 2012-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306305438 | Sullivan Services, Inc. | In Home Supportive Care | 2789-b Maplecrest Rd, Fort Wayne, IN 46815 | 2019-03-18 |
| 1598250144 | Altermease Gleason | Massage Therapist | 3406 Thames Drive, Fort Wayne, IN 46815 | 2018-06-26 |
| 1881000222 | Denise Sparks | Specialist | 6415 Benham Drive, Fort Wayne, IN 46815 | 2014-07-07 |
| 1962823138 | Chad Distelrath | Physical Therapy Assistant | 1717 Maplecrest Rd, Apt 112, Fort Wayne, IN 46815 | 2013-12-13 |
| 1689943409 | Kendall Joan Labrash | Physical Therapist | 4251 Lahmeyer Rd., Fort Wayne, IN 46815 | 2011-12-22 |
| 1801179718 | Jayson Laube | Pharmacist | 6201 Stellhorn, Fort Wayne, IN 46815 | 2011-09-27 |
| 1720294432 | Muscle Therapy Clinic LLC | Massage Therapist | 6409 Georgetown North Blvd, Fort Wayne, IN 46815 | 2007-05-16 |
| 1427186436 | Legoras Conture Fashions | Prosthetic/Orthotic Supplier | 3316 Inwood Drive, Fort Wayne, IN 46815 | 2007-03-01 |
| 1932252772 | Fort Wayne Smiles PC | Dentist | 2031 Reed Road, Fort Wayne, IN 46815 | 2007-01-18 |
| 1811078538 | Timothy Doody Lynch | Dentist | 4207 Hobson Court, Fort Wayne, IN 46815 | 2006-10-18 |
| Find all providers in zip 46815 | ||||
| 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 |
|---|---|---|---|---|
| 1699308700 | Jennifer N Peppler | Specialist/Technologist | 3434 Kirkfield Dr, Fort Wayne, IN 46815-5972 | 2020-02-17 |
| 1710519392 | Mitchell Mckay Enyart | Specialist/Technologist | 1617 Randford Pl, Fort Wayne, IN 46815-7635 | 2020-02-11 |
| 1003448671 | Chelsea L Harrison | Specialist/Technologist | 6716 Ramblewood Ct Apt L, Fort Wayne, IN 46835-1760 | 2020-02-11 |
| 1457983223 | Kayla Grotrian | Specialist/Technologist | 5440 Evard Rd, Fort Wayne, IN 46835-1796 | 2020-02-10 |
| 1730711680 | Danielle Rebecca Patton | Specialist/Technologist | 13303 Hawks View Blvd, Fort Wayne, IN 46845-8726 | 2020-02-09 |
| 1780220046 | Kelly Grayson | Specialist/Technologist | 1300 E Washington Center Rd, Fort Wayne, IN 46825-4556 | 2019-11-21 |
| 1265093280 | Emily Maria Giorgi | Specialist/Technologist | 2101 E Coliseum Blvd Ste 100, Fort Wayne, IN 46805-1499 | 2019-06-21 |
| 1194209791 | Autumn Brooke Meece | Specialist/Technologist | 5801 Meadows Dr Apt E, Fort Wayne, IN 46804-7639 | 2018-09-19 |
| 1407358377 | Bryan Black | Specialist/Technologist | 3946 Ice Way Fort Wayne, Fort Wayne, IN 46808 | 2018-03-06 |
| 1275049686 | Julianna Davis | Specialist/Technologist | 615 Vance Ave, Fort Wayne, IN 46805-2143 | 2017-12-20 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46815 |
Please comment or provide details below to improve the information on NATHANIEL BLAIR.
| 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.