MS. JESSICA LEE BENNETT


Address: 134 N Rose St, Baltimore, MD 21224-1152
Phone: 4197086875

MS. JESSICA LEE BENNETT (NPI# 1033667803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033667803
Entity Type Individual
Full Name MS. JESSICA LEE BENNETT
Credential LAT, ATC
Practice Address 134 N Rose St
Baltimore
MD 21224-1152
Practice Telephone 4197086875
Mailing Telephone 4197086875
Enumeration Date 2016-09-21
Last Update Date 2016-09-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
AT.004256 OH Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
A00797 MD Respiratory, Developmental, Rehabilitative and Restorative Service Providers

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Office Location

Street Address 134 N ROSE ST
City BALTIMORE
State MD
Zip Code 21224-1152

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

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]

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1891339875 Mallory Gomes Specialist/Technologist 351 W Camden St Ste 500, Baltimore, MD 21201-7912 2019-11-01
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1295233021 Ethan Schmelzer Specialist/Technologist 270 Holder Rd Nw, Baltimore, OH 43105-9713 2018-01-26
1659891976 Erin Mcgovern Specialist/Technologist Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 2017-06-27
1104357409 Mollie Marie Swindell Specialist/Technologist 4405 Kenwood Ave Unit A, Baltimore, MD 21206-2032 2017-03-27
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Competitor

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City BALTIMORE
Zip Code 21224

Improve Information

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Dataset Information

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.

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