MARISSA DIAN MASON (NPI# 1053851253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053851253 |
| Entity Type | Individual |
| Full Name | MARISSA DIAN MASON |
| Credential | ATC |
| Practice Address |
364 Ridgeway Dr Bridgeport WV 26330-1276 |
| Practice Telephone | 3046411699 |
| Mailing Telephone | 3046411699 |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114564200 | Marissa Lynn Mason | Physical Therapist | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2019-12-08 |
| Street Address |
364 RIDGEWAY DR |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330-1276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1851914105 | Melany Langhurst | Social Worker | 64 Professional Place, Suite 102, Bridgeport, WV 26330 | 2020-05-21 |
| 1245704980 | Adam Christopher Stonestreet | Social Worker | Community Care of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 | 2019-01-16 |
| 1588146658 | Bridgeport Physical Therapy Services, Inc. | Occupational Therapist | 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 | 2018-09-05 |
| 1275040685 | White Oaks Assisted Living | Assisted Living Facility | 140 Professional Place White Oaks, Bridgeport, WV 26330 | 2018-01-08 |
| 1275049371 | Regional Eye Associates, Inc | Ophthalmology | 220 Southview Drive, Bridgeport, WV 26330 | 2017-12-27 |
| 1528586187 | Savanna Tamia Brown | Social Worker | 65 Professinal Place Suites 101,102103, Bridgeport, WV 26330 | 2017-09-05 |
| 1184079642 | Karla Kay Rinehart | Social Worker | 27 Trovato St., Suite 103, Bridgeport, WV 26330 | 2016-05-03 |
| 1396176756 | Willo Group LLC | Pharmacy | 460 E. Main Street, Bridgeport, WV 26330 | 2013-12-10 |
| 1891031878 | Sherri Michelle Dobson | Occupational Therapy Assistant | 1000 Maplewood Dr, Bridgeport, WV 26330 | 2012-12-20 |
| Find all providers in zip 26330 | ||||
| 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 |
|---|---|---|---|---|
| 1265906648 | Sophia Rahim | Specialist/Technologist | 204 Folino Dr, Bridgeport, CT 06606-1011 | 2019-01-18 |
| 1518358829 | Ericka Ann Ventura | Specialist/Technologist | 5350 Park Ave, Bridgeport, CT 06604-1019 | 2015-02-09 |
| 1801221205 | Kerri Gavin | Specialist/Technologist | 314 Coates St, Bridgeport, PA 19405-1606 | 2013-09-05 |
| 1659580553 | William Newsom | Specialist/Technologist | 1 Maroon Dr, Bridgeport, TX 76426-6741 | 2007-05-21 |
| 1114148764 | Meghan E. Kavanagh | Specialist/Technologist | University of Bridgeport, 120 Waldemere Avenue, Bridgeport, CT 06604 | 2007-05-01 |
| 1689691693 | Teresa Ann Lunsford | Specialist/Technologist | 515 Johnson Ave, Bridgeport, WV 26330-1311 | 2006-07-16 |
| 1326082447 | Jeffrey C. Stay | Specialist/Technologist | 120 Waldemere Ave, Bridgeport, CT 06604-5749 | 2006-06-16 |
| 1619577103 | Gena Fuller | Specialist/Technologist | 4675 Main St, Bridgeport, CT 06606-1813 | 2020-10-26 |
| 1457637928 | Matthew James Bain | Specialist/Technologist | 600 Main St, Bridgeport, CT 06604-5105 | 2011-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215693 | Linda B. Bell | Specialist/Technologist | 44 Europa Way, Martinsburg, WV 25405-1436 | 2020-11-02 |
| 1609482629 | Cory Tyler Donley | Specialist/Technologist | 2648 Main St Apt 8, Hurricane, WV 25526-1439 | 2020-09-16 |
| 1215542121 | Gary E Mcilvain | Specialist/Technologist | 1 John Marshall Drive Gullickson Hall 1, Huntington, WV 25755-0001 | 2020-09-09 |
| 1417588765 | Yasmin Neve Mosby | Specialist/Technologist | 1000 Vermillion St # C417, Athens, WV 24712-9027 | 2020-01-27 |
| 1255978458 | Katherine Elizabeth Bryant | Specialist/Technologist | 306 Dawn St, Scott Depot, WV 25560-9014 | 2019-12-06 |
| 1093352296 | Jayde Shaianne Vanriper | Specialist/Technologist | 102 Birch Ln, Morgantown, WV 26505-2509 | 2019-12-06 |
| 1992342190 | Brittney Justine Demarco | Specialist/Technologist | 182 Bronte Ave, Inwood, WV 25428-4390 | 2019-12-06 |
| 1578100780 | Brandon Alfred Akers | Specialist/Technologist | 1216 Morgantown Ave, Fairmont, WV 26554-4504 | 2019-12-06 |
| 1801433008 | Kailee Selders | Specialist/Technologist | 1111 Valley View Ave Trlr 12, Morgantown, WV 26505-3682 | 2019-12-06 |
| 1083250328 | Razhane Kelecce Kelecce Nicole Andrews | Specialist/Technologist | 209 19th St Apt 15, Huntington, WV 25703-1145 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 26330 |
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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.