BRADLEY YATES


Address: 1442 Catherine St, Ottawa, IL 61350-4833
Phone: 6307683583

BRADLEY YATES (NPI# 1114434198) 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) 1114434198
Entity Type Individual
Full Name BRADLEY YATES
Credential ATC
Practice Address 1442 Catherine St
Ottawa
IL 61350-4833
Practice Telephone 6307683583
Mailing Telephone 6307683583
Enumeration Date 2017-12-29
Last Update Date 2017-12-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
096.003089 IL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1442 CATHERINE ST
City OTTAWA
State IL
Zip Code 61350-4833

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NPI Name Taxonomy Address Enumeration
1306336359 Yulandist Jeannie Brown Licensed Practical Nurse 617 Columbus St, Ottawa, IL 61350 2018-05-15
1881071272 Ashlee Herbold Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1718 N 2525th Rd, Ottawa, IL 61350 2015-05-05
1053702365 Wanda Rohl Social Worker 3735 E 1453 Rd, Ottawa, IL 61350 2015-02-09
1538550868 Erin Rose Boe Physical Therapist 2872 Columbus St, Unit 300, Ottawa, IL 61350 2015-02-09
1346572757 Rebecca Samolitis Counselor 116 W Lafayette St, Suite 8, Ottawa, IL 61350 2010-02-10
1235383266 Timothy I Miller O.d. P.C. Optometrist 107 E. Mckinley Rd., Ottawa, IL 61350 2008-11-04
1427204676 Leo John Meagher Counselor 218 West Madison St, Ottawa, IL 61350 2008-08-07
1598938755 Radiation Oncology of Northern Illinois LLC Radiology 1200 Starfire Dr, Ottawa, IL 61350 2008-04-09
1154538510 Serenityonwheels, Inc. Counselor Serenity On Wheels, Inc. 630 Columbus Street, Ste # 214, Ottawa, IL 61350 2007-05-16
1205040904 Dixie Devry Occupational Therapist 2532 Reynolds Manor, Ottawa, IL 61350 2007-05-10
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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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619526464 Jennifer Raybern Specialist/Technologist 1001 S Cedar St, Ottawa, KS 66067 2019-09-04
1497250922 Robert Lincoln Woodruff Specialist/Technologist 1050 E Norris Dr Ste 3, Ottawa, IL 61350-1605 2018-03-27
1548718570 Payton Michael Jensen Specialist/Technologist 402 E Van Buren St, Ottawa, IL 61350-3603 2016-09-19
1548676125 Andrew Wisniewski Specialist/Technologist 2607 Mara Dr, Ottawa, IL 61350-1053 2014-07-03
1801927611 Adam Richard Vaughan Specialist/Technologist 1306 Gemini Cir Ste 3, Ottawa, IL 61350-1695 2007-03-07
1407992522 Carrie Leone Jilek Specialist/Technologist 1120 S Ash St, Ottawa, KS 66067-3415 2007-01-29
1124114939 John B Hicks Specialist/Technologist 1880 N Perry Street Suite 100, Ottawa, OH 45875 2006-10-05
1487687125 Northwest Physical Therapy, Inc. Specialist/Technologist 1880 N Perry St, Suite 100, Ottawa, OH 45875-1129 2006-07-08
1366072324 Sindra Kaye Schueler Specialist/Technologist 1001 S Cedar St, Ottawa, KS 66067-3399 2020-01-18
1659844272 Kristyn Watts Specialist/Technologist 1301 S Main St, Ottawa, KS 66067-3537 2019-01-07
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Competitor

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City OTTAWA
Zip Code 61350

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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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