MR. JACOB DAVID IBEY (NPI# 1124123872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124123872 |
| Entity Type | Individual |
| Full Name | MR. JACOB DAVID IBEY |
| Credential | ATC |
| Practice Address |
3 Weymouth Rd Enfield CT 06082 |
| Mailing Address |
58 Giddings Ave Windsor CT 06095-3702 |
| Practice Telephone | 8607637625 |
| Practice Fax Number | 8602722912 |
| Mailing Telephone | 8606871459 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
000021 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3 WEYMOUTH RD |
| City | ENFIELD |
| State | CT |
| Zip Code | 06082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033772637 | Healthtrax Physical Therapy, Pllc | Clinic/Center | 3 Weymouth Rd, Enfield, CT 06082-6006 | 2019-04-18 |
| 1952863524 | Enfield Club Properties, LLC | Physical Therapist | 3 Weymouth Rd, Enfield, CT 06082-6006 | 2019-04-03 |
| 1366680548 | Echn Johnson Health Care, Inc. | Clinic/Center | 3 Weymouth Rd, Enfield, CT 06083-1153 | 2009-01-27 |
| 1548386261 | Brian J. Ferreira | Physical Therapist | 3 Weymouth Rd, Enfield, CT 06082-6006 | 2007-03-22 |
| 1740314061 | Johnson Occupational Medicine Center | Clinic/Center | 3 Weymouth Rd, Enfield, CT 06083-1153 | 2007-03-16 |
| 1073641841 | Michael Joseph Flynn | Specialist/Technologist | 3 Weymouth Rd, Enfield, CT 06082 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235611674 | Danielle Rock | Student in an Organized Health Care Education/Training Program | 153 Hazard Avenue, Enfield, CT 06082 | 2018-09-01 |
| 1871083980 | Alexa Swan | Registered Nurse | 160 Hazard Avenue, Enfield, CT 06082 | 2018-05-14 |
| 1194236869 | Cheryl Anne Gorton | Nurse Practitioner | 701 Enfield Street Enfield Medical Associates, Enfield, CT 06082 | 2017-10-20 |
| 1639695935 | Mw Wellness Viii, LLC | Family Medicine | 155 Hazard Ave Ste 2, Enfield, CT 06082 | 2017-08-17 |
| 1447770748 | Nanas 247 Home Care & Companion Agency LLC | Home Health | 7g The Hamlet, Enfield, CT 06082 | 2017-06-27 |
| 1366962920 | Caroline Laplante | Speech-Language Pathologist | 12 Trevor Dr, Enfield, CT 06082 | 2017-06-26 |
| 1740722487 | Gentle Dental Assoicates PC | Clinic/Center | 118 Elm Street, Enfield, CT 06082 | 2016-11-11 |
| 1386048007 | Michelle Mary Keane-taylor | Occupational Therapy Assistant | 1157 Enfield Street, Kindred Healthcare @ Parkway Pavilion, Enfield, CT 06082 | 2014-10-09 |
| 1780927517 | Kymberly A Lessard | Counselor | 37 King Court, Enfield, CT 06082 | 2013-03-29 |
| 1790068500 | Enfield Pediatric Dentistry LLC | Dentist | 233 Hazard Avenue, Enfield, CT 06082 | 2011-09-28 |
| Find all providers in zip 06082 | ||||
| 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 |
|---|---|---|---|---|
| 1487295168 | Kestin Bunnell | Specialist/Technologist | 327 Bog Rd, Enfield, NH 03748-4103 | 2019-10-03 |
| 1619456290 | Justin Lee Rush | Specialist/Technologist | 6 Redwing Rd, Enfield, CT 06082-5715 | 2018-08-14 |
| 1295226074 | Ashley May Kennedy | Specialist/Technologist | 27 Foxcroft Rd, Enfield, CT 06082-2430 | 2018-05-28 |
| 1023523016 | Matthew Johnson | Specialist/Technologist | 51 Armstrong Rd, Enfield, CT 06082-2731 | 2017-12-12 |
| 1902103104 | Benjamin Michael Schuler | Specialist/Technologist | 32 Warren Rd, Enfield, NH 03748-4137 | 2011-02-24 |
| 1225164411 | David Kenneth Johnson | Specialist/Technologist | 12 Riverdale Rd, Enfield, CT 06082-4348 | 2007-02-24 |
| 1003439019 | Mary Beth Della Volpe | Specialist/Technologist | 100 Hazard Ave, Enfield, CT 06082-5446 | 2020-05-26 |
| 1033678628 | Benjamin Stralka | Specialist/Technologist | 100 Hazard Ave, Enfield, CT 06082-5446 | 2019-03-14 |
| 1073641841 | Michael Joseph Flynn | Specialist/Technologist | 3 Weymouth Rd, Enfield, CT 06082 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952901019 | Jessica Handy | Specialist/Technologist | 45 Cottage Rd, Oakdale, CT 06370-1051 | 2020-10-28 |
| 1770183030 | Adrienne Lara Fedyna Dembeck | Specialist/Technologist | 211 New Britain Rd Ste 101, Berlin, CT 06037-3167 | 2020-10-27 |
| 1194324665 | Francesca Chirico | Specialist/Technologist | 34 Farms Village Rd, Simsbury, CT 06070-2344 | 2020-10-25 |
| 1497354401 | Brandon Hallaway | Specialist/Technologist | 2098 Hillside Rd, Storrs, CT 06268 | 2020-10-21 |
| 1427657816 | Riley J Burns | Specialist/Technologist | 49 Farrell Rd, Newtown, CT 06470-1205 | 2020-10-18 |
| 1780283176 | Karl Kochersperger | Specialist/Technologist | 146 Sherwood Farm Rd, Fairfield, CT 06824-2979 | 2020-10-18 |
| 1720686215 | Liana Suarez | Specialist/Technologist | 31 Yates St, West Haven, CT 06516-1142 | 2020-10-15 |
| 1598363095 | Shayna Deluca | Specialist/Technologist | 178 New State Rd Apt 8, Manchester, CT 06042-7941 | 2020-10-15 |
| 1376150045 | Anna E Viscuso | Specialist/Technologist | 201 Regan Rd Apt 35a, Vernon Rockville, CT 06066-2861 | 2020-09-28 |
| 1881200962 | Keenan Thomas Love | Specialist/Technologist | 80 Shunpike Rd Unit 202, Cromwell, CT 06416-4402 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
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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.