CHRISTOPHER JOSEPH HILDEBRANDT (NPI# 1134293921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134293921 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER JOSEPH HILDEBRANDT |
| Credential | ATC |
| Practice Address |
760 Main St Ste 1-2 Center Moriches NY 11934-2230 |
| Mailing Address |
20 Vassar Pl Smithtown NY 11787-3425 |
| Practice Telephone | 6318784710 |
| Practice Fax Number | 6318788740 |
| Mailing Telephone | 6312651093 |
| Mailing Fax Number | 6318788740 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
001319 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NEW YORK STATE LISCENSURE | 001319 | 01 |
| NY | NATA BOC CERTIFICATION # | 069902515 | 01 |
| Street Address |
760 MAIN ST STE 1-2 |
| City | CENTER MORICHES |
| State | NY |
| Zip Code | 11934-2230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275915381 | Julie Stuart | Licensed Practical Nurse | 43 Railroad Ave, Center Moriches, NY 11934 | 2015-06-25 |
| 1932508520 | Christopher Gene Doloroso | Social Worker | 408 Main Street #3, Center Moriches, NY 11934 | 2014-08-19 |
| 1710236211 | Jeannine Casper | Behavioral Analyst | 20 Senix Avenue, Center Moriches, NY 11934 | 2012-08-30 |
| 1255600243 | Ellen Stein | Counselor | 129 Hewitt Blvd., Center Moriches, NY 11934 | 2011-12-20 |
| 1295035491 | Philip Henry Antz | Social Worker | 220 Mainstreet, Center Moriches, NY 11934 | 2010-10-22 |
| 1215169602 | Holly Lee Gordon | Social Worker | 408 Main St South, Center Moriches, NY 11934 | 2009-08-18 |
| 1740415744 | Sleep Disorder Center | Internal Medicine | 356 Maind St, Center Moriches, NY 11934 | 2009-05-19 |
| 1033358957 | Louise Florence Colon | Registered Nurse | 40 Trainor Ave, Center Moriches, NY 11934 | 2009-02-17 |
| 1710150271 | Independent Group Home Living | Nursing Facility/Intermediate Care Facility | 21 Montauk Highway, Center Moriches, NY 11934 | 2008-04-07 |
| 1518096437 | Pamela Anne Mcdonald | Speech-Language Pathologist | 77 Union Street, Out East Occupational Therapy PC, Center Moriches, NY 11934 | 2007-03-05 |
| Find all providers in zip 11934 | ||||
| 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 |
|---|---|---|---|---|
| 1639779309 | Jonathan Edwards | Specialist/Technologist | 39 Monty St, Plattsburgh, NY 12901-3702 | 2020-10-30 |
| 1245830207 | Skyler Lauren Cirillo | Specialist/Technologist | 1000 Hempstead Turnpike, Hempstead, NY 11549-0001 | 2020-10-29 |
| 1790384410 | Gina Siracusano | Specialist/Technologist | 630 Mastic Rd Ste 4, Mastic Beach, NY 11951-1020 | 2020-10-23 |
| 1134728504 | Corinne Edwards | Specialist/Technologist | 3606 Nutt Rd, Jamestown, NY 14701-9432 | 2020-10-18 |
| 1720687163 | Theresa A Trump | Specialist/Technologist | 7 Mapleline Rd, Ballston Lake, NY 12019-1589 | 2020-10-17 |
| 1235738667 | Erica Michalski | Specialist/Technologist | 157 Hillpine Rd, Cheektowaga, NY 14227-2261 | 2020-10-17 |
| 1396344743 | Jared Russom | Specialist/Technologist | 13 Brookview Ave., Delmar, NY 12054 | 2020-10-17 |
| 1720686231 | Leighann Buzzard | Specialist/Technologist | 277 Forbes Ave, Tonawanda, NY 14150-4705 | 2020-10-16 |
| 1861090367 | Jake Savino | Specialist/Technologist | 185 Oak Ave, Staten Island, NY 10306-4002 | 2020-10-15 |
| 1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
| City | CENTER MORICHES |
| Zip Code | 11934 |
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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.