TYLER STOLTMAN (NPI# 1144605098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144605098 |
| Entity Type | Individual |
| Full Name | TYLER STOLTMAN |
| Credential | ACT/LAT |
| Practice Address |
19550 E 39th St S Ste 230 Independence MO 64057-2309 |
| Practice Telephone | 8167958200 |
| Practice Fax Number | 8167957735 |
| Mailing Telephone | 8167958200 |
| Mailing Fax Number | 8167957735 |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-11-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2013028788 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
19550 E 39TH ST S STE 230 |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64057-2309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265971733 | Carl Wesley Fillingame | Physician Assistant | 19550 E 39th St S Ste 230, Independence, MO 64057-2309 | 2017-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174002364 | Justine Barye Bolton | Physical Therapist | 2301 South 291 Highway, Independence, MO 64057 | 2018-08-09 |
| 1194230136 | Brantley Vincent Niendick | Occupational Therapist | 2301 S M 291 Hwy, Independence, MO 64057 | 2017-12-13 |
| 1437693561 | Derek Faulkner | Counselor | 2400 Little Blue Pkwy, Independence, MO 64057 | 2016-12-08 |
| 1578916136 | Jared Donald Gerstenkorn | Physical Therapist | 2301 South Highway 291, Independence, MO 64057 | 2016-07-19 |
| 1295198182 | Jennifer J Allen | Nurse Practitioner | 2310 Castle Drive, Independence, MO 64057 | 2016-03-30 |
| 1750750808 | Lisa Louise Freeman | Physical Therapy Assistant | 3980 S Jackson Dr, Independence, MO 64057 | 2015-09-18 |
| 1437543592 | Harold Epps | Specialist/Technologist | 2301 South Mo 291 Highway, Independence, MO 64057 | 2015-03-26 |
| 1245620426 | Holly Morgan | Occupational Therapist | 3980 S Jackson Dr., Independence, MO 64057 | 2015-01-27 |
| 1093128159 | Jennifer Falk Crumbaugh | Dentist | 3151 S. M-291 Highway, Suite A, Independence Mo, MO 64057 | 2014-06-06 |
| 1952711954 | Judy Bray | Occupational Therapy Assistant | 3980 East Jackson Drive, Independence, MO 64057 | 2014-04-30 |
| Find all providers in zip 64057 | ||||
| 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 |
|---|---|---|---|---|
| 1699394585 | Jennifer Elizabeth O'sullivan | Specialist/Technologist | 1369 Monmouth St, Independence, OR 97351-1126 | 2020-04-10 |
| 1215494711 | Jordan Taylor Stiers | Specialist/Technologist | 15103 E 41st St S, Independence, MO 64055-4116 | 2019-02-21 |
| 1043774375 | Kearston Mcginnis | Specialist/Technologist | 19104 Holke Rd, Independence, MO 64057-1402 | 2019-01-31 |
| 1619447802 | Brandon Germany | Specialist/Technologist | 4401 Rockside Rd Ste 401, Independence, OH 44131-2147 | 2018-11-29 |
| 1396239356 | Samantha Duncan | Specialist/Technologist | 12067 Bowman Rd, Independence, KY 41051-9735 | 2018-06-21 |
| 1518468834 | Destiny N Crawford | Specialist/Technologist | 2779 Sycamore Creek Dr, Independence, KY 41051-8408 | 2018-02-22 |
| 1821531492 | Madison Rae Clark | Specialist/Technologist | 15413 E 3rd Ter S, Independence, MO 64050-2289 | 2016-11-29 |
| 1437543592 | Harold Epps | Specialist/Technologist | 2301 South Mo 291 Highway, Independence, MO 64057 | 2015-03-26 |
| 1043601230 | Alena Mcloughlin | Specialist/Technologist | 4300 S Union St, Independence, MO 64055-4514 | 2015-02-10 |
| 1396185500 | Erica Lanham | Specialist/Technologist | 1247 Monocacy Ct, Independence, KY 41051-7826 | 2013-07-02 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64057 |
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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.