BRYNN HACKNEY


Address: 600 S Smiley St, O Fallon, IL 62269-2316
Phone: 6186323507

BRYNN HACKNEY (NPI# 1184114878) 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) 1184114878
Entity Type Individual
Full Name BRYNN HACKNEY
Credential ATC, LAT
Practice Address 600 S Smiley St
O Fallon
IL 62269-2316
Mailing Address 660 Wild Horse Creek Dr
Fairview Heights
IL 62208-2049
Practice Telephone 6186323507
Enumeration Date 2018-05-17
Last Update Date 2018-05-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
096.004050 IL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 600 S SMILEY ST
City O FALLON
State IL
Zip Code 62269-2316

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184849952 O'fallon Township High School Dist 203 Local Education Agency (LEA) 600 S Smiley St, O Fallon, IL 62269-2316 2007-04-16
1265957195 Shelby Kay Thiems Specialist/Technologist 600 S Smiley St, O Fallon, IL 62269-2316 2017-08-11
1356772313 Melissa Bursich Speech-Language Pathologist 600 S Smiley St, O Fallon, IL 62269-2316 2013-12-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326648155 Kayla Revermann Pharmacist 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 2020-10-30
1942814272 Ashley Monique Gibson Behavior Technician Eagle Center, Ste 10, Ofallon, IL 62269 2020-09-03
1013533819 Michelle Denise Voudrie Registered Nurse 321 Regency Park, O'fallon, IL 62269 2020-06-18
1598398455 Washington University Physicians In Illinois - Cancer Center Pharmacy Pharmacy 1418 Cross Street, Suite 180, Shiloh, IL 62269 2020-02-19
1962063800 Gerald Paskert Pharmacist 122 W. State St., O'fallon, IL 62269 2019-06-21
1780144808 Bonnie Jean Lampe Physical Therapy Assistant 316 Donna Dr, O'fallon, IL 62269 2019-03-24
1134633993 Latisha Smith Psychologist 600 S. Smiley St., O'fallon, IL 62269 2017-11-30
1619407210 Brenna M Thomas Registered Nurse 1310 Engle Ct, O'fallon, IL 62269 2017-06-15
1881135622 Pc Associates, LLC Family Medicine 800 East Highway 50, O'fallon, IL 62269 2017-03-13
1700230539 Jennifer Farrell Family Medicine 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 2016-04-18
Find all providers in zip 62269

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
1053964577 Dahlia Ariel Dyson Specialist/Technologist 1352 Shelby Point Dr, O Fallon, MO 63366-7517 2019-07-23
1275000747 Candice Justine Cherry-exely Specialist/Technologist 33 Spangle Way Dr, O Fallon, MO 63366-5525 2018-11-01
1760965347 Megan Marie Carroll Specialist/Technologist 41 Tournament Tee Dr, O Fallon, MO 63368-9606 2018-09-10
1528501228 Ryan Franklin Specialist/Technologist 42 Golden Aster Ct, O Fallon, MO 63368-9761 2016-11-29
1083012017 Sarah Hall Specialist/Technologist 1533 Snowbird Ln, O Fallon, MO 63366-3214 2014-12-08
1891198131 Jennifer Raisbeck Specialist/Technologist 1251 Turtle Creek Dr, O Fallon, MO 63366-5948 2014-10-01
1265957195 Shelby Kay Thiems Specialist/Technologist 600 S Smiley St, O Fallon, IL 62269-2316 2017-08-11
1740684463 Samantha Lee Fehlhafer Specialist/Technologist 2982 Highway K, O Fallon, MO 63368-7861 2014-10-09
1841693678 Maggie Richardson Specialist/Technologist 1230 Tom Ginnever Ave, O Fallon, MO 63366-4406 2014-10-07
1861513756 Kevin Crawmer Specialist/Technologist 2982 Highway K, O Fallon, MO 63368-7861 2007-04-02
Find all providers in O FALLON

Competitor

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City O FALLON
Zip Code 62269

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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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