MISS MARTHA JANE ANDERSON (NPI# 1184750572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184750572 |
| Entity Type | Individual |
| Full Name | MISS MARTHA JANE ANDERSON |
| Credential | ATC |
| Practice Address |
Kutztown University Sports Medicine Kutztown University Kutztown PA 19530-9446 |
| Mailing Address |
800 Golden Dr Apt C17 Blandon PA 19510-9446 |
| Practice Telephone | 6106834085 |
| Mailing Telephone | 6109441611 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
RT001363A | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | STATE LICENSE # | RT001363A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598279416 | Martha Anderson | Behavior Technician | 3454 Kimberly Ln, Chino Valley, AZ 86323-5006 | 2017-11-30 |
| 1073068508 | Martha Anderson | Counselor | 522 W Park Ave Ste Q-r, Greenwood, MS 38930-2906 | 2016-08-25 |
| 1942678065 | Martha Anderson | Pharmacist | 5358 Florence Carlton Loop, Florence, MT 59833-6537 | 2015-09-04 |
| 1518229467 | Martha Ann Anderson | Registered Nurse | 650 School St, Bastrop, LA 71220-5048 | 2012-06-15 |
| 1831390707 | Martha Bookout Anderson | Counselor | 1980 Edmonds Rd, Galax, VA 24333-4085 | 2007-05-30 |
| 1184716482 | Martha Lewis Anderson | Counselor | 3310 Eaglebrook Dr, Christiansburg, VA 24073-8106 | 2006-09-28 |
| 1629049796 | Martha M Anderson | Registered Nurse | 210 E Economy Rd, Morristown, TN 37814-3756 | 2006-01-27 |
| 1033104815 | Martha Anderson | Physician Assistant | 9100 Wescott Dr, Suite 103, Flemington, NJ 08822-4677 | 2005-09-16 |
| 1477117760 | Martha Anderson | Behavior Technician | 200 W Spring St, Marquette, MI 49855-4661 | 2019-04-23 |
| 1326456195 | Martha Maura Anderson | Nurse Practitioner | 1950 N Date St, Truth Or Consequences, NM 87901-3701 | 2014-07-24 |
| Street Address |
KUTZTOWN UNIVERSITY SPORTS MEDICINE KUTZTOWN UNIVERSITY |
| City | KUTZTOWN |
| State | PA |
| Zip Code | 19530-9446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407324262 | Dominika Foltyn | Pharmacist | 15260-2 Kutztown Road, Kutztown, PA 19530 | 2018-11-08 |
| 1104183839 | Rocky Mountain Holdings LLC | Ambulance | 15130 Kutztown Rd, Kutztown, PA 19530 | 2012-04-19 |
| 1871744672 | Kelly Mae Stump | Occupational Therapist | 120 Trexler Avenue, Kutztown Manor, Kutztown, PA 19530 | 2008-10-10 |
| 1508050808 | Gwendolyn Buchanan | Physical Therapist | 1181 Long Lane Rd, Kutztown, PA 19530 | 2007-08-29 |
| 1891833091 | Brandon Nolt | Specialist/Technologist | Keystone Hall Room 120, Kutztown University, Kutztown, PA 19530 | 2007-02-01 |
| 1558444356 | Renard Michael Sacco | Specialist/Technologist | Kutztown University, Keystone Hall, Sports Medicine Office, Rm 120, Kutztown, PA 19530 | 2006-10-23 |
| 1629550082 | Dillon Michael Simmons | Pharmacist | 23 N Elm St, Kutztown, PA 19530 | 2018-09-02 |
| 1922256585 | Chris Matthew Keller | Dentist | 162a Trexler Ave, Kutztown, PA 19530 | 2008-09-08 |
| 1750417150 | Dennis R Clausen | Chiropractor | 635 Noble St, Kutztown, PA 19530 | 2007-02-27 |
| 1093875445 | Michele W Dugan | Psychologist | 133 East Main St, Kutztown, PA 19530 | 2006-12-08 |
| Find all providers in zip 19530 | ||||
| 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 |
|---|---|---|---|---|
| 1790207744 | Kayla Smith | Specialist/Technologist | 125 Rhoads Rd, Kutztown, PA 19530-9075 | 2017-07-12 |
| 1316142011 | Sylvia Sokol | Specialist/Technologist | 15 Koffee Ln, Kutztown, PA 19530-9244 | 2007-06-20 |
| 1750416749 | John Entriken | Specialist/Technologist | 15200 Kutztown Rd, Kutztown Sports Medicine, Kutztown, PA 19530-9335 | 2007-02-22 |
| 1891833091 | Brandon Nolt | Specialist/Technologist | Keystone Hall Room 120, Kutztown University, Kutztown, PA 19530 | 2007-02-01 |
| 1558444356 | Renard Michael Sacco | Specialist/Technologist | Kutztown University, Keystone Hall, Sports Medicine Office, Rm 120, Kutztown, PA 19530 | 2006-10-23 |
| 1003317066 | Holly Marie Biggs | Specialist/Technologist | 15200 Kutztown Rd, Kutztown, PA 19530-9339 | 2018-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801642 | Allison Zilonis | Specialist/Technologist | 1923 Oak Hills Dr, Hanover, PA 17331-8522 | 2020-11-08 |
| 1487255642 | Siarra Grace Crum | Specialist/Technologist | 102 Bellwood Lane, Portage, PA 15946-1441 | 2020-11-04 |
| 1841891108 | Sydney Charles | Specialist/Technologist | 6325 Martins Mill Rd, Philadelphia, PA 19111-5321 | 2020-11-03 |
| 1871194308 | Alexander Hedrick | Specialist/Technologist | 33 Derstine Rd, Hatfield, PA 19440-3406 | 2020-11-02 |
| 1114528684 | Kelsey E Craig | Specialist/Technologist | 1856 N 16th St Apt 1r, Philadelphia, PA 19121-3301 | 2020-11-02 |
| 1740881333 | David Williams | Specialist/Technologist | 3100 W Thompson St Apt 42, Philadelphia, PA 19121-4485 | 2020-11-02 |
| 1992305940 | Alexandra Bossi | Specialist/Technologist | 450 N 18th St Apt 1032, Philadelphia, PA 19130-4198 | 2020-10-29 |
| 1043810021 | Randy W Dillon | Specialist/Technologist | 617c Chester Pike, Prospect Park, PA 19076-1506 | 2020-10-28 |
| 1871193086 | Troy Olsheski | Specialist/Technologist | 1970 Easton Tpke, Lake Ariel, PA 18436-4661 | 2020-10-27 |
| 1982203055 | Josiah Thompson | Specialist/Technologist | 20 Heather Rd, Feasterville Trevose, PA 19053-6320 | 2020-10-20 |
| 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.