MR. JEFFREY ALAN HARDISTY (NPI# 1215275367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215275367 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY ALAN HARDISTY |
| Credential | ACSM CPT |
| Practice Address |
2420 Canterbury St Eugene OR 97404-1901 |
| Practice Telephone | 5417292920 |
| Mailing Telephone | 5417292920 |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-01-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
690411 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2420 CANTERBURY ST |
| City | EUGENE |
| State | OR |
| Zip Code | 97404-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821503293 | Calvin Daniel Smith | Denturist | 65 Irving Rd, Eugene, OR 97404 | 2017-12-07 |
| 1053838581 | Breann Nicole Martin | Psychologist | 366 Greenfield Ave, Eugene, OR 97404 | 2017-08-25 |
| 1376071464 | Mckenzie Living, Incorporated | Custodial Care Facility | 2621 Lone Oak Way, Eugene, OR 97404 | 2017-06-01 |
| 1205382520 | Gudatu Wotcha | Counselor | 550 River Rd., Eugene, OR 97404 | 2016-08-28 |
| 1750786828 | Orion Emelio | Registered Nurse | 1366 Andersen Ln, Eugene, OR 97404 | 2014-10-30 |
| 1922407634 | Cheyenne Huddleston | Massage Therapist | 48 Irving Rd., Eugene, OR 97404 | 2014-08-19 |
| 1437593258 | Aaron Morgan Varela | Counselor | 348 Ruby Ave., Eugene, OR 97404 | 2013-04-23 |
| 1245579994 | The Eye Center LLC | Ophthalmology | 65 Division Ave Ste E, Eugene, OR 97404 | 2013-01-31 |
| 1073888251 | Zachary Newell | Mechanotherapist | 902 Travis Ave, Eugene, OR 97404 | 2012-03-20 |
| 1225301732 | Spencer Dean Moncur | Counselor | 550 Rivier Road, Eugene, OR 97404 | 2012-02-14 |
| Find all providers in zip 97404 | ||||
| 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 |
|---|---|---|---|---|
| 1174080188 | Katherine Colasurdo | Specialist/Technologist | 2788 Riverwalk Loop, Eugene, OR 97401-1536 | 2019-02-26 |
| 1972069862 | Stephanie Alyssa Morgan | Specialist/Technologist | 4257 Barger Dr # 496, Eugene, OR 97402-1310 | 2019-02-15 |
| 1578063848 | Brookelyn Armstrong | Specialist/Technologist | 1750 Alder St Apt 10, Eugene, OR 97401-4427 | 2018-02-13 |
| 1235509688 | Britnie Jones | Specialist/Technologist | 590 Throne Dr Apt 158, Eugene, OR 97402-7606 | 2015-09-28 |
| 1740672591 | Michael Estes | Specialist/Technologist | 1450 E 18th Ave, Apt 4, Eugene, OR 97403-1416 | 2015-03-02 |
| 1245638352 | Corrie Sizemore | Specialist/Technologist | 1801 Echo Hollow Rd, Eugene, OR 97402-7003 | 2014-12-05 |
| 1316364870 | Ellie Barrington | Specialist/Technologist | 3795 Keeler Ave, Eugene, OR 97401-5311 | 2014-03-23 |
| 1841638632 | Elizabeth Marie Flom | Specialist/Technologist | 4810 Unthank Ave, #386, Eugene, OR 97402-7676 | 2013-06-13 |
| 1285902833 | Aimee Pascale | Specialist/Technologist | 1910 Columbia St, Eugene, OR 97403-1440 | 2011-12-11 |
| 1821030883 | Scott V. Garner | Specialist/Technologist | 4000 E. 30th Ave, Athletics, Eugene, OR 97405 | 2006-06-12 |
| Find all providers in EUGENE | ||||
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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.