CHARLES BOBBY PARTIN (NPI# 1225543531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225543531 |
| Entity Type | Individual |
| Full Name | CHARLES BOBBY PARTIN |
| Credential | ATC, LAT, ITAT |
| Practice Address |
103 S Pine St Pineville KY 40977-1610 |
| Mailing Address |
98 Turkey Creek Rd Pineville KY 40977-7894 |
| Practice Telephone | 6062542075 |
| Mailing Telephone | 6066702700 |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2017-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT1177 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | KENTUCKY BOARD OF MEDICAL LICENSURE | AT117 | 01 |
| Street Address |
103 S PINE ST |
| City | PINEVILLE |
| State | KY |
| Zip Code | 40977-1610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174004030 | Shane N Allen | Physical Therapist | 103 S Pine St, Pineville, KY 40977-1610 | 2018-08-28 |
| 1588140586 | Champion Physical Therapy Kentucky, LLC | Clinic/Center | 103 S Pine St, Pineville, KY 40977-1610 | 2018-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072757 | Arh Mary Breckinridge Health Services, Inc. | Clinic/Center | 302 Walnut Street, Pineville, KY 40977 | 2020-10-28 |
| 1780217794 | Family Health Care Associates 5 Limited Liability Company | Clinic/Center | 74 H&b Partin Lane, Pineville, KY 40977 | 2020-02-18 |
| 1033600416 | Southeast Family Practice Psc | Nurse Practitioner | 12904 Robert L Madon Byp Ste 2, Pineville, KY 40977 | 2018-05-22 |
| 1265971709 | Matthew Scott Powers | Physical Therapist | 103 Pine St., Pineville, KY 40977 | 2017-02-16 |
| 1316343130 | Lenn Neal | Counselor | 62 Phil Gibson Rd, Pineville, KY 40977 | 2014-11-05 |
| 1508092040 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 528 W Tennessee Ave., Pineville, KY 40977 | 2009-06-10 |
| 1477710770 | Jimmie Howard | Physical Therapy Assistant | Rt 1 Box 102, Pineville, KY 40977 | 2008-05-22 |
| 1932376175 | Kenny D Maynes | Occupational Therapist | Us 25e South, Britthaven of Pineville, Pineville, KY 40977 | 2008-05-15 |
| 1487862991 | Joanne D. Corum | General Practice | Rr 1 Box 173 Kingdom Come Parkway, Pineville, KY 40977 | 2007-05-18 |
| 1518171685 | Vivian Elesa Lasley | Contractor | Hwy 190 W, Reece Subdivision, Pineville, KY 40977 | 2007-05-09 |
| Find all providers in zip 40977 | ||||
| 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 |
|---|---|---|---|---|
| 1730604588 | Hannah J Gates | Specialist/Technologist | 1140 College Drive Box 563, Pineville, LA 71359-0001 | 2017-08-12 |
| 1740713528 | Lakyn Miller | Specialist/Technologist | 1140 College Dr # 563, Pineville, LA 71359-1000 | 2017-04-07 |
| 1922586742 | Elena St. Onge | Specialist/Technologist | 9101 Pineville Matthews Rd Ste D, Pineville, NC 28134-8826 | 2018-08-02 |
| 1114450582 | Samantha Renee Rios | Specialist/Technologist | 1140 College Dr, Pineville, LA 71360-5122 | 2017-04-04 |
| 1447646807 | Michael Brunet II | Specialist/Technologist | 1140 College Dr, Pineville, LA 71359-1000 | 2015-04-13 |
| 1144648460 | Crystal Renee Nelson | Specialist/Technologist | 1140 College Dr, Box 563, Pineville, LA 71359-1000 | 2014-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655372 | Kaitlin Niemiec | Specialist/Technologist | 1150 Danville Rd, Harrodsburg, KY 40330-9625 | 2020-10-05 |
| 1215543814 | Taylor Hall | Specialist/Technologist | 2424 Zion Rd, Henderson, KY 42420-4713 | 2020-09-18 |
| 1306457577 | Katherine Lynn Helly | Specialist/Technologist | 108 Crawford Dr, Georgetown, KY 40324 | 2020-08-12 |
| 1679184139 | Kaley Elizabeth Evans | Specialist/Technologist | 17617 Curry Branch Rd, Louisville, KY 40245-7447 | 2020-08-10 |
| 1982214433 | Brookelynn Thomason | Specialist/Technologist | 497 Angliana Ave, Lexington, KY 40508-3541 | 2020-08-08 |
| 1700496395 | Angela Huston | Specialist/Technologist | 17 Wesley Dr, Wilder, KY 41076-1472 | 2020-08-07 |
| 1942810494 | Emalee Alyce Johnson | Specialist/Technologist | 4485 N Us Highway 25, East Bernstadt, KY 40729-6538 | 2020-08-07 |
| 1093325193 | Phillip Gribble | Specialist/Technologist | 210 Charles Wethington Building 900 South Limestone, Lexington, KY 40536-0200 | 2020-08-04 |
| 1083231310 | Lindsay Perry | Specialist/Technologist | 129 Wellesly Ave, Georgetown, KY 40324-8091 | 2020-07-02 |
| 1275150088 | Kristen Pollock | Specialist/Technologist | 1130 W Chestnut St Apt 1310, Louisville, KY 40203-2047 | 2020-06-26 |
| 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.