BLAIRE WYATT (NPI# 1235631979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235631979 |
| Entity Type | Individual |
| Full Name | BLAIRE WYATT |
| Credential | MS, ATC, LAT, CES |
| Practice Address |
1 Trinity Pl San Antonio TX 78212-4674 |
| Mailing Address |
13422 Patmore Dr San Antonio TX 78217-1517 |
| Practice Telephone | 2109998574 |
| Mailing Telephone | 8165070442 |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
5662 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1 TRINITY PL |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78212-4674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750483772 | George Marc Powell | Specialist/Technologist | 1 Trinity Pl, San Antonio, TX 78212-4674 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902451701 | Ninfa Hernandez Guzman | Assisted Living Facility | 325 E Locust St., San Antonio, TX 78212 | 2019-08-08 |
| 1366924730 | David Edward Dupuy | Occupational Therapist | 307 West Cypress, San Antonio, TX 78212 | 2018-09-03 |
| 1184100836 | Magenta Health, Inc. | Clinic/Center | 1222 North Main, Suite 115, San Antonio, TX 78212 | 2018-07-16 |
| 1497275762 | Dms Pharmacy, LLC | Pharmacy | 305 East Euclid, Suite 104, San Antonio, TX 78212 | 2017-06-27 |
| 1245693290 | Rebecca Lynn Sherman | Physical Therapist | 40 Ne Interstate 410 Loop, San Antonio, TX 78212 | 2016-03-29 |
| 1669886032 | Felise De Novo, PC | Counselor | 2400 Mccullough Ave., #12851, San Antonio, TX 78212 | 2014-06-13 |
| 1699102699 | Prem S. Kalidindi | Pharmacist | 2608 N. Main, Ste 1, San Antonio, TX 78212 | 2013-10-04 |
| 1073860052 | Sarah Nicole Percy Tovar | Dentist | 4118 Mccullough Ave., Suite 6, San Antonio, TX 78212 | 2012-08-09 |
| 1205181674 | Michael Jose Cavazos | Internal Medicine | 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 | 2012-07-20 |
| 1730458381 | Neuriom, Pllc | Electrodiagnostic Medicine | 4007 Mccullough Ave, #243, San Antonio, TX 78212 | 2011-12-27 |
| Find all providers in zip 78212 | ||||
| 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 |
|---|---|---|---|---|
| 1184222663 | Zachary Mitchell Kimo Mitsui | Specialist/Technologist | 7311 Bluestone Rd, San Antonio, TX 78249 | 2020-10-15 |
| 1417560004 | Margarita Carmen Carrizales | Specialist/Technologist | 8503 Chelsea Park, San Antonio, TX 78251-2552 | 2020-08-25 |
| 1710590328 | Seth Girard | Specialist/Technologist | 12631 Sunny Wonder, San Antonio, TX 78253-5193 | 2020-08-25 |
| 1942811534 | Nadia Giselle Briones | Specialist/Technologist | 8918 Sungate Bay, San Antonio, TX 78224-2254 | 2020-08-16 |
| 1376152181 | Stevie Marie Digiacomo | Specialist/Technologist | 7611 Marbach Rd, San Antonio, TX 78227-1691 | 2020-07-28 |
| 1851900906 | Giovanni A. Patino | Specialist/Technologist | 13610 Box T Dr, San Antonio, TX 78253-5461 | 2020-07-24 |
| 1972123388 | Jaime Alejandro Gonzalez | Specialist/Technologist | 302 E Hathaway Dr, San Antonio, TX 78209-6415 | 2020-04-26 |
| 1699395400 | Heather Wrench | Specialist/Technologist | 13000 Vista Del Norte Apt 314, San Antonio, TX 78216-8045 | 2020-04-21 |
| 1508493867 | Victoria Pineda | Specialist/Technologist | 215 Bexar Dr, San Antonio, TX 78228-4207 | 2020-03-26 |
| 1023643343 | Meredith Grace Cockerell | Specialist/Technologist | W Military Drive, San Antonio, TX 78236 | 2020-03-06 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78212 |
Please comment or provide details below to improve the information on BLAIRE WYATT.
| 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.