KEENAN ERVIN (NPI# 1235644725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235644725 |
Entity Type | Individual |
Full Name | KEENAN ERVIN |
Credential | ATC |
Practice Address |
425 W University Blvd Durant OK 74701-3347 |
Practice Telephone | 5807453028 |
Enumeration Date | 2017-12-06 |
Last Update Date | 2017-12-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
963 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
425 W UNIVERSITY BLVD |
City | DURANT |
State | OK |
Zip Code | 74701-3347 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962058503 | Kaycie Nicole Landis | Specialist/Technologist | 425 W University Blvd, Durant, OK 74701-3347 | 2019-08-09 |
1689179764 | Regional University System of Oklahoma | Family Medicine | 425 W University Blvd, Durant, OK 74701-3347 | 2018-03-29 |
1609381961 | Gerod Undron Hubbard Jr. | Specialist/Technologist | 425 W University Blvd, Durant, OK 74701-3347 | 2017-12-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134738362 | Elevate Therapy, Pllc | Physical Therapist | 523 N Wshington Ave, Durant, OK 74701 | 2020-07-23 |
1093334906 | Duncan Kovash | Nurse Practitioner | 1901 Chukka Hina, Durant, OK 74701 | 2020-04-10 |
1184193690 | Inventive Therapy Services, LLC | Occupational Therapist | 2620 Maxey Dr, Durant, OK 74701 | 2018-11-14 |
1790271831 | Jazmine Gabrielle Benavidez | Specialist/Technologist | 1713 North 1st Avenue, Durant, OK 74701 | 2018-07-02 |
1538659586 | Katelen Sue Morgan | Case Manager/Care Coordinator | 1011 Donna Sue Pl, Durant, OK 74701 | 2018-05-15 |
1164941035 | Nsight for Life LLC | Community/Behavioral Health | 1313 N 16th, Durant, OK 74701 | 2017-09-12 |
1023534666 | Damon Dye | Physical Therapist | 30 W 3rd St, Durant, OK 74701 | 2017-08-15 |
1437605250 | Casey Worsham | Nurse Practitioner | 1800 W University, Durant, OK 74701 | 2016-08-31 |
1083160857 | Denise Adanho | Case Manager/Care Coordinator | 1218 Stonebrook Circle, Durant, OK 74701 | 2016-08-31 |
1962850271 | Justi Thompson | Case Manager/Care Coordinator | 4817 Ciara St, Durant, OK 74701 | 2016-05-26 |
Find all providers in zip 74701 |
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 |
---|---|---|---|---|
1578020780 | Courtney Ralfs | Specialist/Technologist | 1102 8th St, Durant, IA 52747-9762 | 2019-02-23 |
1790271831 | Jazmine Gabrielle Benavidez | Specialist/Technologist | 1713 North 1st Avenue, Durant, OK 74701 | 2018-07-02 |
1235333568 | Scott Willman | Specialist/Technologist | 1405 N 4th Ave, Durant, OK 74701-3330 | 2007-06-12 |
1962058503 | Kaycie Nicole Landis | Specialist/Technologist | 425 W University Blvd, Durant, OK 74701-3347 | 2019-08-09 |
1609381961 | Gerod Undron Hubbard Jr. | Specialist/Technologist | 425 W University Blvd, Durant, OK 74701-3347 | 2017-12-08 |
1205366051 | Dana M Payne | Specialist/Technologist | 1405 N 4th Ave, Durant, OK 74701-3330 | 2017-06-14 |
1962606293 | James Dudley | Specialist/Technologist | 1405 N 4th Ave, Pmb 4166, Durant, OK 74701-3330 | 2007-06-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083227110 | Mercedes Phegley | Specialist/Technologist | 2815 E 5th St Apt 1936, Tulsa, OK 74104-3122 | 2020-08-28 |
1437761657 | Sierra Harmon | Specialist/Technologist | 214 S Water St, Sapulpa, OK 74066-4236 | 2020-08-19 |
1689285363 | Meredith Galloway | Specialist/Technologist | 2806 E 8th St Apt 3022, Tulsa, OK 74104-7402 | 2020-08-14 |
1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
1427681766 | Brianna Lee Brooks | Specialist/Technologist | 3014 E 8th St Apt 4313, Tulsa, OK 74104-7436 | 2020-02-14 |
1467084806 | Jessica Lyn Johnson | Specialist/Technologist | 23 E 157th Pl S, Glenpool, OK 74033-4437 | 2020-02-04 |
1083245948 | Hana Young Clancy | Specialist/Technologist | 2626 S Trenton Ave, Tulsa, OK 74114-2728 | 2020-01-30 |
1033740121 | Taylor Deeanne Pitcock | Specialist/Technologist | 180 W Brooks St Norman Ok 1335-1, Norman, OK 73019-0001 | 2020-01-28 |
1164052148 | Marlow Rehab Services, Pllc | Specialist/Technologist | 304 W. Gilkey, Marlow, OK 73055-1224 | 2020-01-18 |
1023658424 | Amber Martin | Specialist/Technologist | 9201 N 22nd West Pl, Sperry, OK 74073-4141 | 2020-01-14 |
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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.