MR. JASON TODD ADOLPH (NPI# 1255390266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255390266 |
| Entity Type | Individual |
| Full Name | MR. JASON TODD ADOLPH |
| Credential | MS, LAT ATC |
| Practice Address |
972 Brook Forest Ave Shorewood IL 60431-8807 |
| Mailing Address |
5950 Oakwood Dr Apt #2m Lisle IL 60532-3085 |
| Practice Telephone | 8154394938 |
| Practice Fax Number | 6304397816 |
| Mailing Telephone | 6306317990 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
972 BROOK FOREST AVE |
| City | SHOREWOOD |
| State | IL |
| Zip Code | 60431-8807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265985212 | Justin Gerkin | Physical Therapy Assistant | 972 Brook Forest Ave, Shorewood, IL 60404-8807 | 2016-07-26 |
| 1659615813 | Matthew R Dailey | Physical Therapist | 972 Brook Forest Ave, Shorewood, IL 60404-8807 | 2012-11-12 |
| 1487921086 | Alyssa K Zimmerman | Physical Therapist | 972 Brook Forest Ave, Shorewood, IL 60404-8807 | 2011-11-27 |
| 1063707453 | Jewellie M Hochstein | Specialist/Technologist | 972 Brook Forest Ave, Shorewood, IL 60404-8807 | 2011-06-14 |
| 1104057264 | William E Sobodas II | Specialist/Technologist | 972 Brook Forest Ave, Shorewood, IL 60404-8807 | 2009-08-06 |
| 1942466438 | Brad W Vandevelde | Physical Therapist | 972 Brook Forest Ave, Shorewood, IL 60404-8807 | 2008-08-04 |
| 1174685549 | Kathleen M Olsen | Physical Therapist | 972 Brook Forest Ave, Shorewood, IL 60431-8807 | 2006-12-14 |
| 1720170384 | Kristine L Aquisap | Physical Therapist | 972 Brook Forest Ave, Shorewood, IL 60431-8807 | 2006-09-29 |
| 1225131402 | Michael Ciurej | Physical Therapist | 972 Brook Forest Ave, Shorewood, IL 60404-8807 | 2006-09-06 |
| 1194836742 | Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | 972 Brook Forest Ave, Shorewood, IL 60431-8807 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588173413 | Margaret Ann Silvas | Nurse's Aide | 3627 Woodside Ct, Joliet, IL 60431 | 2017-09-22 |
| 1174900757 | Melissa Suzanne Spoula | Optometrist | 3340 Mall Loop Dr Spc 1442, Joliet, IL 60431 | 2015-05-02 |
| 1154678373 | Melissa J Murphy | Physical Therapist | 852 A Sharp Drive, Provena Therapy and Industrial Rehabilitation Center, Shorewood, IL 60431 | 2012-08-07 |
| 1053540096 | Sarah M Patnoudes | Occupational Therapist | 1035 Heron Circle, Joliet, IL 60431 | 2009-07-13 |
| 1558598649 | Regi Nair | Pharmacy Technician | 1901 Appleman, Joliet, IL 60431 | 2009-06-16 |
| 1346483948 | John A. Propati, Inc. | Clinic/Center | 1401 Illinois Rt. 59, Shorewood, IL 60431 | 2009-04-13 |
| 1467622910 | Cornerstone Home Healthcare LLC | Home Health | 350 Houbolt Rd., Suite 209, Joliet, IL 60431 | 2008-03-11 |
| 1780898098 | Annie Bishop | Home Health Aide | 3806 Brenton Dr, Joliet, IL 60431 | 2007-05-09 |
| 1760601272 | James John Babiuk | Dentist | 3209 Fiday Rd, Joliet, IL 60431 | 2007-04-24 |
| 1689731481 | Smile Street Dental | Dentist | 3587 Hennepin Dr, Joliet, IL 60431 | 2007-01-02 |
| Find all providers in zip 60431 | ||||
| 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 |
|---|---|---|---|---|
| 1780205377 | Payton Laczynski | Specialist/Technologist | 24518 Lakewoods Ln, Shorewood, IL 60404-0676 | 2020-05-05 |
| 1003025941 | Kerri Lanum | Specialist/Technologist | 850 Brookforest Ave. F, Shorewood, IL 60404 | 2007-05-21 |
| 1558320580 | Giana Giermala | Specialist/Technologist | 927 Brook Forest Ave, Shorewood, IL 60431-8839 | 2006-03-20 |
| 1003186370 | Rebecca Ann Herbert | Specialist/Technologist | 700 W Jefferson St, Shorewood, IL 60404-7608 | 2012-01-04 |
| 1063707453 | Jewellie M Hochstein | Specialist/Technologist | 972 Brook Forest Ave, Shorewood, IL 60404-8807 | 2011-06-14 |
| 1104057264 | William E Sobodas II | Specialist/Technologist | 972 Brook Forest Ave, Shorewood, IL 60404-8807 | 2009-08-06 |
| 1912013269 | Holly Ann Boersma | Specialist/Technologist | 850 Brook Forest Ave, Ste. I, Shorewood, IL 60431-8513 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771076 | Stacey Weathers-cannon | Specialist/Technologist | 650 Ingraham Ave, Calumet City, IL 60409-4236 | 2020-08-17 |
| 1104438621 | Abril Malagon | Specialist/Technologist | 1 S Greenwood Ave, Palatine, IL 60074-6328 | 2020-08-17 |
| 1265050678 | Megan Elsbree | Specialist/Technologist | 11819 Deacon Dr, Rockton, IL 61072-9411 | 2020-07-13 |
| 1013534437 | Nicole Rose Mondelli | Specialist/Technologist | 958 Tallgrass Dr, Bartlett, IL 60103-5071 | 2020-07-01 |
| 1740806413 | Megan Herter | Specialist/Technologist | 1513 Old Ivy Dr, Springfield, IL 62711-8156 | 2020-06-18 |
| 1164047239 | Madison Stagman | Specialist/Technologist | 280 Douglas Ave Apt 4, Mascoutah, IL 62258-2963 | 2020-06-14 |
| 1588286272 | Sarah Wegrzyn | Specialist/Technologist | 3040 S Wabash Ave, Chicago, IL 60616-3474 | 2020-05-15 |
| 1336761386 | Christine Louise Shebelski | Specialist/Technologist | 15203 Pulaski Rd, Midlothian, IL 60445-3755 | 2020-05-13 |
| 1386266633 | Kathryn Riordan | Specialist/Technologist | 221 Triton Ln, Naperville, IL 60540-7926 | 2020-05-09 |
| 1487276747 | Vianey Hernandez-ramirez | Specialist/Technologist | 4115 Howard St, Skokie, IL 60076-3749 | 2020-05-09 |
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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.