TIMOTHY OBRIEN (NPI# 1255741674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255741674 |
| Entity Type | Individual |
| Full Name | TIMOTHY OBRIEN |
| Credential | LAT, ATC |
| Practice Address |
330 3rd St Ne Mayville State Uiversity Mayville ND 58257-1217 |
| Practice Telephone | 7017884844 |
| Practice Fax Number | 7017884840 |
| Mailing Telephone | 7017884844 |
| Mailing Fax Number | 7017884840 |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2014-05-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
103-92 | ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508968637 | Timothy M Obrien | Counselor | 2103 Ne 129th St Ste 101, Vancouver, WA 98686-3270 | 2006-09-01 |
| 1508929209 | Timothy W Obrien | Specialist | 227 Hoffman St, Elmira, NY 14905 | 2006-12-18 |
| 1609803758 | Timothy John Obrien | Orthotist | 1 Mercado St, 203, Durango, CO 81301-7300 | 2006-06-26 |
| Street Address |
330 3RD ST NE MAYVILLE STATE UIVERSITY |
| City | MAYVILLE |
| State | ND |
| Zip Code | 58257-1217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992186530 | Jeremy Johnson | Student in an Organized Health Care Education/Training Program | 1141 154th Ave Ne, Mayville, ND 58257 | 2015-06-09 |
| 1861556102 | Union Hospital Society of Mayvile Nd | General Acute Care Hospital | 42 6th Avenue Se, Mayville, ND 58257 | 2006-12-21 |
| 1376635755 | Scott Edward Omdalen | Chiropractor | 45 1st Ave Se, Mayville, ND 58257 | 2006-09-29 |
| 1164522306 | Goose River Dental Assoc., PC | Dentist | 37 1/2 Main St E, Mayville, ND 58257 | 2006-09-25 |
| 1487757423 | Pride Medical Supplies | Durable Medical Equipment & Medical Supplies | 303 Miller Rd, #2019, Scottsdale, AZ 58257 | 2006-09-06 |
| 1689697062 | West Traill Ambulance Service, Inc | Ambulance | 43 7th Ave Se, Mayville, ND 58257 | 2006-07-26 |
| 1831578541 | Travis Waswick | Family Medicine | 600 1st St Se, Mayville, ND 58257 | 2015-05-27 |
| 1346365079 | Omdalen Chiropractic Clinic PC | Chiropractor | 45 1st Ave Se, Mayville, ND 58257 | 2007-03-20 |
| 1568599033 | Union Hospital Society of Mayville Nd | General Acute Care Hospital | 42 6th Avenue Se, Mayville, ND 58257 | 2007-02-28 |
| 1457488975 | Union Hospital Society of Mayville Nd | General Acute Care Hospital | 42 6th Avenue Se, Mayville, ND 58257 | 2007-02-28 |
| Find all providers in zip 58257 | ||||
| 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 |
|---|---|---|---|---|
| 1871003772 | Carolyn Rygg | Specialist/Technologist | 336 1st St Nw, Mayville, ND 58257-1107 | 2017-10-05 |
| 1124577218 | Andrew Oliver | Specialist/Technologist | 1650 Obrien Rd, Mayville, MI 48744-9405 | 2016-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013516269 | Parker Lanoue | Specialist/Technologist | 407 26th Ave W Apt 2, West Fargo, ND 58078-7856 | 2020-10-20 |
| 1225640170 | Jordan Chase Elliott | Specialist/Technologist | 1800 University Dr N, Fargo, ND 58102-2241 | 2020-08-21 |
| 1235769712 | Kathleen Freebern | Specialist/Technologist | 4780 Timber Pkwy S Apt 103, Fargo, ND 58104-4837 | 2020-01-23 |
| 1043851686 | Young Men's Christian Association of Grand Forks | Specialist/Technologist | 215 N 7th St, Grand Forks, ND 58203-3668 | 2019-10-04 |
| 1083274377 | Lance E Shuler | Specialist/Technologist | 824 N 28th St, Bismarck, ND 58501-3130 | 2019-06-18 |
| 1003475674 | Jillian Nicole Fields | Specialist/Technologist | 1025 N 2nd St, Bismarck, ND 58501-3536 | 2019-06-07 |
| 1225697899 | Candace Marie Vander Wal | Specialist/Technologist | 3451 N 14th St Ste C, Bismarck, ND 58503-1611 | 2019-06-07 |
| 1245793330 | Mara Jungels | Specialist/Technologist | 1837 University Dr N, Fargo, ND 58105-2504 | 2019-04-07 |
| 1215493374 | Kayla Marie Hennum | Specialist/Technologist | 1225 2nd St N, Fargo, ND 58102-2722 | 2019-02-13 |
| 1306301932 | Sydney Larson | Specialist/Technologist | 2008 Cottonwood St, Grand Forks, ND 58201-7366 | 2019-02-07 |
| 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.