SAMUEL CORNELL (NPI# 1255880308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255880308 |
| Entity Type | Individual |
| Full Name | SAMUEL CORNELL |
| Practice Address |
11650 W Whyman Ave Avondale AZ 85323-8461 |
| Mailing Address |
4529 W Mclellan Rd Glendale AZ 85301-4223 |
| Practice Telephone | 9493383880 |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2016-09-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1547 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659616555 | Samuel Cornell | Physical Therapist | 615 Piikoi St, 1210, Honolulu, HI 96814-3116 | 2012-12-03 |
| Street Address |
11650 W WHYMAN AVE |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85323-8461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184743098 | Beverly Hume | Psychologist | 11650 W Whyman Ave, Avondale, AZ 85323-8461 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932663994 | Bridgewater Avondale Operations, LLC | Assisted Living Facility | 295 E Van Buren Street, Avondale, AZ 85323 | 2019-01-24 |
| 1104309152 | Carlos Sifuentes | Physical Therapist | 10750 W Mcdowell Rd., Ste. B-210, Avondale, AZ 85323 | 2018-09-14 |
| 1225534688 | Dayna Sue Kaepp | Registered Nurse | 3300 N. Santa Fe Trail, Avondale, AZ 85323 | 2018-04-04 |
| 1407376700 | Amanda Lynn Radcliffe | Nurse Practitioner | 824 N. 99th Ave Ste 108, Avondale, AZ 85323 | 2017-06-27 |
| 1093253361 | Aquatic-n-writing Rehad | Home Health | 12355 West Cocopah Street, Avondale, AZ 85323 | 2017-02-07 |
| 1750838348 | Annette A Alvarez | Specialist/Technologist | 295 W Western Avenue, Avondale, AZ 85323 | 2016-09-01 |
| 1649726886 | Michelle R Dotson | Contractor | 12115 W Van Buren St Apt 1924, Avondale, AZ 85323 | 2016-08-28 |
| 1619370756 | Amanda Mann | Physical Therapy Assistant | 12804 West Hildalgo, Avondale, AZ 85323 | 2014-10-03 |
| 1326459306 | Ma Caubalejo | Physical Therapist | 350 East La Canada Blvd, Avondale, AZ 85323 | 2014-05-13 |
| 1093139545 | Mark Salvador | Physical Therapy Assistant | 11722 W. Mountain View Dr., Avondale, AZ 85323 | 2014-02-04 |
| Find all providers in zip 85323 | ||||
| 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 |
|---|---|---|---|---|
| 1679045876 | Nathan Stewart | Specialist/Technologist | 12616 W Edgemont Ave, Avondale, AZ 85392-5510 | 2018-12-28 |
| 1144674797 | Steven Iezzi | Specialist/Technologist | 172 Tulsk Rd, Avondale, PA 19311-1381 | 2016-04-20 |
| 1366790933 | Victoria C Patton | Specialist/Technologist | 401 Us Hwy 50 E, Avondale, CO 81022 | 2012-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548746 | Cheyenne Varga | Specialist/Technologist | 918 W Nido Ave, Mesa, AZ 85210-7658 | 2020-11-03 |
| 1669073284 | Tiffany Fiesler | Specialist/Technologist | 6051 N Rockland Dr Apt B, Prescott Valley, AZ 86314-3187 | 2020-11-02 |
| 1104426063 | Desiree Pacheco | Specialist/Technologist | 2333 E Southern Ave Unit 2088, Tempe, AZ 85282-7647 | 2020-10-29 |
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1740889815 | Jory Walthour | Specialist/Technologist | 4545 E Downing St, Mesa, AZ 85205-6319 | 2020-10-20 |
| 1225637317 | Alexsys Cameran Stroh | Specialist/Technologist | 1349 S Burlington St, Flagstaff, AZ 86001-2446 | 2020-10-20 |
| 1952900151 | Joseph Espinoza | Specialist/Technologist | 505 S Roosevelt Rd Apt I6, Mesa, AZ 85202-1702 | 2020-10-20 |
| 1093314445 | Christopher Murphy | Specialist/Technologist | 301 E Bromley St, Tucson, AZ 85704-5704 | 2020-10-17 |
| 1942807052 | Thomas Langer | Specialist/Technologist | 1317 S Terrace Rd, Box #156, Tempe, AZ 85281 | 2020-10-02 |
| 1689280034 | Jordan Nash-boulden | Specialist/Technologist | 6000 S Lakeshore Dr, Tempe, AZ 85283-3049 | 2020-09-21 |
| 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.