ANDREW STRADLEY (NPI# 1265803837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265803837 |
| Entity Type | Individual |
| Full Name | ANDREW STRADLEY |
| Practice Address |
776 N Terminal Dr Salt Lake City UT 84122-7003 |
| Mailing Address |
9508 S Tarbert Cir South Jordan UT 84009-9733 |
| Practice Telephone | 8019950366 |
| Mailing Telephone | 8019950366 |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
9106894-4810 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
776 N TERMINAL DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84122-7003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003219486 | Ihc Health Services Inc | Family Medicine | 776 N Terminal Dr, Salt Lake City, UT 84122-7003 | 2014-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013886 | Brc Wellness LLC | Substance Abuse Rehabilitation Facility | 4911 S 900 E Ste B, Salt Lake City, UT 84117-5747 | 2020-11-06 |
| 1437750262 | Nathan Haslam | Counselor | 636 E Roosevelt Ave, Salt Lake City, UT 84105-2121 | 2020-11-06 |
| 1982205829 | Brittany Nicole Beverly | Student in an Organized Health Care Education/Training Program | 236 N Sun Arbor Ter Apt 2111, Salt Lake City, UT 84116-4537 | 2020-11-06 |
| 1013518422 | Ascent Physical Therapy and Wellness | Home Health | 1549 W Haslam Cir, Salt Lake City, UT 84116-1633 | 2020-11-03 |
| 1962003541 | Allison Lee | Counselor | 565 S Post St, Salt Lake City, UT 84104-1346 | 2020-11-02 |
| 1891395422 | Sam Burk Clark | Behavior Technician | 515 S. 700 E, Suite 2a, Salt Lake City, UT 84102-2142 | 2020-11-01 |
| 1982204590 | Gabrielle Sleater Lewis | Nurse Practitioner | 2905 S Mcclelland St, Salt Lake City, UT 84106-2125 | 2020-11-01 |
| 1568062537 | Phillip Smith | Case Management | 230 W 400 S, Salt Lake City, UT 84101-1829 | 2020-10-29 |
| 1245830108 | Chadwick M Smith | Pharmacist | 7494 S 2135 E, Salt Lake City, UT 84121-4970 | 2020-10-29 |
| 1295335404 | Ida Nourbakhsh | Dentist | 1947 E Redondo Ave, Salt Lake City, UT 84108-3119 | 2020-10-27 |
| Find all providers in SALT LAKE CITY | ||||
| 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 |
|---|---|---|---|---|
| 1780202978 | Katie Marie Plyer | Specialist/Technologist | 1860 E 250 S, Salt Lake City, UT 84112-4531 | 2020-07-14 |
| 1932727724 | Jose Luis Sandoval De Leon | Specialist/Technologist | 260 S 1850 E Rm 208, Salt Lake City, UT 84112-0910 | 2020-07-08 |
| 1629695929 | John Randall Woodworth | Specialist/Technologist | 383 S Colorow Dr Rm 392, Salt Lake City, UT 84108-1245 | 2020-07-02 |
| 1114548310 | Sarah Elizabeth Christensen | Specialist/Technologist | 1215 N 2200 W, Salt Lake City, UT 84116-4128 | 2020-04-29 |
| 1174167035 | Nicole Schonrock | Specialist/Technologist | 3584 E Kings Hill Cir, Salt Lake City, UT 84121-6009 | 2019-11-04 |
| 1174186977 | Carly Reilly | Specialist/Technologist | 843 S Lincoln St, Salt Lake City, UT 84102-3612 | 2019-04-17 |
| 1083177505 | Vitor Gabriel Giuliani Alcantara Carioca | Specialist/Technologist | 1850 South Campus Drive, Salt Lake City, UT 84115 | 2019-04-11 |
| 1407313224 | Elenore Reid | Specialist/Technologist | 48 S 1300 E, Salt Lake City, UT 84102-1730 | 2019-02-28 |
| 1205306248 | Eric Raustein | Specialist/Technologist | 650 S 1100 E, Salt Lake City, UT 84102-3902 | 2018-12-03 |
| 1245723931 | Clinton James Bowser | Specialist/Technologist | 255 N 400 W Apt 5, Salt Lake City, UT 84103-1233 | 2018-06-07 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84122 |
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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.