SOPHIA RAHIM (NPI# 1265906648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265906648 |
| Entity Type | Individual |
| Full Name | SOPHIA RAHIM |
| Practice Address |
204 Folino Dr Bridgeport CT 06606-1011 |
| Practice Telephone | 5082595843 |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-01-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUECROSS BLUESHIELD | MTN9800660571 | 01 |
| Street Address |
204 FOLINO DR |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-1011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| 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 |
|---|---|---|---|---|
| 1053851253 | Marissa Dian Mason | Specialist/Technologist | 364 Ridgeway Dr, Bridgeport, WV 26330-1276 | 2017-03-07 |
| 1518358829 | Ericka Ann Ventura | Specialist/Technologist | 5350 Park Ave, Bridgeport, CT 06604-1019 | 2015-02-09 |
| 1801221205 | Kerri Gavin | Specialist/Technologist | 314 Coates St, Bridgeport, PA 19405-1606 | 2013-09-05 |
| 1659580553 | William Newsom | Specialist/Technologist | 1 Maroon Dr, Bridgeport, TX 76426-6741 | 2007-05-21 |
| 1114148764 | Meghan E. Kavanagh | Specialist/Technologist | University of Bridgeport, 120 Waldemere Avenue, Bridgeport, CT 06604 | 2007-05-01 |
| 1689691693 | Teresa Ann Lunsford | Specialist/Technologist | 515 Johnson Ave, Bridgeport, WV 26330-1311 | 2006-07-16 |
| 1326082447 | Jeffrey C. Stay | Specialist/Technologist | 120 Waldemere Ave, Bridgeport, CT 06604-5749 | 2006-06-16 |
| 1619577103 | Gena Fuller | Specialist/Technologist | 4675 Main St, Bridgeport, CT 06606-1813 | 2020-10-26 |
| 1457637928 | Matthew James Bain | Specialist/Technologist | 600 Main St, Bridgeport, CT 06604-5105 | 2011-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952901019 | Jessica Handy | Specialist/Technologist | 45 Cottage Rd, Oakdale, CT 06370-1051 | 2020-10-28 |
| 1770183030 | Adrienne Lara Fedyna Dembeck | Specialist/Technologist | 211 New Britain Rd Ste 101, Berlin, CT 06037-3167 | 2020-10-27 |
| 1194324665 | Francesca Chirico | Specialist/Technologist | 34 Farms Village Rd, Simsbury, CT 06070-2344 | 2020-10-25 |
| 1497354401 | Brandon Hallaway | Specialist/Technologist | 2098 Hillside Rd, Storrs, CT 06268 | 2020-10-21 |
| 1427657816 | Riley J Burns | Specialist/Technologist | 49 Farrell Rd, Newtown, CT 06470-1205 | 2020-10-18 |
| 1780283176 | Karl Kochersperger | Specialist/Technologist | 146 Sherwood Farm Rd, Fairfield, CT 06824-2979 | 2020-10-18 |
| 1720686215 | Liana Suarez | Specialist/Technologist | 31 Yates St, West Haven, CT 06516-1142 | 2020-10-15 |
| 1598363095 | Shayna Deluca | Specialist/Technologist | 178 New State Rd Apt 8, Manchester, CT 06042-7941 | 2020-10-15 |
| 1376150045 | Anna E Viscuso | Specialist/Technologist | 201 Regan Rd Apt 35a, Vernon Rockville, CT 06066-2861 | 2020-09-28 |
| 1881200962 | Keenan Thomas Love | Specialist/Technologist | 80 Shunpike Rd Unit 202, Cromwell, CT 06416-4402 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
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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.