MR. KYLE JOSEPH PROTHRO (NPI# 1306046479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306046479 |
| Entity Type | Individual |
| Full Name | MR. KYLE JOSEPH PROTHRO |
| Credential | A.T.C. |
| Practice Address |
2145 Henry Tecklenburg Dr Suite 220 Charleston SC 29414-5893 |
| Practice Telephone | 8438722720 |
| Mailing Telephone | 8438722720 |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2016-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| 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 |
|---|---|---|---|
| NATABOC | 050702214 | 01 | |
| SC | SCDHEC | 1248 | 01 |
| Street Address |
2145 HENRY TECKLENBURG DR SUITE 220 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-5893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013980168 | James Reilly Keffer | Physical Medicine & Rehabilitation | 2145 Henry Tecklenburg Dr, Ste 220, Charleston, SC 29414-5893 | 2006-02-09 |
| 1417419193 | Roper Saint Francis Physicians Network | Physical Medicine & Rehabilitation | 2145 Henry Tecklenburg Dr, Charleston, SC 29414-5893 | 2019-04-02 |
| 1316455140 | Claudio Raffaele Zampino | Registered Nurse | 2145 Henry Tecklenburg Dr, Charleston, SC 29414-5893 | 2018-01-15 |
| 1497155279 | Kathryn Anne Wade | Physician Assistant | 2145 Henry Tecklenburg Dr, Suite 220, Charleston, SC 29414-5893 | 2014-08-28 |
| 1083040687 | Ericka Weaver Holland | Physician Assistant | 2145 Henry Tecklenburg Dr, Suite 100, Charleston, SC 29414-5893 | 2013-09-16 |
| 1437599206 | Roper Saint Francis Physicians Network | Pain Medicine | 2145 Henry Tecklenburg Dr, Suite 220w, Charleston, SC 29414-5893 | 2013-06-26 |
| 1750654646 | Summer Landers | Physician Assistant | 2145 Henry Tecklenburg Dr, Suite 220, Charleston, SC 29414-5893 | 2012-02-23 |
| 1164753430 | Joseph C. Mctavish | Physician Assistant | 2145 Henry Tecklenburg Dr, Suite 220, Charleston, SC 29414-5893 | 2010-01-26 |
| 1841482288 | Rose Shannon Trageser | Physician Assistant | 2145 Henry Tecklenburg Dr, Suite 220, Charleston, SC 29414-5893 | 2007-08-09 |
| 1225253818 | Coastal Neurosurgery and Spine | Neurological Surgery | 2145 Henry Tecklenburg Dr, Ste 220, Charleston, SC 29414-5893 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| 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 |
|---|---|---|---|---|
| 1689291874 | Stephanie Davey | Specialist/Technologist | 1250 Marshview Dr, Charleston, SC 29412-8200 | 2020-07-03 |
| 1730704669 | Lester Groves Pittman | Specialist/Technologist | 1 Bishop Gadsden Way Apt 130, Charleston, SC 29412-3569 | 2020-06-16 |
| 1174159594 | Meagan B. Rasberry | Specialist/Technologist | 1047 Barbados Way, Charleston, SC 29412-8648 | 2020-03-17 |
| 1740744994 | Kalissa Bannister | Specialist/Technologist | 408 Jerick Cir, Charleston, WV 25302-4470 | 2019-01-22 |
| 1083188759 | Kailey Garten | Specialist/Technologist | 5242 Kanawha Blvd E, Charleston, WV 25306-6256 | 2019-01-16 |
| 1528532645 | Madyson Paige Hawley | Specialist/Technologist | 118 Shadowmoss Pkwy, Charleston, SC 29414-6845 | 2019-01-11 |
| 1174093413 | Perry Louisa Mcghee | Specialist/Technologist | 1390 Nottingham Rd, Charleston, WV 25314-2432 | 2018-11-29 |
| 1922575562 | Casandre Worsdorfer | Specialist/Technologist | 123 Presidio Pointe, Charleston, WV 25313-1591 | 2018-11-01 |
| 1679066773 | Jennifer Hess | Specialist/Technologist | 2506 Lantz Building, Charleston, IL 61920 | 2018-06-13 |
| 1144759689 | Julie Ann Bamberg | Specialist/Technologist | 1906 Gammon St, Charleston, SC 29414-8129 | 2017-06-08 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
Please comment or provide details below to improve the information on MR. KYLE JOSEPH PROTHRO.
| 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.