MRS. REBECCA COYLE BERTHOLD (NPI# 1316187123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316187123 |
| Entity Type | Individual |
| Full Name | MRS. REBECCA COYLE BERTHOLD |
| Credential | ATC |
| Practice Address |
290 Massie Road Charlottesville VA 22904 |
| Mailing Address |
5120 Bute St Chesapeake VA 23321-1586 |
| Practice Telephone | 4349825450 |
| Mailing Telephone | 9046315004 |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2013-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0126001321 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
290 MASSIE ROAD |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770601288 | Jeffrey Scott Boyer | Specialist/Technologist | 290 Massie Road, University of Virginia Mccue Center, Charlottesville, VA 22904 | 2007-03-26 |
| 1619118270 | Alexis Davis | Specialist/Technologist | 290 Massie Road, Mccue Center Room 112, Charlottesville, VA 22904 | 2009-03-11 |
| 1023259678 | Grant Edward Norte | Specialist/Technologist | 290 Massie Road, Rm. 112, Charlottesville, VA 22904-4834 | 2009-03-11 |
| 1497961668 | Brian Mcguire | Physical Therapist | 290 Massie Road, Charlottesville, VA 22904 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942659040 | Colton Funk | Student in an Organized Health Care Education/Training Program | 405 Emmet St, Charlottesville, VA 22904 | 2016-06-09 |
| 1306052337 | Leah Joy Frommer | Specialist/Technologist | 300 Massie Road, Mccue Center, Rm. 112, Charlottesville, VA 22904 | 2007-05-15 |
| 1063475051 | Lindsay Kay Drewes | Specialist/Technologist | 290 Massie Rd, Charlottesville, VA 22904 | 2006-04-10 |
| 1083736771 | Ethan Najeeb Saliba | Physical Therapist | University of Virginia Athletics, 290 Massie Road, Charlottesville, VA 22904-2290 | 2007-04-04 |
| 1336407311 | Randall R Robey | Speech-Language Pathologist | 417 Emmet St., S, Charlottesville, VA 22904-4260 | 2012-04-27 |
| 1013269752 | Tristen Leigh Wood | Speech-Language Pathologist | 417 Emmet Street, South, Charlottesville, VA 22904-4260 | 2012-10-04 |
| 1346592086 | Lauren Kravetz Bonnet | Speech-Language Pathologist | 417 Emmet Street, South, Charlottesville, VA 22904-4260 | 2012-10-04 |
| 1902106875 | Chondra Malson | Speech-Language Pathologist | 417 Emmet Street South, Charlottesville, VA 22904-4260 | 2010-10-26 |
| 1992770051 | Rector & Visitors of The University of Virginia | Audiologist | 417 Emmet Street South, Charlottesville, VA 22904-4270 | 2006-02-22 |
| 1295733236 | Edith C Lawrence | Psychologist | 417 Emmet Street, South, Charlottesville, VA 22904-4270 | 2005-07-13 |
| Find all providers in zip 22904 | ||||
| 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 |
|---|---|---|---|---|
| 1255942264 | Xavier Thompson | Specialist/Technologist | 210 Emmet St S Rm 222, Charlottesville, VA 22903-2455 | 2020-08-13 |
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1164060364 | Makenzie Violet Larson | Specialist/Technologist | 1600 Jefferson Park Ave Apt 205, Charlottesville, VA 22903-3267 | 2019-12-18 |
| 1285293845 | Jennifer Weatherford Fjeseth | Specialist/Technologist | 114 Commonwealth Cir, Charlottesville, VA 22901-1606 | 2019-06-07 |
| 1477016566 | Abigail Forsyth | Specialist/Technologist | 1894 English Oaks Cir N, Charlottesville, VA 22911-8282 | 2019-04-07 |
| 1164980272 | Keri Renzler | Specialist/Technologist | 2704 White Pine Way, Charlottesville, VA 22911-7462 | 2019-03-07 |
| 1487118113 | Breanna Lynn Dufour | Specialist/Technologist | 2010 Treetop Dr Apt 105, Charlottesville, VA 22903-6634 | 2019-01-28 |
| 1447750633 | Djordje Trifunovic | Specialist/Technologist | 108 Dorset Ct, Charlottesville, VA 22911-8336 | 2018-02-14 |
| 1275046302 | Morgan Church Dudley | Specialist/Technologist | 200 Bob Finley Way, Charlottesville, VA 22903-7045 | 2017-11-11 |
| 1881132942 | Samuel Richard Walton | Specialist/Technologist | 1214 Swan Lake Dr Apt 302, Charlottesville, VA 22902-7266 | 2017-02-08 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22904 |
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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.