SHAYLA ALYSON VANGURP


Address: 630 Moriches Middle Island Rd, Moriches, NY 11955-1506
Phone: 6318745505

SHAYLA ALYSON VANGURP (NPI# 1316426745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316426745
Entity Type Individual
Full Name SHAYLA ALYSON VANGURP
Credential ATC
Practice Address 630 Moriches Middle Island Rd
Moriches
NY 11955-1506
Mailing Address 100 Raynor Rd
Ridge
NY 11961-1900
Practice Telephone 6318745505
Mailing Telephone 6312582384
Enumeration Date 2018-08-07
Last Update Date 2018-08-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
2000033529 NY Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
240 Mastic Beach Rd, Mastic Beach, NY 119511028 6318741120
630 Mastic Rd Ste 4, Mastic Beach, NY 119511020 6318744710

Office Location

Street Address 630 MORICHES MIDDLE ISLAND RD
City MORICHES
State NY
Zip Code 11955-1506

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255979399 Robert Anthony Fitzsimmons Massage Therapist 225 Montauk Highway Suite 114, Moriches, NY 11955 2019-12-19
1548745474 Luanne Sauer Massage Therapist 225 Montauk Hwy, St 114, Suite 114, Moriches, NY 11955 2018-09-26
1295008266 Narcisa Marrero Adult Companion 82 Beaverspur, 10, Moriches, NY 11955 2012-02-21
1639488810 Donna Susan Moeller Registered Nurse 630 Moriches Middle Island Road, Moriches, NY 11955 2010-10-05
1275706731 Independent Group Home Living Intermediate Care Facility, Mentally Retarded 125 Sebonic Rd, South Hampton, NY 11955 2008-04-07
1043491665 Colonial Youth and Family Services Inc. Social Worker 346 Montauk Hwy Ste 1a, Moriches, NY 11955 2007-11-26
1316152556 Maude V Fassett Social Worker 70-14 Lakewood Ct, Apt 14, Moriches, NY 11955 2007-05-11
1790896173 Charles Melton Dentist 256 Montauk Highway, Starlight Dental Care, Moriches, NY 11955 2006-08-31
1386935948 Kimberly Lynn Andrejkovics Social Worker 346 Montauk Hwy Ste 1a, Moriches, NY 11955 2011-04-29
1770893729 Moriches Vision Center Technician/Technologist 225 Montauk Hwy, Suite 106, Moriches, NY 11955 2010-10-08
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639779309 Jonathan Edwards Specialist/Technologist 39 Monty St, Plattsburgh, NY 12901-3702 2020-10-30
1245830207 Skyler Lauren Cirillo Specialist/Technologist 1000 Hempstead Turnpike, Hempstead, NY 11549-0001 2020-10-29
1790384410 Gina Siracusano Specialist/Technologist 630 Mastic Rd Ste 4, Mastic Beach, NY 11951-1020 2020-10-23
1134728504 Corinne Edwards Specialist/Technologist 3606 Nutt Rd, Jamestown, NY 14701-9432 2020-10-18
1720687163 Theresa A Trump Specialist/Technologist 7 Mapleline Rd, Ballston Lake, NY 12019-1589 2020-10-17
1235738667 Erica Michalski Specialist/Technologist 157 Hillpine Rd, Cheektowaga, NY 14227-2261 2020-10-17
1396344743 Jared Russom Specialist/Technologist 13 Brookview Ave., Delmar, NY 12054 2020-10-17
1720686231 Leighann Buzzard Specialist/Technologist 277 Forbes Ave, Tonawanda, NY 14150-4705 2020-10-16
1861090367 Jake Savino Specialist/Technologist 185 Oak Ave, Staten Island, NY 10306-4002 2020-10-15
1992303572 Elise Fitzsimmons Specialist/Technologist 9 Laker Hall, Oswego, NY 13126 2020-10-15
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Competitor

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City MORICHES
Zip Code 11955

Improve Information

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Dataset Information

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.

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