GLOBAL ATHLETE VILLAGE (NPI# 1326308065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326308065 |
Entity Type | Organization |
Organization Name | GLOBAL ATHLETE VILLAGE |
Practice Address |
3600 W 98th St Bloomington MN 55431-2746 |
Mailing Address |
Po Box 20725 Bloomington MN 55420-0725 |
Practice Telephone | 9528884311 |
Enumeration Date | 2012-05-28 |
Last Update Date | 2012-05-28 |
Authorized Official Name | STEPHANIE SMITH (CEO) |
Authorized Official Telephone | 9528884311 |
Authorized Official Credential | ATC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103G00000X | Clinical Neuropsychologist | MN | Behavioral Health & Social Service Providers | |
N | 103TE1100X |
Psychologist Specialization: Exercise & Sports |
MN | Behavioral Health & Social Service Providers | |
N | 1041S0200X |
Social Worker Specialization: School |
MN | Behavioral Health & Social Service Providers | |
N | 133N00000X | Nutritionist | MN | Dietary & Nutritional Service Providers | |
N | 2251N0400X |
Physical Therapist Specialization: Neurology |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 2251S0007X |
Physical Therapist Specialization: Sports |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 225700000X | Massage Therapist | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
N | 225XN1300X |
Occupational Therapist Specialization: Neurorehabilitation |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 364SN0800X |
Clinical Nurse Specialist Specialization: Neuroscience |
MN | Physician Assistants & Advanced Practice Nursing Providers | |
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
3600 W 98TH ST |
City | BLOOMINGTON |
State | MN |
Zip Code | 55431-2746 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
1760042253 | Adams Health Care Services, LLC | Registered Nurse | 10036 Washburn Ave S, Bloomington, MN 55431 | 2019-06-17 |
1851864755 | Hope Autism Center | Day Training, Developmentally Disabled Services | 9333 Penn Ave S, Bloomington, MN 55431 | 2019-01-03 |
1275006215 | Cameron Lee Small | Counselor | 9156 Vincent Ave S, Bloomington, MN 55431 | 2019-01-02 |
1497240469 | Mikayla Slegh | Behavior Technician | 8200 Humboldt Ave S Suite 100, Bloomington, MN 55431 | 2018-06-22 |
1073061552 | David Wells | Nurse Practitioner | 8100 Northland Dr., Bloomington, MN 55431 | 2016-09-14 |
1780033076 | Yasin Jama | Contractor | 9810 Drew Avenue South, Apartment 106, Bloomington, MN 55431 | 2016-06-07 |
1972961001 | Kadar Hadis | Social Worker | 8200 Humboldt Ave S Ste 217, Bloomington, MN 55431 | 2016-02-03 |
1063878908 | Amazing Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 9031 Penn Ave South Suite 100, Bloomington, MN 55431 | 2016-01-07 |
1093170136 | Kelsey Margaret Perreault | Chiropractor | 8120 Penn Ave. S., Suite 525, Bloomington, MN 55431 | 2015-12-16 |
Find all providers in zip 55431 |
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 |
---|---|---|---|---|
1770110967 | Erica Zemites | Specialist/Technologist | 20 Brickyard Dr Apt A18, Bloomington, IL 61701-7085 | 2020-03-26 |
1083257547 | Ava Korinke | Specialist/Technologist | 701 E 17th St, Bloomington, IN 47408-1578 | 2019-10-28 |
1760025308 | Kyle Robert Barr | Specialist/Technologist | 1428 S Washington St, Bloomington, IN 47401-5878 | 2019-10-28 |
1497398028 | James Aaron Dash | Specialist/Technologist | 1419 W Allen St, Bloomington, IN 47403-2930 | 2019-10-27 |
1225671852 | Sierra Johnson | Specialist/Technologist | 2036 N Walnut St Apt 7, Bloomington, IN 47404-2465 | 2019-10-27 |
1285284158 | Keisuke Kawata | Specialist/Technologist | 1025 E 7th St # C215, Bloomington, IN 47405-7109 | 2019-09-12 |
1205485877 | Susan Marie Bitney | Specialist/Technologist | 10217 Scarborough Rd, Bloomington, MN 55437-2516 | 2019-09-06 |
1912566092 | Matthew Wayne Adams | Specialist/Technologist | 2301 E Arden Dr, Bloomington, IN 47401-6890 | 2019-06-11 |
1356806384 | Tori J Eastes | Specialist/Technologist | 1150 S Clarizz Blvd, Bloomington, IN 47401-4270 | 2019-02-04 |
1689139602 | Hallie Mccarn | Specialist/Technologist | 503 S Muller Pkwy Apt 303, Bloomington, IN 47403-1635 | 2019-02-04 |
Find all providers in BLOOMINGTON |
City | BLOOMINGTON |
Zip Code | 55431 |
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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.