MINYOUNG KWAK (NPI# 1326676636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326676636 |
| Entity Type | Individual |
| Full Name | MINYOUNG KWAK |
| Practice Address |
32 Leonard St Bridgewater MA 02324-2521 |
| Practice Telephone | 7742404728 |
| Mailing Telephone | 7742404728 |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-03-31 |
| Gender Code | M |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467879338 | Minyoung Kwak | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2014-03-27 |
| Street Address |
32 LEONARD ST |
| City | BRIDGEWATER |
| State | MA |
| Zip Code | 02324-2521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306474978 | Sungwan Kim | Specialist/Technologist | 32 Leonard St, Bridgewater, MA 02324-2521 | 2020-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962985176 | Heidi S Bonito | Counselor | 33 Indian Ridge, Bridgewater, MA 02324 | 2018-09-13 |
| 1518476779 | Takaaki Kodani | Student in an Organized Health Care Education/Training Program | 131 Summer Street, Bridgewater, MA 02324 | 2017-09-20 |
| 1750832861 | Isandra Andrade | Behavior Technician | 30 Easy Street, Bridgewater, MA 02324 | 2016-10-24 |
| 1639570435 | Joanne Mccarthy | Counselor | 792 Plymouth Street, Bridgewater, MA 02324 | 2014-09-11 |
| 1932530011 | Michelle Courcy | Registered Nurse | 796 Pleasant Street, Bridgewater, MA 02324 | 2013-11-27 |
| 1750664942 | Richard Arthur Cannizzo Jr. | Pharmacist | 4 Central Square, Walgreens Pharmacy, Bridgewater, MA 02324 | 2011-09-23 |
| 1164714481 | Cslee, Dmd,mmsc,pllc | Dentist | 555 Bedford St, Unit 3, Bridgewater, MA 02324 | 2011-05-04 |
| 1790097228 | Amy B Mills | Pharmacist | 233 Broad Street, Bridgewater, MA 02324 | 2010-07-13 |
| 1720304157 | Kathleen Marie Weygand | Behavioral Analyst | 215 Boxwood Lane, Bridgewater, MA 02324 | 2010-04-09 |
| 1548585078 | Jhilam Biswas | Psychiatry & Neurology | 20 Admin Rd, Bridgewater, MA 02324 | 2010-03-27 |
| Find all providers in zip 02324 | ||||
| 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 |
|---|---|---|---|---|
| 1962000422 | Allison Damigella | Specialist/Technologist | 20 Cobblestone Ln, Bridgewater, MA 02324-2277 | 2020-10-15 |
| 1306474978 | Sungwan Kim | Specialist/Technologist | 32 Leonard St, Bridgewater, MA 02324-2521 | 2020-03-30 |
| 1407402050 | Meghan Durette Harris | Specialist/Technologist | 107 Sunbright Dr, Bridgewater, VA 22812-9579 | 2019-08-09 |
| 1982192837 | Joseph T Cockrell | Specialist/Technologist | 402 E College St # 310, Bridgewater, VA 22812-1599 | 2018-04-26 |
| 1588168595 | Jake Rezendes | Specialist/Technologist | 10 Hopkins Dr, Bridgewater, MA 02324-3454 | 2018-03-23 |
| 1407360258 | Peter Smith | Specialist/Technologist | 415 Center St, Bridgewater, MA 02324-1309 | 2017-11-30 |
| 1770008526 | Daniel Ryan Brown | Specialist/Technologist | 402 E College St # 570, Bridgewater, VA 22812-1511 | 2017-08-13 |
| 1003331216 | Elizabeth Mason Washington | Specialist/Technologist | 402 E College St # 750, Bridgewater, VA 22812-1511 | 2017-08-08 |
| 1609391044 | Jeremy Glenn Bender | Specialist/Technologist | 402 E College St # 208, Bridgewater, VA 22812-1511 | 2017-08-07 |
| 1316469687 | Jasmine Taylor Pinder | Specialist/Technologist | 402 East College Street, Bridgewater, VA 22812 | 2017-07-08 |
| Find all providers in BRIDGEWATER | ||||
| City | BRIDGEWATER |
| Zip Code | 02324 |
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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.