MR. PETER MICHAEL HOUDEK (NPI# 1336505841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336505841 |
| Entity Type | Individual |
| Full Name | MR. PETER MICHAEL HOUDEK |
| Credential | MS, LAT, ATC, CES |
| Practice Address |
205 W Allegheny Rd Imperial PA 15126-9770 |
| Mailing Address |
208 Jacobs Ct Cranberry Twp PA 16066-3376 |
| Practice Telephone | 2153802208 |
| Mailing Telephone | 2153802208 |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2020-09-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
RT004946 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
205 W ALLEGHENY RD |
| City | IMPERIAL |
| State | PA |
| Zip Code | 15126-9770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063405645 | David G. Mcbain | Specialist/Technologist | 205 W Allegheny Rd, Imperial, PA 15126-9770 | 2005-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871998658 | Renee Lesko | Massage Therapist | 120 West Allegheny Road, Suite 2, Imperial, PA 15126 | 2014-10-23 |
| 1427018084 | Jay Douglas Loeb | Chiropractor | 490 Penn Lincoln Dr, Imperial, PA 15126 | 2006-03-27 |
| 1598391344 | Sarah Larue | Dentist | 703 Tamarack Dr, Imperial, PA 15126-1156 | 2020-03-12 |
| 1104432616 | Zach Quince | Student in an Organized Health Care Education/Training Program | 370 Birch St, Imperial, PA 15126-1158 | 2020-09-20 |
| 1104233147 | Vincenzo Sebastiani | Occupational Therapy Assistant | 806 Ponderosa Dr, Imperial, PA 15126-1169 | 2014-07-22 |
| 1386807154 | Heather Rae Mangieri | Dietitian, Registered | 815 Ponderosa Dr, Imperial, PA 15126-1170 | 2008-07-02 |
| 1609809078 | Milo Mark Ujevich | Radiology | 839 Ponderosa Dr, Imperial, PA 15126-1170 | 2006-07-09 |
| 1649435280 | Heather Mangieri Nutrition, LLC | Dietitian, Registered | 815 Ponderosa Dr, Imperial, PA 15126-1170 | 2008-07-23 |
| 1336467026 | Sharon A Glover | Occupational Therapist | 30 Moore Rd, Imperial, PA 15126-2215 | 2010-05-05 |
| 1487253290 | Peter Heh | Behavioral Analyst | 1690 Kennedy Rd, Imperial, PA 15126-9130 | 2020-10-22 |
| Find all providers in zip 15126 | ||||
| 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 |
|---|---|---|---|---|
| 1003441403 | Taylor Ross | Specialist/Technologist | 615 Las Lomas St, Imperial, CA 92251-8006 | 2020-03-05 |
| 1851842868 | Marissa Mariel Solorzano | Specialist/Technologist | 2345 Felipe Ave, Imperial, CA 92251-8832 | 2016-10-14 |
| 1932490067 | Rebecca Ann Stigen | Specialist/Technologist | 3616 Pioneer Dr, Imperial, MO 63052-1198 | 2011-04-23 |
| 1063405645 | David G. Mcbain | Specialist/Technologist | 205 W Allegheny Rd, Imperial, PA 15126-9770 | 2005-08-29 |
| 1083278709 | Jayme Long | Specialist/Technologist | 430 Penn Lincoln Dr, Imperial, PA 15126-9781 | 2019-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801642 | Allison Zilonis | Specialist/Technologist | 1923 Oak Hills Dr, Hanover, PA 17331-8522 | 2020-11-08 |
| 1487255642 | Siarra Grace Crum | Specialist/Technologist | 102 Bellwood Lane, Portage, PA 15946-1441 | 2020-11-04 |
| 1841891108 | Sydney Charles | Specialist/Technologist | 6325 Martins Mill Rd, Philadelphia, PA 19111-5321 | 2020-11-03 |
| 1871194308 | Alexander Hedrick | Specialist/Technologist | 33 Derstine Rd, Hatfield, PA 19440-3406 | 2020-11-02 |
| 1114528684 | Kelsey E Craig | Specialist/Technologist | 1856 N 16th St Apt 1r, Philadelphia, PA 19121-3301 | 2020-11-02 |
| 1740881333 | David Williams | Specialist/Technologist | 3100 W Thompson St Apt 42, Philadelphia, PA 19121-4485 | 2020-11-02 |
| 1992305940 | Alexandra Bossi | Specialist/Technologist | 450 N 18th St Apt 1032, Philadelphia, PA 19130-4198 | 2020-10-29 |
| 1043810021 | Randy W Dillon | Specialist/Technologist | 617c Chester Pike, Prospect Park, PA 19076-1506 | 2020-10-28 |
| 1871193086 | Troy Olsheski | Specialist/Technologist | 1970 Easton Tpke, Lake Ariel, PA 18436-4661 | 2020-10-27 |
| 1982203055 | Josiah Thompson | Specialist/Technologist | 20 Heather Rd, Feasterville Trevose, PA 19053-6320 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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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.