TYLER JACKSON (NPI# 1336594696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336594696 |
| Entity Type | Individual |
| Full Name | TYLER JACKSON |
| Credential | MS, LAT, ATC |
| Practice Address |
1400 Montgomery Ave Bryn Mawr PA 19010-1631 |
| Mailing Address |
325 Pondview Dr Harleysville PA 19438-2395 |
| Practice Telephone | 6105270200 |
| Mailing Telephone | 2678855377 |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2019-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
RT006884 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 325 Pondview Dr, Harleysville, PA 194382395 | 2678855377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295355816 | Tyler Jackson | Emergency Medicine | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-04-23 |
| 1033693155 | Tyler Jackson | Social Worker | 26184 Outer Dr, Lincoln Park, MI 48146-2084 | 2018-09-25 |
| 1225518426 | Tyler Dean Jackson | Social Worker | 4455 Ne Hwy 20, Corvallis, OR 97330 | 2018-08-16 |
| 1306342084 | Tyler Jackson | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2018-04-02 |
| 1023489796 | Tyler Jackson | Physical Therapist | 20823 Stevens Creek Blvd, Cupertino, CA 95014-2108 | 2015-10-07 |
| 1245560002 | Tyler Drew Jackson | Case Manager/Care Coordinator | 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 | 2009-12-29 |
| 1952583528 | Tyler Bradley Jackson | Occupational Therapy Assistant | 907 N 2nd St, Albemarle, NC 28001-3317 | 2007-12-05 |
| Street Address |
1400 MONTGOMERY AVE |
| City | BRYN MAWR |
| State | PA |
| Zip Code | 19010-1631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821458118 | Christi Lee | Specialist/Technologist | 1400 Montgomery Ave, Bryn Mawr, PA 19010-1631 | 2016-02-29 |
| 1750934980 | Jamie Jaworski | Emergency Medicine | 1400 Montgomery Ave, Bryn Mawr, PA 19010-1631 | 2019-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003462169 | Nada Farag | Dentist | 275 S Bryn Mawr Ave., #d04, Bryn Mawr, PA 19010 | 2019-08-14 |
| 1841764669 | For Eyes Optical of Pa | Optometrist | 1211 W Lancaster Ave, Rosemont, PA 19010 | 2019-01-15 |
| 1205355617 | Julia Peyton Vollmer | Student in an Organized Health Care Education/Training Program | 415 S Ithan Ave, Bryn Mawr, PA 19010 | 2017-09-18 |
| 1235657081 | Megan Christine Rosenblatt | Nurse Practitioner | 925 W Lancaster Ave Ste 210, Bryn Mawr, PA 19010 | 2017-08-31 |
| 1720511561 | Victoria Mckenna | Nurse Practitioner | 830 Old Lancaster Rd Ste 300, Bryn Mawr, PA 19010 | 2017-04-08 |
| 1922544014 | Andrew John D'amico | Behavioral Analyst | 1030 East Lancaster Ave., Suite L-10, Bryn Mawr, PA 19010 | 2017-01-12 |
| 1487105615 | Primal Physical Therapy,llc | Physical Therapist | 1111 E Lancaster Ave, Bryn Mawr, PA 19010 | 2016-10-24 |
| 1730636234 | Denise Lindsay Currier | Optometrist | 1062 E. Lancaster Ave, Suite 15d, Rosemont, PA 19010 | 2016-09-01 |
| 1518353754 | Elise Paquin | Student in an Organized Health Care Education/Training Program | 135 S Bryn Mawr Ave Ste 205, Bryn Mawr, PA 19010 | 2015-04-14 |
| 1679980064 | Main Line Counseling Partners | Social Worker | 1084 E. Lancaster Avenue, Bryn Mawr, PA 19010 | 2014-07-17 |
| Find all providers in zip 19010 | ||||
| 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 |
|---|---|---|---|---|
| 1962035659 | Anthony Saguto | Specialist/Technologist | 7 Norwood Ave, Bryn Mawr, PA 19010-2715 | 2020-02-20 |
| 1386183077 | Aimee E Shelton | Specialist/Technologist | 275 S Ithan Ave, Bryn Mawr, PA 19010-1044 | 2017-02-15 |
| 1821458118 | Christi Lee | Specialist/Technologist | 1400 Montgomery Ave, Bryn Mawr, PA 19010-1631 | 2016-02-29 |
| 1972849388 | Kimberly Ann Whelan | Specialist/Technologist | 814 Yarrow St, Bryn Mawr, PA 19010-3525 | 2012-12-13 |
| 1881939940 | Stephanie F Natalie | Specialist/Technologist | 931 E Haverford Rd Ste 200, Bryn Mawr, PA 19010-3838 | 2012-11-30 |
| 1508835257 | Megan Supp | Specialist/Technologist | 101 N Merion Ave, Bryn Mawr, PA 19010-2859 | 2006-03-15 |
| 1518431196 | Sarah Schroeder | Specialist/Technologist | 600 N Ithan Ave, Bryn Mawr, PA 19010-1773 | 2019-01-16 |
| 1700242781 | Amanda Mckee | Specialist/Technologist | 931 E Haverford Rd, Bryn Mawr, PA 19010-3838 | 2016-01-06 |
| 1982039079 | Shelley Lynn Lapinski | Specialist/Technologist | 701 Montgomery Ave, Bryn Mawr, PA 19010-3505 | 2013-09-07 |
| 1194078246 | Terry Mclaughlin | Specialist/Technologist | 101 N Merion Ave, Schwartz Gymnasium, Bryn Mawr, PA 19010-2859 | 2012-10-25 |
| Find all providers in BRYN MAWR | ||||
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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.