CAROLYN GOECKEL (NPI# 1396352027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396352027 |
| Entity Type | Individual |
| Full Name | CAROLYN GOECKEL |
| Practice Address |
401 Broadway Unit 28 Barnegat Light NJ 08006-1616 |
| Mailing Address |
Po Box 252 Barnegat Light NJ 08006-0252 |
| Practice Telephone | 9739924580 |
| Mailing Telephone | 9739924580 |
| Enumeration Date | 2020-09-27 |
| Last Update Date | 2020-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
25MT00011400 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
401 BROADWAY UNIT 28 |
| City | BARNEGAT LIGHT |
| State | NJ |
| Zip Code | 08006-1616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902801475 | Sure Rehab | Physical Therapist | 1702 Central Ave, Barnegat Light, NJ 08006 | 2005-06-20 |
| 1356551022 | Laura Say | Physical Therapist | 1702 Central Ave, Barnegat Light, NJ 08006-0968 | 2007-05-23 |
| 1538706734 | Theodore Nellis Slahetka | Specialist/Technologist | 18 W 26th St, Barnegat Light, NJ 08006-1424 | 2019-12-06 |
| 1538540778 | Jean Marie Holden | Nurse Practitioner | 8 W 4th St, Barnegat Light, NJ 08006-1439 | 2015-06-13 |
| 1285069583 | William P Crutchlow | Orthopaedic Surgery | 7 E 20th St, Barnegat Light, NJ 08006-1496 | 2013-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538706734 | Theodore Nellis Slahetka | Specialist/Technologist | 18 W 26th St, Barnegat Light, NJ 08006-1424 | 2019-12-06 |
| 1538540778 | Jean Marie Holden | Nurse Practitioner | 8 W 4th St, Barnegat Light, NJ 08006-1439 | 2015-06-13 |
| 1285069583 | William P Crutchlow | Orthopaedic Surgery | 7 E 20th St, Barnegat Light, NJ 08006-1496 | 2013-09-05 |
| 1902801475 | Sure Rehab | Physical Therapist | 1702 Central Ave, Barnegat Light, NJ 08006 | 2005-06-20 |
| 1356551022 | Laura Say | Physical Therapist | 1702 Central Ave, Barnegat Light, NJ 08006-0968 | 2007-05-23 |
| 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 |
|---|---|---|---|---|
| 1538706734 | Theodore Nellis Slahetka | Specialist/Technologist | 18 W 26th St, Barnegat Light, NJ 08006-1424 | 2019-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255824 | Jennifer Druckman | Specialist/Technologist | 5 Rosedale Ter, Livingston, NJ 07039-3203 | 2020-11-03 |
| 1265033765 | Mariah Jade Hubbard | Specialist/Technologist | 13 Stoneybrook Dr Apt 11, Absecon, NJ 08201-4340 | 2020-11-03 |
| 1356941975 | Tyler Cahill | Specialist/Technologist | 10 Deshibe Ter, Vineland, NJ 08360-4902 | 2020-11-01 |
| 1821698606 | Elena Vaughan | Specialist/Technologist | 32 N Syracuse Dr, Cherry Hill, NJ 08034-1229 | 2020-10-29 |
| 1235736612 | Nicholas Christos Ratigan | Specialist/Technologist | 900 Parkway Ave, Ewing, NJ 08618-2390 | 2020-10-08 |
| 1265039622 | Jessica Veronica Fittipaldi | Specialist/Technologist | 170 Paulison Ave, Passaic, NJ 07055-4810 | 2020-10-07 |
| 1861008914 | Erin Nicole Boccher | Specialist/Technologist | 89 Prestbury Ln, Somerset, NJ 08873-4783 | 2020-09-23 |
| 1174138598 | Adam Carias | Specialist/Technologist | 18 Park View Ave Apt 314, Jersey City, NJ 07302-7381 | 2020-09-11 |
| 1750993432 | Samantha Hummel | Specialist/Technologist | 1906 Hunters Ln, Wall Township, NJ 07719-4625 | 2020-08-23 |
| 1518576321 | Caitlin Brinkman | Specialist/Technologist | 3 Blue Point Cv, Oceanport, NJ 07757-1436 | 2020-07-28 |
| Find all providers with the same taxonomy | ||||
| City | BARNEGAT LIGHT |
| Zip Code | 08006 |
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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.