ANDREW BOORTZ (NPI# 1407210412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407210412 |
| Entity Type | Individual |
| Full Name | ANDREW BOORTZ |
| Credential | ATC |
| Practice Address |
4869 S Bradley Rd Suite 114 Santa Maria CA 93455-5065 |
| Practice Telephone | 8059385320 |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4869 S BRADLEY RD SUITE 114 |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93455-5065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437167855 | San Luis Physical Therapy & Orthopedic Rehabilitation Inc | Physical Therapist | 4869 S Bradley Rd, Suite 114, Santa Maria, CA 93455-5065 | 2006-08-03 |
| 1396281085 | Tyler Marsden | Physical Therapist | 4869 S Bradley Rd, Ste 114, Santa Maria, CA 93455-5065 | 2017-01-18 |
| 1770999047 | Nathan Velazquez | Physical Therapist | 4869 S Bradley Rd, Suite 114, Santa Maria, CA 93455-5065 | 2014-07-08 |
| 1477898765 | Jessica R Warren | Physical Therapist | 4869 S Bradley Rd, Suite 114, Santa Maria, CA 93455-5065 | 2012-11-28 |
| 1407031636 | Ann Marie Roach | Physical Therapist | 4869 S Bradley Rd, 114, Santa Maria, CA 93455-5065 | 2008-01-07 |
| 1104934835 | Tanya Conley | Physical Therapist | 4869 S Bradley Rd, 114, Santa Maria, CA 93455-5065 | 2006-08-25 |
| 1285645408 | Shannon L Looney-colton | Occupational Therapist | 4869 S Bradley Rd, Ste 114, Santa Maria, CA 93455-5065 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724507 | Cottage Clinical Network, LLC | Clinic/Center | 1606 E Clark Ave, Building C, Suite 2, Orcutt, CA 93455 | 2020-06-10 |
| 1750905907 | Cottage Clinical Network, LLC | Clinic/Center | 3569 Skyway Drive, Santa Maria, CA 93455 | 2020-06-03 |
| 1891256194 | Derin Deniz Allard | Student in an Organized Health Care Education/Training Program | Marian Family Medicine Center, 1400 E. Church Street, Santa Maria, CA 93455 | 2019-03-28 |
| 1942781729 | Shannon Leigh Stamey | Marriage & Family Therapist | 235 E Clark Ave, Orcutt, CA 93455 | 2018-08-28 |
| 1710471362 | Amit Rawal | Behavioral Analyst | 2342 Professional Pkwy., Ste. 300, Santa Maria, CA 93455 | 2018-06-18 |
| 1548799075 | Karina Valdez | Marriage & Family Therapist | 2370 Skyway Drive Suite #104, Santa Maria, CA 93455 | 2017-06-08 |
| 1801337464 | Brenee English | Counselor | 144 George Lane, Orcutt, CA 93455 | 2017-03-15 |
| 1043762883 | Changing Faces Inc. I/ii | Community/Behavioral Health | 4160 Odie Lane, Santa Maria, CA 93455 | 2016-10-27 |
| 1194177964 | Lindsay E Soto | Counselor | 3653 Corta Bella Way, Santa Maria, CA 93455 | 2016-07-06 |
| 1003239427 | Wellness Solutions, Inc | Chiropractor | 210. E Clark Avenue, Suite A, Santa Maria, CA 93455 | 2014-01-22 |
| Find all providers in zip 93455 | ||||
| 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 |
|---|---|---|---|---|
| 1336767334 | Porfirio Garcia Diaz | Specialist/Technologist | 930 W Cook St Apt 7, Santa Maria, CA 93458-5463 | 2020-07-07 |
| 1699301911 | Amara Sharp | Specialist/Technologist | 3199 Lancaster Dr, Santa Maria, CA 93455-2011 | 2020-03-18 |
| 1396205860 | Sarah Alexandra Holland | Specialist/Technologist | 714 Poplar St, Santa Maria, CA 93458-9066 | 2019-03-21 |
| 1154873024 | Devin Mark Hestand | Specialist/Technologist | 2333 Cottage Ln, Santa Maria, CA 93455-1368 | 2016-10-26 |
| 1134500036 | Kayla Stevens | Specialist/Technologist | 525 San Luis Dr, Santa Maria, CA 93455-1799 | 2015-06-16 |
| 1346462462 | Jennifer Valerie Melena | Specialist/Technologist | 809 West Pershing, Santa Maria, CA 93458 | 2007-05-02 |
| 1407999162 | Heather Marie Campbell | Specialist/Technologist | 5144 Brittany Ct, Santa Maria, CA 93455-7500 | 2007-02-14 |
| 1821103599 | Jennifer Alyce Croll | Specialist/Technologist | 2643 Long Ter, Santa Maria, CA 93455-7440 | 2006-08-20 |
| 1396772919 | Hallie Lynn Stine | Specialist/Technologist | 675 Panther Drive, Santa Maria, CA 93455 | 2006-06-27 |
| 1053715003 | Kayla George | Specialist/Technologist | 901 N Broadway, Santa Maria, CA 93454-3131 | 2014-10-20 |
| Find all providers in SANTA MARIA | ||||
| City | SANTA MARIA |
| Zip Code | 93455 |
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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.