JACOB G WEBER (NPI# 1407376916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407376916 |
| Entity Type | Individual |
| Full Name | JACOB G WEBER |
| Credential | ATC |
| Practice Address |
209 S Kingshighway St Saint Charles MO 63301-1693 |
| Mailing Address |
309 N 7th St Wakeeney KS 67672-1901 |
| Practice Telephone | 6369492000 |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2017-06-26 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831160381 | Jacob Clifford Weber | Physical Therapist | 216 College Blvd, Carmi, IL 62821-1548 | 2006-01-31 |
| 1447870258 | Jacob Oliver Weber | Optometrist | 201 N Main St, Denison, IA 51442-1373 | 2020-04-22 |
| 1811450877 | Jacob Weber | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2019-04-08 |
| Street Address |
209 S KINGSHIGHWAY ST |
| City | SAINT CHARLES |
| State | MO |
| Zip Code | 63301-1693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063471142 | Randy Lee Biggerstaff | Specialist/Technologist | 209 S Kingshighway St, Saint Charles, MO 63301-1693 | 2006-03-19 |
| 1881291102 | Hannah Bergstrom | Student in an Organized Health Care Education/Training Program | 209 S Kingshighway St, Mailbox #3778, Saint Charles, MO 63301 | 2020-10-09 |
| 1417581455 | Kyle Eric Bishop | Student in an Organized Health Care Education/Training Program | 209 S Kingshighway St, Saint Charles, MO 63301-1693 | 2020-02-28 |
| 1639711187 | Ian Anthony Walker | Specialist/Technologist | 209 S Kingshighway St, Saint Charles, MO 63301-1693 | 2019-10-16 |
| 1932750353 | Evan Dunklee | Specialist/Technologist | 209 S Kingshighway St, Saint Charles, MO 63301-1693 | 2019-09-26 |
| 1043869977 | Samantha Laine Higgerson | Student in an Organized Health Care Education/Training Program | 209 S Kingshighway St, Saint Charles, MO 63301-1695 | 2019-09-04 |
| 1801445739 | Jennifer Yang | Specialist/Technologist | 209 S Kingshighway St, Saint Charles, MO 63301-1693 | 2019-09-04 |
| 1053960930 | Ashley Paige Benevice | Specialist/Technologist | 209 S Kingshighway St, Saint Charles, MO 63301-1695 | 2019-09-04 |
| 1194374074 | Brittany Moffett | Specialist/Technologist | 209 S Kingshighway St, Saint Charles, MO 63301-1693 | 2019-09-04 |
| 1487139010 | Michael T Pilarski | Student in an Organized Health Care Education/Training Program | 209 S Kingshighway St, Saint Charles, MO 63301 | 2018-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376189910 | Kelsey Fix | Occupational Therapist | 3228 Silvertrail Dr, Saint Charles, MO 63301 | 2019-11-19 |
| 1063056307 | Compass Health, Inc. | Clinic/Center | 3075 New Town Blvd, Saint Charles, MO 63301 | 2019-10-30 |
| 1558921361 | Next Steps Therapy & Coaching, LLC | Clinic/Center | 1040 Fairgrounds Road, St. Charles, MO 63301 | 2019-06-14 |
| 1093297426 | Delia Smith | Specialist/Technologist | 209 S Kingshighway, St. Charles, MO 63301 | 2018-09-01 |
| 1285136754 | Helping Hand Home Healthcare, LLC | Home Health | 1360 S 5th Street, Suite 278, Saint Charles, MO 63301 | 2018-03-01 |
| 1972043107 | Robert Christopher Loynd | Otolaryngology | 301 N. 2nd Street, St. Charles, MO 63301 | 2017-03-07 |
| 1457807067 | Angela Thro | Occupational Therapist | 3489 Boschertown Road, Saint Charles, MO 63301 | 2016-09-01 |
| 1487060570 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2100 1st Capitol Dr, St. Charles, MO 63301 | 2014-07-09 |
| 1114337102 | Nucrown,inc. | Optometrist | 1910 First Capital Drive, St. Charles, MO 63301 | 2014-04-30 |
| 1780922476 | Kristen James | Counselor | 120 1st Capitol Dr Ste 5, Saint Charles, MO 63301 | 2013-01-30 |
| Find all providers in zip 63301 | ||||
| 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 |
|---|---|---|---|---|
| 1164020335 | Taylor Fumagalli | Specialist/Technologist | 1421 Woodstone Dr, Saint Charles, MO 63304-6866 | 2020-10-11 |
| 1992347371 | Brittany Selina Johnson | Specialist/Technologist | 3n709 Herman Melville Ln, Saint Charles, IL 60175-6538 | 2019-10-17 |
| 1881243327 | Kristin E Bauder | Specialist/Technologist | 1030 Howard St, Saint Charles, IL 60174-2654 | 2019-09-07 |
| 1053969063 | Benita Carson | Specialist/Technologist | 205 S Kingshighway St, Saint Charles, MO 63301-1693 | 2019-09-03 |
| 1598229825 | Caroline Bass | Specialist/Technologist | 3254 Meeker St, Saint Charles, MO 63301-8097 | 2019-01-31 |
| 1972030344 | Dan Brennan | Specialist/Technologist | Lindenwood University 209 South Kingshighway, Hyland Arena, Saint Charles, MO 63301-9998 | 2017-05-17 |
| 1750818423 | Amanda Nicole Passaglia | Specialist/Technologist | 1219 S 11th St, Saint Charles, IL 60174-3710 | 2017-05-12 |
| 1134654395 | Richard Aley | Specialist/Technologist | 24a James Dr, Saint Charles, MO 63301-4864 | 2017-04-25 |
| 1346602554 | Erica Witkowski | Specialist/Technologist | 6n 370 Crescent Lane, Saint Charles, IL 60175 | 2016-03-26 |
| 1336519669 | Sarah Martinez | Specialist/Technologist | 40w057 Carl Sandburg Rd, Saint Charles, IL 60175-7785 | 2015-09-29 |
| Find all providers in SAINT CHARLES | ||||
| City | SAINT CHARLES |
| Zip Code | 63301 |
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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.