MS. ALMA RAE MATTOCKS (NPI# 1417098443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417098443 |
| Entity Type | Individual |
| Full Name | MS. ALMA RAE MATTOCKS |
| Credential | ATC |
| Practice Address |
2043 College Way Forest Grove OR 97116-1756 |
| Mailing Address |
Northern Kentucky University Nunn Drive / Hc 116 Highland Heights KY 41099 |
| Practice Telephone | 5033522780 |
| Mailing Telephone | 5038800457 |
| Enumeration Date | 2007-02-11 |
| Last Update Date | 2019-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT-AT-1005014 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2043 COLLEGE WAY |
| City | FOREST GROVE |
| State | OR |
| Zip Code | 97116-1756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962492595 | Kenneth Warren Eakland | Optometrist | 2043 College Way, Forest Grove, OR 97116-1756 | 2005-10-25 |
| 1972102796 | Jonathan T Bloemers | Optometrist | 2043 College Way, Forest Grove, OR 97116-1756 | 2020-10-22 |
| 1457979080 | Maud Darger | Student in an Organized Health Care Education/Training Program | 2043 College Way, Forest Grove, OR 97116-1797 | 2020-07-09 |
| 1881226249 | Caitlin Odonnell | Specialist/Technologist | 2043 College Way, Forest Grove, OR 97116-1756 | 2020-02-04 |
| 1386292852 | Pacific University | Optometrist | 2043 College Way, Forest Grove, OR 97116-1797 | 2019-08-28 |
| 1447813563 | Mari Jalene Fujimoto | Optometrist | 2043 College Way, Forest Grove, OR 97116-1756 | 2019-04-15 |
| 1043776024 | Abigail Carpenter | Specialist/Technologist | 2043 College Way, Forest Grove, OR 97116-1756 | 2019-02-14 |
| 1194294108 | Julia Le Lieu | Student in an Organized Health Care Education/Training Program | 2043 College Way, Forest Grove, OR 97116-1797 | 2018-11-19 |
| 1083192488 | Rachael Leeann Wilson | Physician Assistant | 2043 College Way, Forest Grove, OR 97116-1756 | 2018-07-30 |
| 1154807295 | Sarah Rothley Lucas | Optometrist | 2043 College Way, Forest Grove, OR 97116-1756 | 2018-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780220988 | Jenny Park | Social Worker | 2023 Hawthorne Street, Building C, Forest Grove, OR 97116 | 2019-11-22 |
| 1447742077 | Kimberly K Sabin | Doula | 1239 Goff Rd, Forest Grove, OR 97116 | 2018-05-30 |
| 1891205266 | Sonam Narayan | Optometrist | 2221 Pacific Avenue, Forest Grove, OR 97116 | 2017-10-11 |
| 1013260181 | Sharon Louise Benjamin | Nurse Practitioner | 2724 Harvest Ct, Forest Grove, OR 97116 | 2012-10-25 |
| 1336445535 | Shane Michael Peterson | Physical Therapist | 3300 19th Avenue, Forest Grove, OR 97116 | 2011-02-04 |
| 1023324415 | Kara Marie Cooper | Registered Nurse | 2221 Oak St, Forest Grove, OR 97116 | 2010-08-24 |
| 1811229792 | Rachel Lucinda Erin Dilly | Speech-Language Pathologist | 3300 19th Ave., Forest Grove, OR 97116 | 2010-02-03 |
| 1720286339 | Thuymai Anna Fee | Physical Therapist | Custom Care Physical Therapy, 4150 Pacific Ave. #100, Forest Grove, OR 97116 | 2007-07-05 |
| 1629102454 | Lois Elizabeth Yevdalcia Dimick | Massage Therapist | 2004 Main St, Suite 204, Forest Grove, OR 97116 | 2007-03-15 |
| 1023159936 | Ninette Kay Foster | Contractor | 2329 Pacific Ave., Forest Grove, OR 97116 | 2007-02-12 |
| Find all providers in zip 97116 | ||||
| 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 |
|---|---|---|---|---|
| 1134685944 | Emry Dean Wells | Specialist/Technologist | 1979 27th Ave, Forest Grove, OR 97116-2962 | 2019-02-17 |
| 1730645532 | Kaitlin Jamieson | Specialist/Technologist | 2853 12th Ave, Forest Grove, OR 97116-2666 | 2019-02-16 |
| 1770075194 | Elena Pang | Specialist/Technologist | 2214 Pacific Ave # 164, Forest Grove, OR 97116-2448 | 2018-06-01 |
| 1588688568 | Erin Michelle Russell | Specialist/Technologist | 2333 Pacific Ave, Forest Grove, OR 97116-2449 | 2006-07-26 |
| 1881226249 | Caitlin Odonnell | Specialist/Technologist | 2043 College Way, Forest Grove, OR 97116-1756 | 2020-02-04 |
| 1043776024 | Abigail Carpenter | Specialist/Technologist | 2043 College Way, Forest Grove, OR 97116-1756 | 2019-02-14 |
| 1912422262 | Katie Anderson | Specialist/Technologist | 2043 College Way, Forest Grove, OR 97116-1756 | 2017-08-08 |
| 1154860856 | Miho Arai | Specialist/Technologist | 2043 College Way, Forest Grove, OR 97116-1756 | 2017-02-15 |
| 1922466739 | Elissa Nicole Baldwin | Specialist/Technologist | 2043 College Way, Pacific University Athletics, Forest Grove, OR 97116-1756 | 2016-02-08 |
| 1093081390 | Eric J Pitkanen | Specialist/Technologist | 2043 College Way, Forest Grove, OR 97116-1756 | 2012-03-30 |
| Find all providers in FOREST GROVE | ||||
| City | FOREST GROVE |
| Zip Code | 97116 |
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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.