PAUL ERIK LARSON (NPI# 1417181082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417181082 |
| Entity Type | Individual |
| Full Name | PAUL ERIK LARSON |
| Credential | ATC |
| Practice Address |
101 Brooklyn Street/business Route 6 Carbondale PA 18407 |
| Mailing Address |
673 Great Bend Tpke Pleasant Mount PA 18453-4544 |
| Practice Telephone | 5702824500 |
| Practice Fax Number | 5702817102 |
| Mailing Telephone | 5704482598 |
| Mailing Fax Number | 5702817102 |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
RT002358A | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336599224 | Paul Larson | Physical Therapist | 803 S University Ave, Beaver Dam, WI 53916-3029 | 2016-06-21 |
| 1598999609 | Paul William Larson | Anesthesiology | 2603 S 4th Ave, Yuma, AZ 85364-7256 | 2009-05-05 |
| 1952547424 | Paul R Larson | Family Medicine | 301 Eleventh St, Suite C, New Kensington, PA 15068-6179 | 2009-01-05 |
| 1124091749 | Paul Larson | Psychiatry & Neurology | 721 American Avenue Suite 501, Phc Behavioral Medicine Center, Waukesha, WI 53188 | 2006-02-13 |
| 1477525681 | Paul Matthew Larson | Physical Therapist | 2510 E 7th Ave, Flagstaff, AZ 86004-3719 | 2006-02-02 |
| 1619483799 | Paul Seth Larson | Nurse Practitioner | 3001 W Mlk Blvd, Tampa, FL 33607-6307 | 2017-12-27 |
| 1679604771 | Paul C. Larson | Psychologist | 222 Merchandise Mart Plz, Suite #13-659, Chicago, IL 60654-1103 | 2007-03-08 |
| 1629134960 | Paul Robert Larson | Nurse Practitioner | 100 Highline Dr, East Wenatchee, WA 98802-5341 | 2006-12-29 |
| 1013005321 | Paul S Larson | Specialist | 400 Parnassus Ave, Rm A808, San Francisco, CA 94143-0350 | 2006-10-11 |
| 1376656421 | Paul Daniel Larson | Nurse Practitioner | 1 Wallace Bashaw Way, Suite 2001, Newburyport, MA 01950-3875 | 2006-08-15 |
| Street Address |
101 BROOKLYN STREET/BUSINESS ROUTE 6 |
| City | CARBONDALE |
| State | PA |
| Zip Code | 18407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761784 | Ashley Ettinger | Counselor | 38 North Scott Road, Carbondale, PA 18407 | 2020-02-12 |
| 1639723109 | Dana Marie Marmo | Counselor | 141 Salem Ave Suite 104, Carbondale, PA 18407 | 2019-08-01 |
| 1831694991 | William Vitzakovitch | Physical Therapist | 504 1/2 Scranton Carbondale Hwy, Mayfield, PA 18407 | 2018-03-29 |
| 1205345014 | The Young Men's Christian Association of Carbondale | Health Educator | 82 N Main Street, Carbondale, PA 18407 | 2017-09-25 |
| 1942722327 | Jamee Ruddy | Early Intervention Provider Agency | 77 Jefferson Street, Simpson, PA 18407 | 2017-07-07 |
| 1316061708 | Christine Marie Roberts | Occupational Therapist | Carbondale Nursing Home, 10 Hart Place, Carbondale, PA 18407 | 2007-03-19 |
| 1407944036 | Brian John Piatak | Chiropractor | 30 N Scott Street, Carbondale, PA 18407 | 2006-10-10 |
| 1427556133 | Brianna Marie Bennici | Occupational Therapy Assistant | 45 N Scott St, Carbondale, PA 18407 | 2018-01-28 |
| 1144632332 | Dannielle S Hafler | Social Worker | 32 N Main St, Carbondale, PA 18407 | 2014-05-22 |
| 1891973418 | Arun J Shingala Md PC | Internal Medicine | 141 Salem Ave, Rm 301, Carbondale, PA 18407 | 2008-02-06 |
| Find all providers in zip 18407 | ||||
| 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 |
|---|---|---|---|---|
| 1083084933 | Ryan Richard Erickson | Specialist/Technologist | 523 S 2nd St, Carbondale, CO 81623-2113 | 2015-10-05 |
| 1972870228 | Kristin Ann Trotter | Specialist/Technologist | Siu Arena 118, Carbondale, IL 62901 | 2011-11-30 |
| 1336339324 | Allen Wayne Mardis | Specialist/Technologist | 1490 Douglas Dr, Mc 6620, Carbondale, IL 62901-4332 | 2007-07-26 |
| 1306806401 | Debra Kay Fitzl | Specialist/Technologist | Lingle Hall 33, Carbondale, IL 62901 | 2006-03-24 |
| 1619937612 | Elizabeth Brown Feutz | Specialist/Technologist | Intercollegiate Athletics Lingle Hall Rm 118, Carbondale, IL 62901 | 2006-03-24 |
| 1144299454 | Heather Renee' Ward | Specialist/Technologist | Southern Illinois University-intercollegiate Athletics, Arena 33, Carbondale, IL 62901-6620 | 2006-03-17 |
| 1336117795 | Edward Brent Thompson | Specialist/Technologist | Intercollegiate Athletics, Siu Arena, Rm. 118, Southern Illinois University, Carbondale, IL 62901-6620 | 2006-03-10 |
| 1194714188 | Harry Wieland Schulz Jr. | Specialist/Technologist | 700 Skyline Dr, Carbondale, IL 62901-2404 | 2005-10-21 |
| 1649715434 | Brandon Richard Harthan | Specialist/Technologist | 1490 Douglas Dr, Lingle Hall 118, Mc 6620, Carbondale, IL 62901-4332 | 2017-01-03 |
| 1760876924 | Tabitha Toland | Specialist/Technologist | 1490 Douglas Dr, Carbondale, IL 62901-4332 | 2015-03-26 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 18407 |
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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.