JEANINE MARIE CONNOLLY (NPI# 1417456369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417456369 |
| Entity Type | Individual |
| Full Name | JEANINE MARIE CONNOLLY |
| Credential | MS, ATC/L |
| Practice Address |
295 Old Oak St Pembroke MA 02359-1955 |
| Mailing Address |
56 Progressive Ave West Bridgewater MA 02379-1126 |
| Practice Telephone | 8574441200 |
| Mailing Telephone | 5082435292 |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2372 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346203064 | Jeanine Connolly | Internal Medicine | 2320 High St, Blue Island, IL 60406-2426 | 2006-04-11 |
| Street Address |
295 OLD OAK ST |
| City | PEMBROKE |
| State | MA |
| Zip Code | 02359-1955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497274229 | Christina Machaby Lee | Physical Therapist | 295 Old Oak St, Pembroke, MA 02359-1955 | 2017-09-13 |
| 1922578467 | Jessica Lynn Robertson | Nurse Practitioner | 295 Old Oak St, Pembroke, MA 02359-1955 | 2018-11-27 |
| 1518441245 | Kate Elizabeth Dodge | Physical Therapist | 295 Old Oak St, Pembroke, MA 02359-1955 | 2018-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487294559 | Timothy Clynch | Nurse Practitioner | 296 Old Oak St, Pembroke, MA 02359 | 2020-01-07 |
| 1457902892 | Convenientmd LLC | Clinic/Center | 296 Old Oak Street, Pembroke, MA 02359 | 2019-09-26 |
| 1578126298 | Snezhana Voynova | Nurse Practitioner | Harbor Medical Associates, 15 Corporate Park Drive, Pembroke, MA 02359 | 2019-04-18 |
| 1669943452 | Rachel Elizabeth Fletcher | Counselor | Pembroke Partial Hospital Program, 20 Winter Street, Pembroke, MA 02359 | 2018-12-06 |
| 1780116236 | Annmarie Cummings | Behavioral Analyst | 15 Furnace Lane, Pembroke, MA 02359 | 2017-04-03 |
| 1558659680 | Rachel S Cohen | Social Worker | 20 Winter Street, Pembroke, MA 02359 | 2011-07-11 |
| 1659552974 | Kirsten Leah Evans | Registered Nurse | 7 Bartlett St, Pembroke, MA 02359 | 2007-11-15 |
| 1154516862 | Timothy A Kaufman | Physical Therapist | 31 Schoosett Street, Suite 300, Pembroke, MA 02359 | 2007-09-06 |
| 1912128463 | Mary A Marek | Social Worker | 2 Columibia Road, Pembroke, MA 02359 | 2007-05-01 |
| 1437287448 | Frederick James White Jr. | Dentist | 19a Mattakeesett St, Pembroke, MA 02359 | 2007-03-01 |
| Find all providers in zip 02359 | ||||
| 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 |
|---|---|---|---|---|
| 1407359896 | Yanira Delao | Specialist/Technologist | 104 Clifton St, Pembroke, NC 28372-7881 | 2018-03-13 |
| 1134627508 | William Dixon | Specialist/Technologist | One University Drive, Pembroke, NC 28372 | 2018-01-31 |
| 1497284756 | Chantal Georgianna Filiau | Specialist/Technologist | 431 Micol Rd., Pembroke, NH 03275 | 2017-06-08 |
| 1023646742 | Devan Tyler Penny | Specialist/Technologist | 1 University Rd, Pembroke, NC 28372-8699 | 2020-03-29 |
| 1629606348 | Lakindra Niara Mcknight | Specialist/Technologist | 1 University Rd, Pembroke, NC 28372-8699 | 2020-03-29 |
| 1770119117 | Joseph Perez | Specialist/Technologist | 1 University Rd, Pembroke, NC 28372-8699 | 2020-03-17 |
| 1114550290 | Carlos Miguel Rivera Jr. | Specialist/Technologist | 1 University Rd, Pembroke, NC 28372-8699 | 2020-02-18 |
| 1356819593 | Kathryn Fonseca | Specialist/Technologist | 1 University Drive, Pembroke, NC 28372 | 2018-11-06 |
| 1700387982 | Ashlyn Kay Jones | Specialist/Technologist | 1 University Dr, Pembroke, NC 28372 | 2018-02-23 |
| 1760982425 | Michael Musselwhite | Specialist/Technologist | 1 University Rd, Pembroke, NC 28372-8699 | 2018-02-19 |
| Find all providers in PEMBROKE | ||||
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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.