BENJAMIN STANLEY STACHOWIAK (NPI# 1437676467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437676467 |
| Entity Type | Individual |
| Full Name | BENJAMIN STANLEY STACHOWIAK |
| Credential | ATC |
| Practice Address |
2506 Danville Rd Sw Decatur AL 35603-4232 |
| Mailing Address |
134 Mcentire Ln Sw Apt E11 Decatur AL 35603-7630 |
| Practice Telephone | 2563506331 |
| Mailing Telephone | 6304017180 |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3802 Spring Ave Sw, Decatur, AL 356033202 | 2564322693 | |
| 43 Clark Dr, Falkville, AL 356225046 | 2567845248 | |
| 6250 Us Highway 31, Tanner, AL 356714028 |
| Street Address |
2506 DANVILLE RD SW |
| City | DECATUR |
| State | AL |
| Zip Code | 35603-4232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043246432 | Decatur Internal Medicine Center, P.C. | Internal Medicine | 2506 Danville Rd Sw, Suite 101, Decatur, AL 35603-4232 | 2006-06-25 |
| 1740536473 | Christopher D Hornbuckle | Physical Therapist | 2506 Danville Rd Sw, Suite 200, Decatur, AL 35603-4232 | 2012-07-31 |
| 1609166172 | Joshua A Davis | Physical Therapist | 2506 Danville Rd Sw, Suite 200, Decatur, AL 35603-4232 | 2011-04-18 |
| 1386944239 | Valley Pain Clinic LLC | Anesthesiology | 2506 Danville Rd Sw, Suite 206, Decatur, AL 35603-4232 | 2010-10-26 |
| 1376783605 | Leslie Segars Barbee | Speech-Language Pathologist | 2506 Danville Rd Sw, Suite 200, Decatur, AL 35603-4232 | 2009-02-26 |
| 1710137856 | Suzanna F Bailey | Speech-Language Pathologist | 2506 Danville Rd Sw, Suite 200, Decatur, AL 35603-4232 | 2008-09-25 |
| 1154593879 | Cristine K Pyle | Speech-Language Pathologist | 2506 Danville Rd Sw, Suite 200, Decatur, AL 35603-4232 | 2008-04-02 |
| 1568631307 | Patricia Lang Jenkins | Speech-Language Pathologist | 2506 Danville Rd Sw, Suite 200, Decatur, AL 35603-4232 | 2008-02-26 |
| 1477674679 | James Richard Throneberry | Dentist | 2506 Danville Rd Sw, Ste. 104, Decatur, AL 35603-4232 | 2007-04-03 |
| 1841325891 | Encore Rehabiliation Inc | Clinic/Center | 2506 Danville Rd Sw, Suite 200, Decatur, AL 35603-4232 | 2007-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858848 | Marcanna Michele Kimball | Technician | 1616 Saginaw Ln Sw, Decatur, AL 35603 | 2019-12-12 |
| 1316503808 | Julie Monteiro-pai | Nurse Practitioner | 2828 Us 31, Suite # 117, Decatur, AL 35603 | 2019-05-10 |
| 1700305372 | Jessica Skarda | Nurse Practitioner | 1577-1631 Kathy Ln Sw, Decatur, AL 35603 | 2017-09-14 |
| 1841532546 | Priceville Pharmacy LLC | Pharmacy | 2941 Point Mallard Pkwy, Suite A, Decatur, AL 35603 | 2013-03-20 |
| 1235392689 | David Gerardo Barraza | Nurse Practitioner | 2422 Donville Road, Suite E, Decatur, AL 35603 | 2008-07-07 |
| 1164629002 | Rachel E. Kennedy | Family Medicine | 2422 Danville Rd., Suite E, Decatur, AL 35603 | 2007-07-02 |
| 1558583708 | Active Physical Therapy, Inc. | Clinic/Center | 2424 Danville Rd. Sw, Ste M, Decatur, AL 35603 | 2007-05-03 |
| 1598829814 | Decatur Eye Institute | Optometrist | 2620 Centron Dirve Sw, Decatur, AL 35603 | 2006-12-21 |
| 1447326442 | Joseph R Dupper | Podiatrist | 2506 Danville Rd Sw Suite 204, Decatur, AL 35603 | 2006-11-28 |
| 1568531820 | Highlands Internal Medicine LLC | Internal Medicine | 2422 Danville Rd, Suite F, Decatur, AL 35603 | 2006-11-08 |
| Find all providers in zip 35603 | ||||
| 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] |
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|---|---|---|---|---|
| 1134746860 | Faith Helen Heyl | Specialist/Technologist | 1032 Parc Ln W, Decatur, GA 30033-4065 | 2020-06-29 |
| 1861039059 | Furman Harold Riley Jr. | Specialist/Technologist | 212 Ridgeland Ave, Decatur, GA 30030-2056 | 2019-12-06 |
| 1720637614 | Tisha Marie Hess | Specialist/Technologist | 2538 E Lost Bridge Rd, Decatur, IL 62521-4408 | 2019-09-04 |
| 1922566199 | Hannah Daily | Specialist/Technologist | 5969 Kentland Dr, Decatur, IL 62521-8754 | 2019-03-06 |
| 1952875171 | Adam Lucas Hotaling | Specialist/Technologist | 951 Fortenberry Rd, Decatur, TX 76234-5817 | 2019-01-22 |
| 1720569106 | Marc Anthony Lara | Specialist/Technologist | 405 N Cates St, Decatur, TX 76234-1504 | 2018-08-23 |
| 1871079442 | Jackson Randall Therrien | Specialist/Technologist | 224 Crows Nest Cir, Decatur, MS 39327-9186 | 2018-07-17 |
| 1750867776 | Derrick Wesley Jones | Specialist/Technologist | 275 W Broad St, Decatur, MS 39327-8985 | 2018-07-12 |
| 1720573447 | Jonathan Clark | Specialist/Technologist | 1214 Highland Lake Cir, Decatur, GA 30033-3460 | 2018-06-25 |
| 1811492812 | Taylor Zolecki | Specialist/Technologist | 885 W Grove Rd, Decatur, IL 62521-9058 | 2018-03-29 |
| Find all providers in DECATUR | ||||
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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.