DWAYNE DURHAM (NPI# 1467520932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467520932 |
| Entity Type | Individual |
| Full Name | DWAYNE DURHAM |
| Credential | LAT |
| Practice Address |
204 S King St Hendersonville NC 28792-5059 |
| Practice Telephone | 8286921333 |
| Practice Fax Number | 8286980048 |
| Mailing Telephone | 8286921333 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0003 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
204 S KING ST |
| City | HENDERSONVILLE |
| State | NC |
| Zip Code | 28792-5059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033187893 | Bradley S. Mast | Physical Therapist | 204 S King St, Hendersonville, NC 28792-5059 | 2006-03-09 |
| 1588841696 | Denise Peters | Physical Therapist | 204 S King St, Hendersonville, NC 28792-5059 | 2008-01-31 |
| 1215112396 | Paula Reed | Physical Therapy Assistant | 204 S King St, Hendersonville, NC 28792-5059 | 2008-01-08 |
| 1528106523 | Durham Business Enterprise | Occupational Therapist | 204 S King St, Hendersonville, NC 28792-5059 | 2007-02-02 |
| 1750427274 | Sharon D Dills | Physical Therapy Assistant | 204 S King St, Hendersonville, NC 28792-5059 | 2007-01-30 |
| 1164568986 | Durham Business Enterprise | Clinic/Center | 204 S King St, Hendersonville, NC 28792-5059 | 2007-01-29 |
| 1730234949 | Julienne Wright | Physical Therapist | 204 S King St, Hendersonville, NC 28792-5059 | 2007-01-25 |
| 1144374323 | Laura Kristen Husak | Specialist/Technologist | 204 S King St, Hendersonville, NC 28792-5059 | 2007-01-23 |
| 1841344041 | Bryan Adams | Physical Therapy Assistant | 204 S King St, Hendersonville, NC 28792-5059 | 2007-01-23 |
| 1497800346 | Stuart Wayne Macroberts | Physical Therapist | 204 S King St, Hendersonville, NC 28792-5059 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932690187 | Mark Levi | Chiropractor | 1032 Greenville Hwy Ste B, Hendersonville, NC 28792 | 2018-05-23 |
| 1427548080 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 635 Greenville Hwy, Hendersonville, NC 28792 | 2018-05-18 |
| 1649721911 | Sara R Ross | Social Worker | 48 Reedy Ridge Road, Hendersonville, NC 28792 | 2016-10-20 |
| 1669856530 | Andrew Harrell | Dentist | 200 Beverly Hanks Ctr Ste B, Hendersonville, NC 28792 | 2015-07-10 |
| 1114329539 | Pardee Urgent Care | Clinic/Center | 212 Thompson Street, Hendersonville, NC 28792 | 2014-09-17 |
| 1164844874 | Lynn Amanda Howard | Physician Assistant | 2579 Chimney Rock Road, Hendersonville, NC 28792 | 2014-01-15 |
| 1790035343 | Healthstat- Henderson County | Preventive Medicine | 211 1st Ave E., Hendersonville, NC 28792 | 2012-09-11 |
| 1578811188 | John Edward Kneedler | Physical Therapist | 600 Carolina Village Road, Hendersonville, NC 28792 | 2012-08-29 |
| 1962702845 | Rainbow Tree | In Home Supportive Care | 332 Signal Hill Road, Henderson, NC 28792 | 2010-10-26 |
| 1750600698 | Julie Ann Innes | Pharmacist | 3643 Howard Gap Road, Hendersonville, NC 28792 | 2010-05-17 |
| Find all providers in zip 28792 | ||||
| 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 |
|---|---|---|---|---|
| 1871066043 | Nadine Langsdorf | Specialist/Technologist | 117 Shannon Rd, Hendersonville, NC 28791-9762 | 2019-01-09 |
| 1720551625 | Alec Fletcher Worrell | Specialist/Technologist | 248 S Vista Dr, Hendersonville, NC 28739-7370 | 2019-01-03 |
| 1932626975 | Eliza Brooks Parker | Specialist/Technologist | 3136 Charlyne Dr, Hendersonville, NC 28792-1123 | 2017-08-29 |
| 1144680315 | Catherine Alexandria Wellendorf | Specialist/Technologist | 3126 Long Hollow Pike, Hendersonville, TN 37075 | 2016-03-02 |
| 1023433869 | Josh Owen | Specialist/Technologist | 3946 Staton Rd, Hendersonville, NC 28739-6579 | 2014-03-04 |
| 1720016835 | Jason Theodore Everhardt | Specialist/Technologist | 121 Hazelwood Dr, Apt. L130, Hendersonville, TN 37075-5370 | 2006-06-29 |
| 1972006922 | Olivia Smith | Specialist/Technologist | 212 Thompson St Ste B, Hendersonville, NC 28792 | 2018-03-16 |
| 1689791345 | Timothy Sean Auwarter | Specialist/Technologist | 800 N Justice St, Hendersonville, NC 28791-3410 | 2007-03-26 |
| 1144374323 | Laura Kristen Husak | Specialist/Technologist | 204 S King St, Hendersonville, NC 28792-5059 | 2007-01-23 |
| 1548338049 | Katherine Jessie White | Specialist/Technologist | 204 S King St, Hendersonville Sports Medicine & Rehabilitation, Hendersonville, NC 28792-5059 | 2006-12-01 |
| Find all providers in HENDERSONVILLE | ||||
| City | HENDERSONVILLE |
| Zip Code | 28792 |
Please comment or provide details below to improve the information on DWAYNE DURHAM.
| 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.