MR. GREGORY DALE HAWTHORNE JR. (NPI# 1477600963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477600963 |
| Entity Type | Individual |
| Full Name | MR. GREGORY DALE HAWTHORNE JR. |
| Credential | ATC |
| Practice Address |
Jenison Fieldhouse Michigan State University East Lansing MI 48823 |
| Mailing Address |
4495 Heritage Ave Apt B3 Okemos MI 48864-3309 |
| Practice Telephone | 5173551627 |
| Mailing Telephone | 7348347862 |
| Enumeration Date | 2007-01-05 |
| 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 |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568552768 | Gregory Allen Hawthorne | Chiropractor | 136 Furman Rd, Suite #1, Boone, NC 28607-5038 | 2006-10-16 |
| Street Address |
JENISON FIELDHOUSE MICHIGAN STATE UNIVERSITY |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848631 | Joseph Santangelo | Technician | 2775 E Lansing Dr, East Lansing, MI 48823 | 2020-07-10 |
| 1679197701 | Alexandra Megan Bauer | Technician | 3839 Hunsaker Street, 121, East Lansing, MI 48823 | 2020-06-04 |
| 1689297756 | Nathan Barnhurst | Neuromusculoskeletal Medicine & OMM | 4660 Hagadorn Rd #500, East Lansing, MI 48823 | 2020-05-25 |
| 1861036006 | Rachel Amber Kelly | Registered Nurse | 221 W Lake Rd, #300, East Lansing, MI 48823 | 2019-10-31 |
| 1982176442 | Thomas Patrick Lilley | Occupational Therapist | 2900 Hannah Blvd. - Suite B102, East Lansing, MI 48823 | 2018-12-21 |
| 1386114684 | Anne Colleen Jack | Social Worker | 3100 West Road, East Lansing, MI 48823 | 2018-11-29 |
| 1346721420 | Mary Ann Malosh | Health Educator | 6265 Fenwick Ct, East Lansing, MI 48823 | 2018-08-27 |
| 1639668734 | Jennifer Lynn Box | Occupational Therapist | 2900 Hannah Blvd Ste. B102, Outpatient Rehab, East Lansing, MI 48823 | 2018-05-03 |
| 1598267288 | Wise Willow Counseling & Consulting LLC | Social Worker | 2875 Northwind Dr Ste 215, East Lansing, MI 48823 | 2018-03-08 |
| 1184142010 | Carlrianna Taylor | Technician | 2775 E Lansing Rd, E Lansing, MI 48823 | 2017-08-30 |
| Find all providers in zip 48823 | ||||
| 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 |
|---|---|---|---|---|
| 1912548926 | Monica Grimes | Specialist/Technologist | 1536 Snyder Rd, East Lansing, MI 48823-3746 | 2019-10-01 |
| 1760033211 | Nina Sebastian | Specialist/Technologist | 393 Chestnut Rd, East Lansing, MI 48824-5401 | 2019-09-26 |
| 1427608033 | Kyle Newood | Specialist/Technologist | 393 Chestnut Rd Rm 211, East Lansing, MI 48824-5401 | 2019-09-16 |
| 1972088383 | Isabelle Lee Clarke | Specialist/Technologist | 430 Rosewood Ave, East Lansing, MI 48823-3245 | 2018-10-02 |
| 1891207502 | Julia Kulhawik | Specialist/Technologist | 735 E Shaw Ln, East Lansing, MI 48825-3802 | 2017-11-03 |
| 1083065213 | Caroline Lisee | Specialist/Technologist | 1 Im Sports Cir, 308 W. Circle Drive, East Lansing, MI 48824-1049 | 2016-06-29 |
| 1245684570 | Vincent Paul Delvalle | Specialist/Technologist | 223 Kalamazoo St Ste 106, East Lansing, MI 48824-5400 | 2016-04-23 |
| 1417313297 | Tracey Covassin | Specialist/Technologist | 308 W Circle Dr, Department of Kineisology Michigan State University, East Lansing, MI 48824-3700 | 2016-01-08 |
| 1124448436 | David Jager | Specialist/Technologist | 771 Chestnut Rd, East Lansing, MI 48824-4408 | 2014-04-25 |
| 1619249943 | Michael Little | Specialist/Technologist | 2900 Hannah Boulevard, Sports Medicine Suite B102, East Lansing, MI 48823-5374 | 2012-02-02 |
| Find all providers in EAST LANSING | ||||
| City | EAST LANSING |
| Zip Code | 48823 |
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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.