MR. WILLIAM (TREY) JOSEPH ROBERTSON (NPI# 1487686101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487686101 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM (TREY) JOSEPH ROBERTSON |
| Credential | LAT,ATC |
| Practice Address |
1701 W Will Rogers Blvd Claremore OK 74017-3259 |
| Mailing Address |
1004 W 17th St Claremore OK 74017-2609 |
| Practice Telephone | 9183435203 |
| Practice Fax Number | 9183437997 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2015-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT160 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1701 W WILL ROGERS BLVD |
| City | CLAREMORE |
| State | OK |
| Zip Code | 74017-3259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619480894 | Molly Jean Hovendick | Specialist/Technologist | 1701 W Will Rogers Blvd, Claremore, OK 74017-3259 | 2017-11-10 |
| 1366821530 | Whellyn Carroll | Case Manager/Care Coordinator | 1701 W Will Rogers Blvd, Claremore, OK 74017-3259 | 2015-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763127 | Randye Knott | Physical Therapist | 99224 S. Brady St. Suite 109, Claremore, OK 74017 | 2020-06-08 |
| 1538794854 | Katie Ann Osburn | Peer Specialist | 12005 E 490 Rd, Claremore, OK 74017 | 2020-03-06 |
| 1174185144 | Jamie Lynn Bell | Dentist | 1222 N. Florence Ave, Claremore, OK 74017 | 2019-07-01 |
| 1508326877 | Cheri L Doyle | Social Worker | Foundation Behavioral Health, 1218 N Florence Ave Suite 1218b, Claremore, OK 74017 | 2019-03-22 |
| 1487144374 | Kimberly Gale Henry | Case Manager/Care Coordinator | 16305 E Grand Meadow Dr., Claremore, OK 74017 | 2018-05-16 |
| 1912449836 | Katie Jentry Greenwell | Case Manager/Care Coordinator | 423 N. Seminole, Claremore, OK 74017 | 2016-11-09 |
| 1598219347 | Spring Dental Claremore | Dentist | 504 S. Lynn Riggs Blvd., Ste #100, Claremore, OK 74017 | 2016-08-10 |
| 1811366701 | Alonna Adair-triplett | Registered Nurse | 101 S. Moore, Claremore, OK 74017 | 2015-09-21 |
| 1992135719 | Jordan Nicole Martin | Behavioral Analyst | 24797 Oklahoma 66, Claremore, OK 74017 | 2013-11-14 |
| 1992059398 | Wood Manor, Inc. | Alzheimer Center (Dementia Center) | 2800 N. Hickory, Claremore, OK 74017 | 2012-11-07 |
| Find all providers in zip 74017 | ||||
| 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 |
|---|---|---|---|---|
| 1619480894 | Molly Jean Hovendick | Specialist/Technologist | 1701 W Will Rogers Blvd, Claremore, OK 74017-3259 | 2017-11-10 |
| 1790014199 | Rachel Purdum | Specialist/Technologist | 1110 W Will Rogers Blvd, Claremore, OK 74017-5421 | 2009-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083227110 | Mercedes Phegley | Specialist/Technologist | 2815 E 5th St Apt 1936, Tulsa, OK 74104-3122 | 2020-08-28 |
| 1437761657 | Sierra Harmon | Specialist/Technologist | 214 S Water St, Sapulpa, OK 74066-4236 | 2020-08-19 |
| 1689285363 | Meredith Galloway | Specialist/Technologist | 2806 E 8th St Apt 3022, Tulsa, OK 74104-7402 | 2020-08-14 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1427681766 | Brianna Lee Brooks | Specialist/Technologist | 3014 E 8th St Apt 4313, Tulsa, OK 74104-7436 | 2020-02-14 |
| 1467084806 | Jessica Lyn Johnson | Specialist/Technologist | 23 E 157th Pl S, Glenpool, OK 74033-4437 | 2020-02-04 |
| 1083245948 | Hana Young Clancy | Specialist/Technologist | 2626 S Trenton Ave, Tulsa, OK 74114-2728 | 2020-01-30 |
| 1033740121 | Taylor Deeanne Pitcock | Specialist/Technologist | 180 W Brooks St Norman Ok 1335-1, Norman, OK 73019-0001 | 2020-01-28 |
| 1164052148 | Marlow Rehab Services, Pllc | Specialist/Technologist | 304 W. Gilkey, Marlow, OK 73055-1224 | 2020-01-18 |
| 1023658424 | Amber Martin | Specialist/Technologist | 9201 N 22nd West Pl, Sperry, OK 74073-4141 | 2020-01-14 |
| Find all providers with the same taxonomy | ||||
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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.