KIYOMASA KOMATSU (NPI# 1497237861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497237861 |
| Entity Type | Individual |
| Full Name | KIYOMASA KOMATSU |
| Credential | MS, ATC |
| Practice Address |
210 Lindsey Wilson St Columbia KY 42728-1223 |
| Practice Telephone | 2706342519 |
| Mailing Telephone | 2706342519 |
| Enumeration Date | 2018-09-03 |
| Last Update Date | 2018-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2000031780 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
210 LINDSEY WILSON ST |
| City | COLUMBIA |
| State | KY |
| Zip Code | 42728-1223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740423052 | Christopher Wayne Miller | Specialist/Technologist | 210 Lindsey Wilson St, Columbia, KY 42728-1223 | 2009-04-16 |
| 1285280545 | Thomas Richard Simac | Specialist/Technologist | 210 Lindsey Wilson St, Columbia, KY 42728-1223 | 2019-08-13 |
| 1063964278 | Lindsey Wilson College, Inc | Orthopaedic Surgery | 210 Lindsey Wilson St, Columbia, KY 42728-1223 | 2016-11-04 |
| 1053709659 | Zachary David Johnson | Specialist/Technologist | 210 Lindsey Wilson St, Columbia, KY 42728-1223 | 2015-01-05 |
| 1750798070 | Ashley Drier | Specialist/Technologist | 210 Lindsey Wilson St, Columbia, KY 42728-1223 | 2014-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598234114 | Spectrum Care Academy Bluegrass 2 | Psychiatric Residential Treatment Facility | 1175 Cane Valley Rd., Columbia, KY 42728 | 2018-11-14 |
| 1588176812 | Yuichi Kitagawa | Family Medicine | 803 Burksville St, Columbia, KY 42728 | 2017-10-26 |
| 1265983118 | Samantha Giles | Occupational Therapist | 700 Coy Trce, Columbia, KY 42728 | 2016-10-16 |
| 1164804720 | Cumberland Family Medical Center, Inc. | Clinic/Center | 158 Colonel Casey Drive, Columbia, KY 42728 | 2015-06-19 |
| 1164812509 | Eric Henderson Coomer | Registered Nurse | 85 Downey Drive, Columbia, KY 42728 | 2015-01-23 |
| 1154742518 | Mckinsey C Matney | Speech-Language Pathologist | 638 Huntington Way, Columbia, KY 42728 | 2014-01-02 |
| 1619309861 | Lake Cumberland District Health Department | Public Health or Welfare | 158 Col Casey Drive, Columbia, KY 42728 | 2013-07-30 |
| 1184872475 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 2988 Burkesville Rd., Columbia, KY 42728 | 2008-08-29 |
| 1346412301 | Adair County Hospital District | Home Health | 904-b Westlake Drive, Columbia, KY 42728 | 2008-03-31 |
| 1922207513 | Columbia Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 937 Campbellsville Road, Columbia, KY 42728 | 2007-07-13 |
| Find all providers in zip 42728 | ||||
| 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 |
|---|---|---|---|---|
| 1356969737 | Skylar Brynn Hudgens-wallace | Specialist/Technologist | 208 Amelia Oaks Way, Columbia, SC 29209-1753 | 2020-07-11 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1235757162 | Jordan-lee Elizabeth Dobbins | Specialist/Technologist | 1011 Catawba Cir, Columbia, SC 29201-5252 | 2020-07-07 |
| 1285254425 | Krista Haidle | Specialist/Technologist | 2400 Jackson Blvd, Columbia, SC 29207-7015 | 2020-04-17 |
| 1497392211 | Delores Dalrymple Gulledge | Specialist/Technologist | 424 Leton Dr, Columbia, SC 29210-4218 | 2019-12-01 |
| 1285282236 | Alyssa Faith Hawkins | Specialist/Technologist | 1609 Jennifer Dr, Columbia, TN 38401-5431 | 2019-09-03 |
| 1255989232 | Victoria Simpson | Specialist/Technologist | 886 Brickingham Way, Columbia, SC 29229-9550 | 2019-09-03 |
| 1174171151 | Rachel Marie Gordon | Specialist/Technologist | 1050 Southern Dr Apt 1705, Columbia, SC 29201-5643 | 2019-09-03 |
| 1700432101 | Mitchell Vandel | Specialist/Technologist | 4115 S Providence Rd # 101, Columbia, MO 65203-7113 | 2019-08-13 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| Find all providers in COLUMBIA | ||||
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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.