KIP PATTERSON (NPI# 1508372343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508372343 |
| Entity Type | Individual |
| Full Name | KIP PATTERSON |
| Credential | ATC, CSCS |
| Practice Address |
600 Tabernacle Rd Medford NJ 08055-9732 |
| Mailing Address |
15 Mill Chase Rd Southampton NJ 08088-9640 |
| Practice Telephone | 6096547544 |
| Mailing Telephone | 6097606696 |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2017-12-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
25MT00056900 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780804054 | Kip Errett Patterson | Psychologist | 104 Prynnwood Ct, Raleigh, NC 27607-4974 | 2007-04-27 |
| Street Address |
600 TABERNACLE RD |
| City | MEDFORD |
| State | NJ |
| Zip Code | 08055-9732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184130585 | Stephanie Mroz | Specialist/Technologist | 600 Tabernacle Rd, Medford, NJ 08055-9732 | 2017-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215406459 | Natalia Eltabaa | Nurse Practitioner | 143b Atsion Rd, Medford, NJ 08055 | 2018-11-16 |
| 1922574326 | Emily G Wilkins | Psychiatry & Neurology | 239 Taunton, A-2, Medford, NJ 08055 | 2018-10-23 |
| 1508348863 | Gerald D Mingin Jr. | Psychologist | 135 Eayrestown Rd. Suite A, Southampton, NJ 08055 | 2018-09-04 |
| 1316465750 | Gabriella Marie Francis | Specialist/Technologist | 133 Apache Trail, Medford Lakes, NJ 08055 | 2017-09-06 |
| 1265968572 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 609 Eugenia, Medford, NJ 08055 | 2017-05-05 |
| 1326574690 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1503 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1780110007 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1610 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1902332216 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1909 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1083140396 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 503 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| 1457887762 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| Find all providers in zip 08055 | ||||
| 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 |
|---|---|---|---|---|
| 1972135069 | Kaitlin Elizabeth Schaaf | Specialist/Technologist | 106 Lincoln Rd, Medford, NY 11763-1660 | 2020-02-07 |
| 1174005490 | Miranda Doyle | Specialist/Technologist | 126 Pine Valley Dr, Medford, NJ 08055-9214 | 2018-09-04 |
| 1326493222 | Mary-kate Dunne | Specialist/Technologist | 60 Highbridge Blvd, Medford, NJ 08055-3340 | 2016-04-28 |
| 1245645969 | Paul Cicero Jr. | Specialist/Technologist | 264 Bridgeport Ave, Medford, NY 11763-4019 | 2014-06-23 |
| 1124448030 | Michael Stevenson | Specialist/Technologist | 1444 Lawnridge St, Medford, OR 97504-6248 | 2014-04-17 |
| 1538415591 | William John Vonleer | Specialist/Technologist | 235 Hartford Rd, Lenape High School, Medford, NJ 08055-4001 | 2012-07-27 |
| 1851426753 | Steven Todd Dietzman | Specialist/Technologist | 103 South Gibson Street, Medford, WI 54451 | 2007-02-22 |
| 1881705085 | Mark James Doughtie | Specialist/Technologist | 161 College Ave, Tufts University - Sousens Gym, Medford, MA 02155 | 2006-08-31 |
| 1558391151 | James E Walker | Specialist/Technologist | 489 Winthrop St, Medford, MA 02155-2349 | 2006-07-03 |
| 1205468501 | Danielle Monteiro | Specialist/Technologist | 161 College Ave, Medford, MA 02155-5593 | 2020-02-05 |
| Find all providers in MEDFORD | ||||
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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.