JAMES FREDERICKSON (NPI# 1518405554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518405554 |
| Entity Type | Individual |
| Full Name | JAMES FREDERICKSON |
| Practice Address |
5635 Taylor Ave Mount Pleasant WI 53403-9732 |
| Practice Telephone | 2629307616 |
| Mailing Telephone | 2629307616 |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2020-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
F6364559441101 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | F6364559441101 | WI | Student, Health Care |
| Street Address |
5635 TAYLOR AVE |
| City | MOUNT PLEASANT |
| State | WI |
| Zip Code | 53403-9732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124676259 | Quality Care LLC | Clinic/Center | 2051 Mead St, Racine, WI 53403 | 2019-09-02 |
| 1073999355 | Wisconsin Lutheran Child & Family Service, Inc. | Social Worker | 6150 Taylor Avenue, Racine, WI 53403 | 2015-08-10 |
| 1457780496 | Pheynell Branch | Counselor | 1650 Wasington Ave, Racine, WI 53403 | 2013-11-08 |
| 1811278054 | Michelle Gloria Parisot | Psychologist | 1320 Wisconsin Ave., Racine, WI 53403 | 2011-09-01 |
| 1720372022 | Katie Hagen | Social Worker | 1717 Taylor Avenue, Racine, WI 53403 | 2011-06-03 |
| 1043431570 | Rita S Harris | Physical Therapy Assistant | Lakeshore Manor 1320 Wisconsin Avenue, Racine, WI 53403 | 2007-05-01 |
| 1336281336 | Linda J Hockensmith | Occupational Therapist | 4214 Sheridan Road, Racine, WI 53403 | 2007-02-13 |
| 1851447387 | Richard John Kemper | Dentist | 1509 Washington Ave, Racine, WI 53403 | 2007-01-26 |
| 1689760332 | Lester Leslie Higgenbottom | Counselor | 1820 Arlington Ave, Racine, WI 53403 | 2006-10-04 |
| 1114942315 | Access Medical Center, LLC | Clinic/Center | 4216 Old Green Bay Rd, Racine, WI 53403 | 2006-07-12 |
| Find all providers in zip 53403 | ||||
| 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 |
|---|---|---|---|---|
| 1942818919 | Dominique Hope Dimatteo | Specialist/Technologist | 145c Rose Center, Mount Pleasant, MI 48859-0001 | 2020-07-16 |
| 1760944755 | Nicole Marie Markiewicz | Specialist/Technologist | 139 Mennonite Camp Rd, Mount Pleasant, PA 15666-3662 | 2019-04-01 |
| 1780143172 | Jordyn Ryah Williams | Specialist/Technologist | 3400 E Deerfield Rd Apt H1, Mount Pleasant, MI 48858-5594 | 2019-03-15 |
| 1801360037 | Allison Mary Conley | Specialist/Technologist | 265 State St, Mount Pleasant, PA 15666-1060 | 2019-01-22 |
| 1528558871 | Jeffrey Reed Carrico | Specialist/Technologist | Central Michigan University 145b Rose Center, Mount Pleasant, MI 48859-0001 | 2018-05-12 |
| 1053834044 | Eduardo Godoy | Specialist/Technologist | 100 Iac, Mount Pleasant, MI 48859-0001 | 2017-07-21 |
| 1902338627 | Calissa Hilty | Specialist/Technologist | 228 Hunter Hill Rd, Mount Pleasant, PA 15666-3638 | 2017-03-31 |
| 1871950113 | Blaine Long | Specialist/Technologist | 1203 Health Professions Building, Central Michigan University, Mount Pleasant, MI 48859-9339 | 2016-01-18 |
| 1629445002 | Amanda Ann King | Specialist/Technologist | Central Michigan University Rose Center - Room 145, Mount Pleasant, MI 48859-9337 | 2015-09-01 |
| 1558738229 | Caroline Franklin | Specialist/Technologist | 722 Lakenheath Dr, Mount Pleasant, SC 29464-5123 | 2015-08-28 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 53403 |
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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.