JACOB STEVEN LAVERMAN (NPI# 1528525920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528525920 |
| Entity Type | Individual |
| Full Name | JACOB STEVEN LAVERMAN |
| Practice Address |
1001 E 17th St Bloomington IN 47408-1590 |
| Mailing Address |
7151 Hatteras Ln Apt 1d Indianapolis IN 46214-1267 |
| Practice Telephone | 7124610244 |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2020-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
05012967A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
36002972A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1001 E 17TH ST |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47408-1590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376424 | Andy S. Hipskind | Family Medicine | 1001 E 17th St, Bloomington, IN 47408-1590 | 2005-06-16 |
| 1831757541 | Hannah Nicole Miller | Specialist/Technologist | 1001 E 17th St, Bloomington, IN 47408-1590 | 2019-05-29 |
| 1730671934 | Lewis Meyer Young | Neuromusculoskeletal Medicine, Sports Medicine | 1001 E 17th St, Bloomington, IN 47408-1590 | 2018-06-04 |
| 1811404171 | Jacob Riley Proffer | Specialist/Technologist | 1001 E 17th St, Bloomington, IN 47408-1590 | 2018-01-08 |
| 1376057083 | Katherine Adair O'donnell | Specialist/Technologist | 1001 E 17th St, Bloomington, IN 47408-1590 | 2017-11-17 |
| 1003341918 | Jonathan Wicks | Psychiatry & Neurology | 1001 E 17th St, Bloomington, IN 47408-1590 | 2017-04-28 |
| 1396277240 | Athletico, Ltd. | Physical Therapist | 1001 E 17th St, Bloomington, IN 47408-1590 | 2017-03-30 |
| 1003354242 | Mitch Taffe | Specialist/Technologist | 1001 E 17th St, Athletic Training, Bloomington, IN 47408-1590 | 2017-02-08 |
| 1992170898 | John Pauer | Specialist/Technologist | 1001 E 17th St, Bloomington, IN 47408-1590 | 2015-12-03 |
| 1790158954 | Kelly Whitney-babcock | Specialist/Technologist | 1001 E 17th St, Bloomington, IN 47408-1590 | 2015-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079398 | Ta-kisha Jones | Health Educator | 309 N. Woodlawn Ave, Bloomington, IN 47408 | 2020-10-06 |
| 1265915904 | Meghan Elizabeth Kinkead | Specialist/Technologist | Simon Skjodt Assembly Hall, 1001 East 17th Street, Bloomington, IN 47408 | 2018-09-10 |
| 1316499395 | Marabai Rose Counseling, LLC | Social Worker | 4568 East State Rd 45, Bloomington, IN 47408 | 2016-10-26 |
| 1295133908 | Eden Embree | Specialist/Technologist | 1001 E. 17th Street, Assembly Hall, Bloomington, IN 47408 | 2014-12-11 |
| 1588995229 | Create-a-smile PC | Dentist | 219 E. 17th St., Bloomington, IN 47408 | 2010-01-20 |
| 1609053289 | Laurette Frazier | Counselor | 2815 E. 10th Street, Stone Belt, Bloomington, IN 47408 | 2008-01-26 |
| 1770709917 | Robin A. Roberts | Dentist | 104 E. 19th Street, Bloomington, IN 47408 | 2007-04-17 |
| 1376614008 | David Rudolf Fletcher | General Practice | 126 S. Hampton Ct, Bloomington, IN 47408 | 2006-11-13 |
| 1114013752 | Christole, Inc | Intermediate Care Facility, Mentally Retarded | 2727 N Dunn, Bloomington, IN 47408 | 2006-10-04 |
| 1003850322 | Priti V Jindal | Internal Medicine | 2455 N Tamarack Trl, Bloomington, IN 47408 | 2006-06-16 |
| Find all providers in zip 47408 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740591700 | Travis Collin Gunderson | Physical Therapist | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2010-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073001046 | Cara Hays | Physical Therapist | 14036 Britton Park Rd, Fishers, IN 46038-4463 | 2018-04-25 |
| 1518369321 | Steven Salinas | Physical Therapist | 11881 Esty Way, Carmel, IN 46033-8129 | 2014-09-23 |
| 1134563273 | Achieve Physical Therapy LLC | Physical Therapist | 107 E 34th St, Indianapolis, IN 46205-3408 | 2013-04-19 |
| 1255844098 | Thomas A Brady Sports Medicine Ctr | Physical Therapist | 651 E 191st St, Westfield, IN 46074-9243 | 2017-11-15 |
| 1508159732 | St. Vincent Hospital and Health Care Center, Inc. | Physical Therapist | 8227 Northwest Blvd, Suite 160, Indianapolis, IN 46278-1387 | 2011-05-20 |
| 1225290745 | Unity Healthcare LLC | Physical Therapist | 307 Sagamore Pkwy W Ste 400, West Lafayette, IN 47906-1500 | 2008-06-26 |
| 1700079837 | John Joseph Doherty | Physical Therapist | 1950 45th Ave, Suite 200, Munster, IN 46321-3917 | 2007-08-22 |
| 1124224407 | Carl Owen Eaton | Physical Therapist | 125 S Pennsylvania St, Indianapolis, IN 46204-3610 | 2007-06-25 |
| 1134253990 | Erin Richard Barill | Physical Therapist | 7001 W 56th St, Indianapolis, IN 46254-9725 | 2007-03-15 |
| City | BLOOMINGTON |
| Zip Code | 47408 |
Please comment or provide details below to improve the information on JACOB STEVEN LAVERMAN.
| 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.