SOPHIA POLLALIS (NPI# 1538636808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538636808 |
| Entity Type | Individual |
| Full Name | SOPHIA POLLALIS |
| Credential | ATC |
| Practice Address |
1201 S Main St Crown Point IN 46307-8481 |
| Mailing Address |
2909 43rd St Highland IN 46322-2717 |
| Practice Telephone | 2197382100 |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
36002279A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2909 43rd St, Highland, IN 463222717 | 2194558783 |
| Street Address |
1201 S MAIN ST |
| City | CROWN POINT |
| State | IN |
| Zip Code | 46307-8481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558366153 | Carrie Shaffer | Emergency Medicine | 1201 S Main St, Crown Point, IN 46307-8481 | 2005-06-20 |
| 1417561770 | David C Wright | Nurse Anesthetist, Certified Registered | 1201 S Main St, Crown Point, IN 46307-8481 | 2020-09-03 |
| 1326665043 | Jeinette Javier San Juan | Nurse Practitioner | 1201 S Main St, Crown Point, IN 46307-8481 | 2020-06-29 |
| 1184250623 | Franciscan Alliance, Inc | Pharmacy | 1201 S Main St, Crown Point, IN 46307-8481 | 2020-03-17 |
| 1386280253 | Greg Wade | Nurse Practitioner | 1201 S Main St, Crown Point, IN 46307-8481 | 2019-11-26 |
| 1295370732 | Steven Ferris | Pharmacist | 1201 S Main St, Crown Point, IN 46307-8481 | 2019-11-07 |
| 1114583564 | Carlo Balmaseda | Registered Nurse | 1201 S Main St, Crown Point, IN 46307-8481 | 2019-05-10 |
| 1578038840 | Dharmesh Shah | Pharmacist | 1201 S Main St, Crown Point, IN 46307-8481 | 2018-10-12 |
| 1609360965 | David Velasco | Nurse Anesthetist, Certified Registered | 1201 S Main St, Crown Point, IN 46307-8481 | 2018-06-20 |
| 1679067243 | Katherine Markiewicz | Doula | 1201 S Main St, Crown Point, IN 46307-8481 | 2018-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117935 | Alimat O Biokoro | Home Health Aide | 1446 W 94th Ct., Crown Point, IN 46307 | 2020-09-06 |
| 1508489931 | Gentle Hearts Cardiovascular Institution LLC | Internal Medicine | 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 | 2020-05-20 |
| 1659933646 | Darshak Joshi | Physical Therapist | 860 Stillwater Parkway, Crown Point, IN 46307 | 2019-07-01 |
| 1215592001 | Jamie Monday | Counselor | 1416 East Joliet St., Crown Point, IN 46307 | 2019-05-07 |
| 1790281152 | Tempus Labs Inc. | Clinical Medical Laboratory | 9800 Connecticut Drive, Suite A2-100, Crown Point, IN 46307 | 2018-04-04 |
| 1669991170 | Katie Lynn Eich | Counselor | 1308 N. Main St, Crown Point, IN 46307 | 2017-09-15 |
| 1053847251 | Nicole Bashan Lewis | Counselor | 1325 W 98th Ave, Crown Point, IN 46307 | 2017-05-08 |
| 1710433008 | Paul Alvin Clavecilla | Physical Therapist | 1099 South Main St., Apt. 314, Crown Point, IN 46307 | 2016-08-28 |
| 1851761365 | Cynthia Catherine Grass Black | Social Worker | 8592 Bell Lane, Crown Point, IN 46307 | 2015-09-28 |
| 1326437799 | Ameya Dorsatwar | Physical Therapist | 1516 North Main St, Crown Point, IN 46307 | 2015-01-22 |
| Find all providers in zip 46307 | ||||
| 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 |
|---|---|---|---|---|
| 1548725617 | Cameron Robert Djukic | Specialist/Technologist | 696 Davis Ct, Crown Point, IN 46307-8985 | 2019-02-04 |
| 1306362975 | Emily Irene Kenyon | Specialist/Technologist | 12800 Mississippi Pkwy Ste A101, Crown Point, IN 46307-6901 | 2017-08-16 |
| 1588105605 | Daniel Merrill | Specialist/Technologist | 11515 Maryland St, Crown Point, IN 46307-7153 | 2017-03-09 |
| 1588111728 | Jessica Gray | Specialist/Technologist | 6279 W 88th Pl, Crown Point, IN 46307-9576 | 2016-09-06 |
| 1104379528 | Christa Katelyn Hendrickson | Specialist/Technologist | 2091 W 141st Ave, Crown Point, IN 46307-8316 | 2016-08-02 |
| 1376904938 | Trent Trump | Specialist/Technologist | 784 Williams Ct, Crown Point, IN 46307-4820 | 2016-03-10 |
| 1528605573 | Zachary Jared Creighton | Specialist/Technologist | 12800 Mississippi Pkwy Ste A101, Crown Point, IN 46307-6901 | 2019-12-09 |
| 1568935112 | Erin Leigh Palangio | Specialist/Technologist | 12800 Mississippi Pkwy Ste A101, Crown Point, IN 46307-6901 | 2019-01-07 |
| 1184016255 | Kayla Ann Gerst | Specialist/Technologist | 1500 S Main St, Crown Point, IN 46307-9492 | 2015-02-26 |
| 1982008843 | Katherine Elizabeth Rogers | Specialist/Technologist | 11065 Broadway, Crown Point, IN 46307-7301 | 2014-10-21 |
| Find all providers in CROWN POINT | ||||
| City | CROWN POINT |
| Zip Code | 46307 |
Please comment or provide details below to improve the information on SOPHIA POLLALIS.
| 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.