BRENNEN KYLE HODGE (NPI# 1568024156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568024156 |
| Entity Type | Individual |
| Full Name | BRENNEN KYLE HODGE |
| Practice Address |
751 N. Mcclintock Dr. Phoenix Rising Stadium: Attn Brennen Hodge Scottsdale AZ 85257-8525 |
| Mailing Address |
751 North Mcclintock Drive Scottsdale AZ 85257 |
| Practice Telephone | 4806222969 |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2019-07-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1339 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
751 N. MCCLINTOCK DR. PHOENIX RISING STADIUM: ATTN BRENNEN HODGE |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85257-8525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639717655 | Bodysculpting Outpatient Surgery Center, LLC | Clinic/Center | 2255 N Scottsdale Road, Scottsdale, AZ 85257 | 2019-12-20 |
| 1043717143 | Cristina Ibarra | Specialist/Technologist | 1250 N 77 St, Scottsdale, AZ 85257 | 2018-04-06 |
| 1043725765 | Pacifica Sl Scottsdale LLC | Alzheimer Center (Dementia Center) | 2620 N. 68th Street, Scottsdale, AZ 85257 | 2017-12-04 |
| 1972027290 | Ashley Annmarie Richardson | Speech-Language Pathologist | 6731 E Granada Rd, Scottsdale, AZ 85257 | 2017-07-28 |
| 1336541754 | Jennifer Ann Leitz | Specialist/Technologist | 1250 N 77th St, Scottsdale, AZ 85257 | 2014-09-17 |
| 1427465335 | Rachid Daniel Faqir | Chiropractor | 2765 N. Scottsdale Rd., #108, Scottsdale, AZ 85257 | 2014-07-14 |
| 1831448869 | Maynard Chiropractic & Wellness Center Inc | Chiropractor | 1920 North Scottsdale Rd, Scottsdale, AZ 85257 | 2012-09-06 |
| 1750663720 | Souad Matkin | Registered Nurse | 701 N Miller Road, Scottsdale, AZ 85257 | 2011-09-15 |
| 1700192077 | Mission Treatment Centers, Inc. | Clinic/Center | 617 N.scottsdale Rd, Ste. D, Scottsdale, AZ 85257 | 2010-08-25 |
| 1780905026 | Karen Wister Kearns | Counselor | 1855 N 79th Pl, Scottsdale, AZ 85257 | 2010-06-22 |
| Find all providers in zip 85257 | ||||
| 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 |
|---|---|---|---|---|
| 1558992636 | Agnieszka Szoltysek | Specialist/Technologist | 13516 N 92nd Way, Scottsdale, AZ 85260-4324 | 2020-01-28 |
| 1134766306 | Jacob Wright | Specialist/Technologist | 9180 E Via De Ventura, Scottsdale, AZ 85258-3596 | 2019-12-05 |
| 1194299875 | Bradley Barber | Specialist/Technologist | 7521 E Mcknight Ave, Scottsdale, AZ 85251-4524 | 2019-01-16 |
| 1134693914 | Bryan James Dunlavey | Specialist/Technologist | 8202 E Edgemont Ave, Scottsdale, AZ 85257-1768 | 2019-01-15 |
| 1548743784 | Ranae Nitura | Specialist/Technologist | 7950 E Redfield Rd Ste 160, Scottsdale, AZ 85260-6935 | 2018-09-13 |
| 1114429636 | Ryne Eubanks | Specialist/Technologist | 7555 N Pima Rd, Scottsdale, AZ 85258-4013 | 2018-02-28 |
| 1023531373 | Jessica Bridgeman | Specialist/Technologist | 9219 E Hidden Spur Trl, Scottsdale, AZ 85255-6326 | 2017-07-19 |
| 1366988750 | Arika Cozzi | Specialist/Technologist | 8145 E Camelback Rd, Apt. #142, Scottsdale, AZ 85251 | 2017-01-10 |
| 1083159602 | Marie-elizabeth Finamore | Specialist/Technologist | 6713 E Vernon Ave, Scottsdale, AZ 85257-2043 | 2017-01-05 |
| 1770031403 | Kelsi Klotter | Specialist/Technologist | 2219 N 73rd Pl, Scottsdale, AZ 85257-1446 | 2016-09-12 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85257 |
Please comment or provide details below to improve the information on BRENNEN KYLE HODGE.
| 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.