MR. JUSTIN SCOTT UPPOLE (NPI# 1598792111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598792111 |
| Entity Type | Individual |
| Full Name | MR. JUSTIN SCOTT UPPOLE |
| Credential | M.S., ATC |
| Practice Address |
129 Kingsley Park Dr Moore SC 29369-8926 |
| Practice Telephone | 8645176444 |
| Mailing Telephone | 8645176444 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2015-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
129 KINGSLEY PARK DR |
| City | MOORE |
| State | SC |
| Zip Code | 29369-8926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699241695 | Frederick Lee Hill | Psychologist | 612 Willowtree Way, Lyman, SC 29369 | 2018-10-17 |
| 1548626534 | Derek Edward Stewart | Social Worker | 443 Rexford Drive, Moore, SC 29369 | 2016-01-07 |
| 1477849933 | Christie Rogers-larke | Counselor | 104 Ross Common Run, Moore, SC 29369 | 2011-06-23 |
| 1447563689 | Terry Chet Borkowski | Occupational Therapist | 130 Antrim Avenue, Moore, SC 29369 | 2010-07-16 |
| 1639227309 | Carlie Arthur Testerman | Registered Nurse | 130 Emily Drive, Moore, SC 29369 | 2007-01-08 |
| 1962482976 | Westview-fairforest Fire Department | Ambulance | 4247 Anderson Mill Rd, Moore, SC 29369 | 2006-01-18 |
| 1144690686 | Robin Finley | Marriage & Family Therapist | 122 Middleton Park Ln, Moore, SC 29369-7800 | 2015-09-27 |
| 1043854789 | Benchmark Healthcare Service LLC | Occupational Therapist | 5844 Reidville Rd Ste F, Moore, SC 29369-8301 | 2019-11-06 |
| 1902405111 | Megan Cassidy | Pharmacist | 5895 Reidville Rd, Moore, SC 29369-8409 | 2020-10-19 |
| 1639725278 | Courtney Paige Neuder | Pharmacist | 5895 Reidville Rd, Moore, SC 29369-8409 | 2019-08-09 |
| Find all providers in zip 29369 | ||||
| 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 |
|---|---|---|---|---|
| 1013404342 | Nicholas Ryan Beasley | Specialist/Technologist | 3701 S I 35 Service Rd, Moore, OK 73160-3183 | 2018-04-23 |
| 1508360595 | Kylee Jackson | Specialist/Technologist | 300 N Eastern Ave, Moore, OK 73160-6999 | 2018-03-22 |
| 1306383880 | Terrill Jimoh | Specialist/Technologist | 2900 S Service Rd Apt 1515, Moore, OK 73160-5585 | 2017-01-23 |
| 1396291217 | Mackenzie Grace Jones | Specialist/Technologist | 119 Vista Dr, Moore, SC 29369-9482 | 2016-08-31 |
| 1548713340 | Taylor Charles Stevens | Specialist/Technologist | 131 Darmondale Dr, Moore, SC 29369-8821 | 2016-07-27 |
| 1689031270 | Heath Pratt | Specialist/Technologist | 3801 Brody Dr, Moore, OK 73160-7564 | 2016-01-27 |
| 1790163921 | Kyle Larney | Specialist/Technologist | 2000 Se 6th St, Moore, OK 73160-8380 | 2015-05-07 |
| 1508253279 | Chris Trobaugh | Specialist/Technologist | 2901 S Santa Fe Ave, Moore, OK 73160-2843 | 2015-04-21 |
| 1588929798 | Sheila Diane Romano | Specialist/Technologist | 410 Chamber Ln, Moore, SC 29369-8942 | 2012-07-13 |
| 1326350380 | Landon Wade Kersey | Specialist/Technologist | 1105 Renita Way, Moore, OK 73160-8710 | 2010-07-07 |
| Find all providers in MOORE | ||||
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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.