MR. JOSHUA KEITH UNDERWOOD (NPI# 1609838788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609838788 |
| Entity Type | Individual |
| Full Name | MR. JOSHUA KEITH UNDERWOOD |
| Credential | ATC |
| Practice Address |
808 Newton Rd Vernon VT 05354-9799 |
| Practice Telephone | 8025795444 |
| Mailing Telephone | 8025795444 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2014-12-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0320 | NH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1040000136 | VT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
808 NEWTON RD |
| City | VERNON |
| State | VT |
| Zip Code | 05354-9799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831489285 | Beatrice L Henriksson | Occupational Therapy Assistant | 61 Greenway Dr., Vernon House, Vernon, VT 05354-9474 | 2011-04-19 |
| 1053437210 | Karen Patten | Occupational Therapy Assistant | 61 Greenway, Vernon, VT 05354-9474 | 2007-03-21 |
| 1902895287 | Vernon Advent Christian Home, Inc. | Skilled Nursing Facility | 61 Greenway Drive, Vernon, VT 05354-9474 | 2005-10-19 |
| 1881081602 | Valiere Oberg | Physical Therapy Assistant | 61 Greenway, Vernon, VT 05354-9474 | 2015-04-20 |
| 1033534581 | Sarah Deyo | Physical Therapist | 61 Greenway, Vernon, VT 05354-9474 | 2014-02-20 |
| 1225466519 | Kristi Nicolson | Speech-Language Pathologist | 61 Greenway, Vernon, VT 05354-9474 | 2013-10-23 |
| 1003092768 | Diane E Bousquet | Occupational Therapy Assistant | 61 Greenway, Vernon, VT 05354-9474 | 2008-01-12 |
| 1134247877 | Karen Hammond | Occupational Therapist | 61 Greenway, Vernon, VT 05354-9474 | 2007-03-27 |
| 1538464383 | Katie E O'brian | Occupational Therapist | 86 Woodland Rd, Vernon, VT 05354-9611 | 2011-01-25 |
| 1700295664 | Lynette Howard | Behavioral Analyst | 262 Broad Brook Rd, Vernon, VT 05354-9705 | 2014-08-05 |
| Find all providers in zip 05354 | ||||
| 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 |
|---|---|---|---|---|
| 1790237360 | Molli Owen | Specialist/Technologist | 1940 Yucca Ln, Vernon, TX 76384-4969 | 2016-10-31 |
| 1558712919 | Anthony Salvatore | Specialist/Technologist | 20 Bridlewood Ln, Vernon, CT 06066-4558 | 2016-06-28 |
| 1205230398 | Steven Davi | Specialist/Technologist | 75 Hockanum Blvd Unit 2112, Vernon, CT 06066-4071 | 2014-10-17 |
| 1871924050 | Eugene Santos | Specialist/Technologist | 42 Birch Drive, Vernon, NJ 07462 | 2013-12-12 |
| 1053557231 | Emily S Dorson | Specialist/Technologist | 165 South St Unit 60, Vernon, CT 06066-4418 | 2008-12-18 |
| 1437256682 | David A Donner | Specialist/Technologist | 520 Hartford Tpke Ste I, Vernon, CT 06066-5043 | 2006-09-20 |
| 1972605640 | Jarod Michael D'agostino | Specialist/Technologist | 130 Vernon Ave, Apt 2k, Vernon, CT 06066-3656 | 2006-09-02 |
| 1588691299 | Jason Michael Jenkins | Specialist/Technologist | 4400 College Dr, Vernon, TX 76384-4005 | 2006-06-27 |
| 1376505727 | Joanne M Ploch | Specialist/Technologist | 1832 County Route 565, Vernon, NJ 07462 | 2006-04-03 |
| 1699885947 | Scott A Berge | Specialist/Technologist | 1832 County Route 565, Vernon Township High School, Vernon, NJ 07461 | 2006-08-30 |
| Find all providers in VERNON | ||||
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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.