KEVIN W RYNNE (NPI# 1619290988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619290988 |
| Entity Type | Individual |
| Full Name | KEVIN W RYNNE |
| Credential | ATC |
| Practice Address |
3082 Caton Farm Rd Joliet IL 60435-1455 |
| Mailing Address |
790 Remington Blvd Bolingbrook IL 60440-4909 |
| Practice Telephone | 8155779936 |
| Mailing Telephone | 6302962223 |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2010-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
096-002699 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3082 CATON FARM RD |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-1455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275508996 | Jacqueline J Smith | Specialist/Technologist | 3082 Caton Farm Rd, Joliet, IL 60435-1455 | 2006-02-17 |
| 1417440736 | Athletic & Therapeutic Institute of Bourbonnais LLC | Durable Medical Equipment & Medical Supplies | 3082 Caton Farm Rd, Joliet, IL 60435-1455 | 2018-06-11 |
| 1114421369 | Evan Matthew Whaley | Physical Therapist | 3082 Caton Farm Rd, Joliet, IL 60435-1455 | 2018-03-22 |
| 1740637693 | Danyelle Dixon | Physical Therapy Assistant | 3082 Caton Farm Rd, Joliet, IL 60435-1455 | 2016-05-20 |
| 1245690718 | Brian Morgan | Physical Therapist | 3082 Caton Farm Rd, Joliet, IL 60435-1455 | 2016-02-26 |
| 1083072656 | Shelbi Johnson | Occupational Therapist | 3082 Caton Farm Rd, Joliet, IL 60435-1455 | 2016-02-10 |
| 1194105825 | Amy Billo | Physical Therapist | 3082 Caton Farm Rd, Joliet, IL 60435-1455 | 2015-06-08 |
| 1437405727 | Louis Petrelli | Physical Therapist | 3082 Caton Farm Rd, Joliet, IL 60435-1455 | 2012-07-24 |
| 1437431673 | Jessica L Boyd | Physical Therapist | 3082 Caton Farm Rd, Joliet, IL 60435-1455 | 2011-09-14 |
| 1548572142 | Michael J Shimkus | Physical Therapist | 3082 Caton Farm Rd, Joliet, IL 60435-1455 | 2010-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| 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 |
|---|---|---|---|---|
| 1639528276 | Paige Marie Cline | Specialist/Technologist | 2700 Richmond St, Joliet, IL 60435-6421 | 2016-06-05 |
| 1215354667 | Andrew Gates | Specialist/Technologist | 1 Mayor Art Schultz Dr, Joliet, IL 60432-4092 | 2014-03-24 |
| 1417134073 | Candice Marie Kubeck | Specialist/Technologist | 1215 Houbolt Rd, Joliet, IL 60431-8938 | 2008-01-25 |
| 1588672646 | Mark Pullara | Specialist/Technologist | 920 Essington Rd, Joliet, IL 60435-2859 | 2006-08-04 |
| 1902874720 | Alyssa Emanuelson | Specialist/Technologist | Ati Physical Therapy, 3082 Caton Farm Rd, Joliet, IL 60435 | 2006-03-08 |
| 1275508996 | Jacqueline J Smith | Specialist/Technologist | 3082 Caton Farm Rd, Joliet, IL 60435-1455 | 2006-02-17 |
| 1285625541 | William Michael Sullivan | Specialist/Technologist | 3114 Hillary Ct, Joliet, IL 60435-9040 | 2005-11-04 |
| 1992246094 | Brittany Duda | Specialist/Technologist | 963 N 129th Infantry Dr, Suite 100, Joliet, IL 60435-3104 | 2017-03-09 |
| 1205385192 | Taylor Caldwell | Specialist/Technologist | 951 Essington Rd, Joliet, IL 60435-8427 | 2016-10-03 |
| 1699136283 | Brian Oudsteyn | Specialist/Technologist | 2320 W Jefferson St, Joliet, IL 60435-6427 | 2016-03-10 |
| Find all providers in JOLIET | ||||
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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.