BRYAN ALLEN MIZELL (NPI# 1619498334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619498334 |
| Entity Type | Individual |
| Full Name | BRYAN ALLEN MIZELL |
| Practice Address |
324 Crestview Circle Media PA 19063 |
| Mailing Address |
324 Crestview Cir Media PA 19063-1737 |
| Practice Telephone | 4846803790 |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2017-07-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
324 CRESTVIEW CIRCLE |
| City | MEDIA |
| State | PA |
| Zip Code | 19063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
| 1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
| 1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
| 1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
| 1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
| 1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
| 1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
| 1194270827 | Symone Miller | Social Worker | Whole Senior Care, LLC, 1251 Robin Hill Road, Media, PA 19063 | 2016-08-23 |
| Find all providers in zip 19063 | ||||
| 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 |
|---|---|---|---|---|
| 1154895779 | Maura Gaffney | Specialist/Technologist | 136 Hunting Hills Ln, Media, PA 19063-4513 | 2019-01-16 |
| 1043630189 | Martin Erle | Specialist/Technologist | 25 Yearsley Mill Rd, Media, PA 19063-5522 | 2014-04-16 |
| 1811328339 | Joseph Bentivoglio | Specialist/Technologist | 6 Brinton Ave, Media, PA 19063-4810 | 2013-12-09 |
| 1558636068 | Noelle Schieler | Specialist/Technologist | 1068 W Baltimore Pike # 19063, Media, PA 19063-5104 | 2012-03-16 |
| 1932470879 | Kristen Buglione | Specialist/Technologist | 274 Glen Riddle Rd Apt A205, Media, PA 19063-6055 | 2012-01-24 |
| 1982934725 | Jessica Kempa | Specialist/Technologist | 134 Barren Rd, Media, PA 19063-4505 | 2009-12-29 |
| 1497856892 | Thomas Moffitt | Specialist/Technologist | 106 S New Middletown Rd, Media, PA 19063-5202 | 2006-09-26 |
| 1528522166 | Devon Sierzega | Specialist/Technologist | 5201 Pennell Rd, Media, PA 19063-6502 | 2019-01-28 |
| 1659845261 | Susan Moffitt | Specialist/Technologist | 106 S New Middletown Rd, Media, PA 19063-5267 | 2019-01-16 |
| 1336518943 | Jonathan Berridge | Specialist/Technologist | 5201 Pennell Rd Ste C, Media, PA 19063 | 2015-09-24 |
| Find all providers in MEDIA | ||||
Please comment or provide details below to improve the information on BRYAN ALLEN MIZELL.
| 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.