KEITH ANTHONY VANIC (NPI# 1649798067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649798067 |
| Entity Type | Individual |
| Full Name | KEITH ANTHONY VANIC |
| Credential | PHD, ATC, LAT |
| Practice Address |
5992 Kesslersville Road Nazareth PA 18064 |
| Mailing Address |
5992 Kesslersville Rd Nazareth PA 18064-9374 |
| Practice Telephone | (484) 357-3396 |
| Practice Fax Number | 5704223616 |
| Mailing Telephone | 4843573396 |
| Mailing Fax Number | 5704223616 |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2017-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
RT001357A | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5992 KESSLERSVILLE ROAD |
| City | NAZARETH |
| State | PA |
| Zip Code | 18064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700373362 | Eric Scott Klein | Social Worker | 299 Industrial Drive, Nazareth, PA 18064 | 2018-04-19 |
| 1609289206 | Timothy Hicks | Pharmacist | 2155 Oak Rd., Nazareth, PA 18064 | 2014-06-11 |
| 1427200443 | Lois Ann Steward | Occupational Therapist | 5695 Sullivan Trail, Nazareth, PA 18064 | 2008-10-22 |
| 1013137686 | Nadene Serano | Physical Therapy Assistant | Gracedale Nursing, Gracedale Avenue, Nazareth, PA 18064 | 2007-04-26 |
| 1780701896 | Loreley D Stewart | Physical Therapy Assistant | Gracedale Nursing Home, Gracedale Ave, Nazareth, PA 18064 | 2007-03-23 |
| 1548387780 | Shyla Ananda Bhat | Physical Therapy Assistant | Gracedale, Gracedale Ave, Nazareth, PA 18064 | 2007-03-23 |
| 1992820005 | Novie Sol Soluta | Physical Therapist | Gracedale Ave., Gracedale Northampton County Nursing Home, Nazareth, PA 18064 | 2007-03-20 |
| 1336272582 | Danielle Nichole Berg | Occupational Therapist | 2 Gracedale Ave, Gracedale Skilled Nursing Facility, Nazareth, PA 18064 | 2007-03-14 |
| 1083784532 | Barry Merchant | Chiropractor | 106 South Main Street, Nazareth, PA 18064 | 2006-11-09 |
| 1437246758 | David Richard Weiskotten | Counselor | 541 Roberts Rd, Nazareth, PA 18064 | 2006-10-06 |
| Find all providers in zip 18064 | ||||
| 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 |
|---|---|---|---|---|
| 1740841162 | Steve Jay Syrstad | Specialist/Technologist | 720 James Dr, Nazareth, PA 18064-9039 | 2019-06-26 |
| 1265951248 | Julianne Kollar | Specialist/Technologist | 4535 Fir Dr, Nazareth, PA 18064-8571 | 2017-09-11 |
| 1417204421 | Abigail A Bedoya | Specialist/Technologist | 1136 Marfield Dr, Nazareth, PA 18064-9595 | 2012-08-08 |
| 1982969499 | Tara L Nagy | Specialist/Technologist | 4394 High View Dr, Nazareth, PA 18064-9650 | 2012-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801642 | Allison Zilonis | Specialist/Technologist | 1923 Oak Hills Dr, Hanover, PA 17331-8522 | 2020-11-08 |
| 1487255642 | Siarra Grace Crum | Specialist/Technologist | 102 Bellwood Lane, Portage, PA 15946-1441 | 2020-11-04 |
| 1841891108 | Sydney Charles | Specialist/Technologist | 6325 Martins Mill Rd, Philadelphia, PA 19111-5321 | 2020-11-03 |
| 1871194308 | Alexander Hedrick | Specialist/Technologist | 33 Derstine Rd, Hatfield, PA 19440-3406 | 2020-11-02 |
| 1114528684 | Kelsey E Craig | Specialist/Technologist | 1856 N 16th St Apt 1r, Philadelphia, PA 19121-3301 | 2020-11-02 |
| 1740881333 | David Williams | Specialist/Technologist | 3100 W Thompson St Apt 42, Philadelphia, PA 19121-4485 | 2020-11-02 |
| 1992305940 | Alexandra Bossi | Specialist/Technologist | 450 N 18th St Apt 1032, Philadelphia, PA 19130-4198 | 2020-10-29 |
| 1043810021 | Randy W Dillon | Specialist/Technologist | 617c Chester Pike, Prospect Park, PA 19076-1506 | 2020-10-28 |
| 1871193086 | Troy Olsheski | Specialist/Technologist | 1970 Easton Tpke, Lake Ariel, PA 18436-4661 | 2020-10-27 |
| 1982203055 | Josiah Thompson | Specialist/Technologist | 20 Heather Rd, Feasterville Trevose, PA 19053-6320 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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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.