MR. PERRY M SIEGEL (NPI# 1659321461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659321461 |
| Entity Type | Individual |
| Full Name | MR. PERRY M SIEGEL |
| Credential | M.S., A.T.,C. CSCS |
| Practice Address |
13 Church St East Granby CT 06026-9406 |
| Mailing Address |
5 Pleasant St Windsor Locks CT 06096-1439 |
| Practice Telephone | 8606537341 |
| Mailing Telephone | 8603709825 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| 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 |
13 CHURCH ST |
| City | EAST GRANBY |
| State | CT |
| Zip Code | 06026-9406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528045697 | Jeannie M Crabtree | Nurse Practitioner | 13 Church St, East Granby, CT 06026-0518 | 2005-12-29 |
| 1508331802 | Katarzyna Swistak | Nurse Practitioner | 13 Church St, East Granby, CT 06026-9406 | 2018-10-12 |
| 1558882563 | Krista Pochron | Nurse Practitioner | 13 Church St, East Granby, CT 06026-9406 | 2017-06-29 |
| 1700222817 | Daniel Michael Lerner | Family Medicine | 13 Church St, East Granby, CT 06026-9406 | 2013-05-15 |
| 1447384326 | Khuram R Ghumman | Family Medicine | 13 Church St, East Granby, CT 06026-9406 | 2007-03-15 |
| 1487764031 | Cory Patterson | Physical Therapist | 13 Church St, East Granby, CT 06026-9406 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174811160 | Rosa Noda-clark | Dental Hygienist | 1 Chelsea Ln, East Granby, CT 06026 | 2011-07-12 |
| 1346366945 | Petra Irmgard Mursch | Chiropractor | 56a Rainbow Road, East Granby, CT 06026 | 2007-03-22 |
| 1851456743 | Ellen Farmer Lanctot | Chiropractor | 19 South Main St, East Granby, CT 06026 | 2006-12-22 |
| 1891855573 | Kathleen J Armata | Counselor | 59-61 Rainbow Road, East Granby, CT 06026 | 2006-12-11 |
| 1417312943 | Coleen Sutherland | Behavioral Analyst | 15 School Street, East Granby, CT 06026 | 2015-12-29 |
| 1295038446 | Christine Noelle Levine | Behavioral Analyst | 15 School Street, East Granby, CT 06026 | 2010-12-09 |
| 1275630402 | Robert L Gordon | Dentist | 11 S Main St, East Granby, CT 06026 | 2006-09-20 |
| 1760469829 | David R Howlett | Family Medicine | 13 Church Rd, East Granby, CT 06026-0518 | 2005-12-29 |
| 1326105958 | Anne M Reiher | Family Medicine | 13 Church Rd, East Granby, CT 06026-0518 | 2007-01-02 |
| 1154308229 | East Granby Family Practice LLC | Nurse Practitioner | 13 Church Rd, East Granby, CT 06026-0518 | 2005-12-29 |
| Find all providers in zip 06026 | ||||
| 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 |
|---|---|---|---|---|
| 1689117061 | Samantha Yekel | Specialist/Technologist | 41 North Rd, East Granby, CT 06026-9588 | 2016-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952901019 | Jessica Handy | Specialist/Technologist | 45 Cottage Rd, Oakdale, CT 06370-1051 | 2020-10-28 |
| 1770183030 | Adrienne Lara Fedyna Dembeck | Specialist/Technologist | 211 New Britain Rd Ste 101, Berlin, CT 06037-3167 | 2020-10-27 |
| 1194324665 | Francesca Chirico | Specialist/Technologist | 34 Farms Village Rd, Simsbury, CT 06070-2344 | 2020-10-25 |
| 1497354401 | Brandon Hallaway | Specialist/Technologist | 2098 Hillside Rd, Storrs, CT 06268 | 2020-10-21 |
| 1427657816 | Riley J Burns | Specialist/Technologist | 49 Farrell Rd, Newtown, CT 06470-1205 | 2020-10-18 |
| 1780283176 | Karl Kochersperger | Specialist/Technologist | 146 Sherwood Farm Rd, Fairfield, CT 06824-2979 | 2020-10-18 |
| 1720686215 | Liana Suarez | Specialist/Technologist | 31 Yates St, West Haven, CT 06516-1142 | 2020-10-15 |
| 1598363095 | Shayna Deluca | Specialist/Technologist | 178 New State Rd Apt 8, Manchester, CT 06042-7941 | 2020-10-15 |
| 1376150045 | Anna E Viscuso | Specialist/Technologist | 201 Regan Rd Apt 35a, Vernon Rockville, CT 06066-2861 | 2020-09-28 |
| 1881200962 | Keenan Thomas Love | Specialist/Technologist | 80 Shunpike Rd Unit 202, Cromwell, CT 06416-4402 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | EAST GRANBY |
| Zip Code | 06026 |
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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.