CHARLES MARSHALL MOZENA (NPI# 1679054035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679054035 |
| Entity Type | Individual |
| Full Name | CHARLES MARSHALL MOZENA |
| Credential | ATC, LAT |
| Practice Address |
4700 Powhatan Avenue Norfolk VA 23529-0001 |
| Mailing Address |
814 46th St Apt A Norfolk VA 23508-2010 |
| Practice Telephone | 7576833384 |
| Mailing Telephone | 7402134401 |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2000031468 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
01260030039 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4700 POWHATAN AVENUE |
| City | NORFOLK |
| State | VA |
| Zip Code | 23529-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528681939 | Breanna Jo Davis | Student in an Organized Health Care Education/Training Program | 5115 Hampton Boulevard, Norfolk, VA 23529-0001 | 2020-05-20 |
| 1912564311 | Briana M Lawry | Specialist/Technologist | 4608 Hampton Blvd, Norfolk, VA 23529-0001 | 2019-05-22 |
| 1669960258 | Dana Slepsky Robertson | Speech-Language Pathologist | 1015 W 47th Street, Norfolk, VA 23529-0001 | 2018-04-29 |
| 1326548140 | Trevor Thompson | Specialist/Technologist | Old Dominion University 5115 Hampton Blvd, Norfolk, VA 23529-0001 | 2018-02-19 |
| 1104335629 | Michael Andrew Burkeitt | Specialist/Technologist | 4500 Parker Avenue, Norfolk, VA 23529-0001 | 2017-09-27 |
| 1437682705 | Robert Medina | Specialist/Technologist | 4500 Parker Ave, Norfolk, VA 23529-0001 | 2017-04-04 |
| 1053767426 | Michael Olson | Specialist/Technologist | Jim Jarrett Athletic Admin Building, Norfolk, VA 23529-0001 | 2016-05-04 |
| 1144639568 | Heather Mckay Byrne | Physical Therapist | Odu Monarch Physical Therapy, 1015 West 47th Street, Norfolk, VA 23529-0001 | 2014-08-11 |
| 1770991051 | Cori Winifred Sinnott | Specialist/Technologist | 5115 Hampton Blvd, Norfolk, VA 23529-0001 | 2014-07-30 |
| 1982010526 | Nathan Miker | Specialist/Technologist | Lr Hill Sports Complex, 4251 Powhatan Ave, Norfolk, VA 23529-0001 | 2014-07-03 |
| Find all providers in zip 23529 | ||||
| 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 |
|---|---|---|---|---|
| 1538788252 | Travis Hasan May | Specialist/Technologist | 3175 Azalea Garden Rd Ste D, Norfolk, VA 23513-2363 | 2020-04-13 |
| 1831725209 | Rebecca Potter | Specialist/Technologist | 312 W Bute St Ste 100, Norfolk, VA 23510-1302 | 2020-03-18 |
| 1780215160 | Catalina Silva | Specialist/Technologist | 4251 Powhatan Ave Rm 1001, Norfolk, VA 23508-2225 | 2020-02-04 |
| 1447818950 | Andrea L Bogner | Specialist/Technologist | 1630 Hackberry Dr, Norfolk, NE 68701-3332 | 2019-05-30 |
| 1912564311 | Briana M Lawry | Specialist/Technologist | 4608 Hampton Blvd, Norfolk, VA 23529-0001 | 2019-05-22 |
| 1114581931 | Kathleen S Thomas | Specialist/Technologist | 700 Park Avenue Brc-110, Norfolk, VA 23504 | 2019-04-26 |
| 1891266318 | Zachary Kershaw | Specialist/Technologist | 7101 Granby St, Norfolk, VA 23505-4013 | 2018-12-10 |
| 1326548140 | Trevor Thompson | Specialist/Technologist | Old Dominion University 5115 Hampton Blvd, Norfolk, VA 23529-0001 | 2018-02-19 |
| 1104335629 | Michael Andrew Burkeitt | Specialist/Technologist | 4500 Parker Avenue, Norfolk, VA 23529-0001 | 2017-09-27 |
| 1063942852 | Gabriela Marie Santiago | Specialist/Technologist | 7600 Victory Dr, Apt 3, Norfolk, VA 23505 | 2017-06-14 |
| Find all providers in NORFOLK | ||||
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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.