JOSHUA BERG (NPI# 1689065484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689065484 |
| Entity Type | Individual |
| Full Name | JOSHUA BERG |
| Credential | ATC |
| Practice Address |
1 Dent Dr Lewisburg PA 17837-2005 |
| Mailing Address |
205 S Front St Lewisburg PA 17837-1919 |
| Practice Telephone | 5705773099 |
| Enumeration Date | 2015-02-15 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
RT005874 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 401 N Fairview St, Lock Haven, PA 177452342 | 5704842011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497388698 | Joshua L Berg | Behavior Technician | 2008 General Booth Blvd Ste B, Virginia Beach, VA 23454-5910 | 2020-02-16 |
| 1801195367 | Joshua Ryan Berg | Pediatrics | 301 N 1st St, Altus, OK 73523-5004 | 2011-03-23 |
| 1851504518 | Joshua Bradley Berg | Internal Medicine | 1125 College Ave, Fort Worth, TX 76104-4514 | 2007-05-08 |
| Street Address |
1 DENT DR |
| City | LEWISBURG |
| State | PA |
| Zip Code | 17837-2005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811927254 | Ian A Wood | Specialist/Technologist | 1 Dent Dr, Lewisburg, PA 17837-2005 | 2006-07-03 |
| 1831740927 | Kristin Marie Klinger | Specialist/Technologist | 1 Dent Dr, Lewisburg, PA 17837-2029 | 2019-09-20 |
| 1396395513 | Zachary Stephens | Specialist/Technologist | 1 Dent Dr, Lewisburg, PA 17837-2005 | 2019-09-19 |
| 1922597897 | William F Flack Jr. | Psychologist | 1 Dent Dr, Lewisburg, PA 17837-2029 | 2018-05-07 |
| 1154846913 | Joshua Engelbrecht | Specialist/Technologist | 1 Dent Dr, Lewisburg, PA 17837-2005 | 2017-08-13 |
| 1447676085 | Kaitlyn Elizabeth Hager | Specialist/Technologist | 1 Dent Dr, Lewisburg, PA 17837 | 2014-03-06 |
| 1154766251 | Evangelical-geisinger Health, LLC | Clinic/Center | 1 Dent Dr, Lewisburg, PA 17837-2005 | 2013-05-02 |
| 1467782243 | Sandra Soslau Cook | Nurse Practitioner | 1 Dent Dr, Lewisburg, PA 17837-2005 | 2009-12-30 |
| 1346364155 | Harry Whalen Wehry Jr. | Physician Assistant | 1 Dent Dr, Lewisburg, PA 17837-2005 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274245 | Susquehanna Valley Therapy Group, LLC | Counselor | 4552 West Branch Highway, Lewisburg, PA 17837 | 2020-08-06 |
| 1184185910 | Laura Pulaski | Physical Therapy Assistant | 15 Rivercrest Cir, Lewisburg, PA 17837 | 2019-03-26 |
| 1487112892 | Taylor Karin Hendrix | Physical Therapy Assistant | 189 Tressler Dr, Lewisburg, PA 17837 | 2019-03-05 |
| 1902375033 | United States Penitentiary | Pharmacist | 2400 Robert F. Miller Drive, Lewisburg, PA 17837 | 2018-11-19 |
| 1114419710 | Society Hill Dental In Lewisburg | Dentist | 339 Market Street, Lewisburg, PA 17837 | 2018-05-31 |
| 1669919213 | Karen Jean Orchard | Marriage & Family Therapist | 821 Buffalo Road, Lewisburg, PA 17837 | 2017-01-20 |
| 1063892057 | Giant Food Stores LLC | Durable Medical Equipment & Medical Supplies | 224 Hardwood Dr, Lewisburg, PA 17837 | 2015-06-04 |
| 1003207853 | Lenora Jeanne Broda | Counselor | 1800 Market St, Diakon Family Life Services, Lewisburg, PA 17837 | 2015-02-16 |
| 1225457401 | Geisinger Clinic | Clinic/Center | 1717 W Market St, Lewisburg, PA 17837 | 2014-04-15 |
| 1982045456 | Abdul Rahim Ali | Counselor | 32 Whisper Creek, Suite 8, Lewisburg, PA 17837 | 2013-07-12 |
| Find all providers in zip 17837 | ||||
| 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 |
|---|---|---|---|---|
| 1073023792 | Tyler Hanson | Specialist/Technologist | 120 Hardwood Dr, Lewisburg, PA 17837-5030 | 2017-10-08 |
| 1154868628 | Madeleine Leah Carroll | Specialist/Technologist | 4278 Fairview Rd, Lewisburg, WV 24901-5189 | 2017-01-23 |
| 1750456679 | Mark Vincent Keppler | Specialist/Technologist | Bucknell University, Moore Ave, Lewisburg, PA 17837 | 2006-11-24 |
| 1508930421 | Mark Daniel Grotzinger | Specialist/Technologist | Kenneth Langone Sports Medicine Center, One Dent Dr., Lewisburg, PA 17837 | 2006-11-20 |
| 1952486516 | Dana Lynn Wirnsberger | Specialist/Technologist | 222 Klarc Center Moore Ave., Bucknell University, Lewisburg, PA 17837 | 2006-10-25 |
| 1952484669 | Tiffany Lyn Lebengood | Specialist/Technologist | Moore Avenue, Bucknell University - Klarc, Lewisburg, PA 17837 | 2006-10-24 |
| 1811927254 | Ian A Wood | Specialist/Technologist | 1 Dent Dr, Lewisburg, PA 17837-2005 | 2006-07-03 |
| 1831740927 | Kristin Marie Klinger | Specialist/Technologist | 1 Dent Dr, Lewisburg, PA 17837-2029 | 2019-09-20 |
| 1396395513 | Zachary Stephens | Specialist/Technologist | 1 Dent Dr, Lewisburg, PA 17837-2005 | 2019-09-19 |
| 1073020905 | Lindsay Schultz Vandever | Specialist/Technologist | 1080 N Ellington Pkwy, Lewisburg, TN 37091-2227 | 2017-12-31 |
| Find all providers in LEWISBURG | ||||
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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.