CAROL MARIE ASTILL (NPI# 1689647901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689647901 |
| Entity Type | Individual |
| Full Name | CAROL MARIE ASTILL |
| Credential | ATC |
| Practice Address |
1689 Nonconnah Blvd Suite 105 Memphis TN 38132-2102 |
| Mailing Address |
4544 Tulip Creek Dr Memphis TN 38135-0730 |
| Practice Telephone | 9017976805 |
| Practice Fax Number | 9017976795 |
| Mailing Telephone | 9012134902 |
| Mailing Fax Number | 9017976795 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0000000467 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1689 NONCONNAH BLVD SUITE 105 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38132-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134129265 | Proactive Therapy of Greenville Inc | Clinic/Center | 1689 Nonconnah Blvd, Suite 100, Memphis, TN 38132-2102 | 2005-07-29 |
| 1295387629 | Jeromica Bosshera Ward | Optometrist | 1689 Nonconnah Blvd, Memphis, TN 38132-2105 | 2019-07-16 |
| 1164084521 | Kelly Marie Cawley | Optometrist | 1689 Nonconnah Blvd, Memphis, TN 38132-2105 | 2019-07-05 |
| 1982266342 | Abagail Marie Kirk | Optometrist | 1689 Nonconnah Blvd, Memphis, TN 38132-2105 | 2019-07-05 |
| 1639731094 | Matthew Mcbride | Optometrist | 1689 Nonconnah Blvd, Memphis, TN 38132-2105 | 2019-07-05 |
| 1629562905 | Sarah Elizabeth Martine Maxey | Optometrist | 1689 Nonconnah Blvd, Memphis, TN 38132-2105 | 2018-06-19 |
| 1124511266 | Theresa Karyn Cassidy | Optometrist | 1689 Nonconnah Blvd, Memphis, TN 38132-2105 | 2018-06-13 |
| 1003859588 | Memphis Vamc | Clinic/Center | 1689 Nonconnah Blvd, Memphis, TN 38132-2105 | 2006-06-13 |
| 1659347250 | Kevin Cozort | Physical Therapist | 1689 Nonconnah Blvd, Ste 100, Memphis, TN 38132-2102 | 2006-02-24 |
| 1184699324 | Bradley Jason Cook | Specialist/Technologist | 1689 Nonconnah Blvd, Suite 105, Memphis, TN 38132-2102 | 2006-02-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386163707 | Casey Provo | Dietitian, Registered | 1689 Nonconnah Blvd., Memphis, TN 38132 | 2017-09-18 |
| 1164802195 | Cynthia Luaune Poole | Social Worker | 2606 Corporate Dr, Memphis, TN 38132 | 2015-06-04 |
| 1033375753 | Concentra Health Services, Inc. | Clinic/Center | 2831 Airways Blvd., Bldg. A, Suite 102, Memphis, TN 38132 | 2008-08-01 |
| 1063406676 | The Synergy Foundation, Inc. | Substance Abuse Rehabilitation Facility | 2305 Airport Interchange Avenue, Memphis, TN 38132 | 2005-09-09 |
| 1932488129 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 2831 Airways Blvd, Bldg A, Ste 102, Memphis, TN 38132 | 2011-08-05 |
| 1699181461 | Stacy Triplett | Counselor | 2305 Airport Interchange Ave, Memphis, TN 38132-1002 | 2014-07-01 |
| 1174852164 | Delois Roberson | Dentist | 2781 Airways Blvd, Memphis, TN 38132-1104 | 2009-12-22 |
| 1801380985 | Javier Jackson | Physical Therapist | 2781 Airways Blvd, Memphis, TN 38132-1104 | 2018-06-21 |
| 1326499252 | Joshua Mock | Physical Therapy Assistant | 2781 Airways Blvd, Memphis, TN 38132-1104 | 2016-06-22 |
| 1295112720 | Michelle Frulla | Physical Therapy Assistant | 2781 Airways Blvd, Memphis, TN 38132-1104 | 2015-05-05 |
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| 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 |
|---|---|---|---|---|
| 1831744051 | Kayla Paige Lee | Specialist/Technologist | 814 Scott St, Memphis, TN 38112-1925 | 2019-08-05 |
| 1215415450 | Lawrence Reynolds | Specialist/Technologist | 1115 East Getwell Loop Bill Jmurphy Football Complex, Memphis, TN 38152-0001 | 2018-07-31 |
| 1659889889 | Jarod Lenahan | Specialist/Technologist | 1115 East Getwell Loop St, Memphis, TN 38111 | 2018-01-22 |
| 1720592496 | Virgie Snow | Specialist/Technologist | 2587 Durham Ave, Memphis, TN 38127-3642 | 2017-11-16 |
| 1417317199 | Andre Josue Gonzalez | Specialist/Technologist | 6726 N Quail Hollow Rd Apt 2, Memphis, TN 38120-8859 | 2016-02-24 |
| 1861884207 | Michael Lynch | Specialist/Technologist | 7604 County Road 111, Memphis, IN 47143-9615 | 2015-02-23 |
| 1376950014 | Meghan Robinson | Specialist/Technologist | 1115 E Getwell Loop, Memphis, TN 38152-4210 | 2014-07-15 |
| 1861805673 | Christopher Michael Smith | Specialist/Technologist | 1740 Ridgeway Rd, Memphis, TN 38119-5314 | 2014-06-09 |
| 1508299470 | Rudolph Hinds Jr. | Specialist/Technologist | 80 Tillman St, Memphis, TN 38111-2700 | 2013-08-15 |
| 1497041743 | Daniel Baker | Specialist/Technologist | 6286 Briarcrest Ave # 110, Memphis, TN 38120-4023 | 2011-06-24 |
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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.