JESSE RAY STEENWYK (NPI# 1699292698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699292698 |
| Entity Type | Individual |
| Full Name | JESSE RAY STEENWYK |
| Credential | AT, ATC |
| Practice Address |
26750 Providence Pkwy Novi MI 48374-1211 |
| Practice Telephone | 2483497843 |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18696 Fox, Redford, MI 482401963 | 9064408477 |
| Street Address |
26750 PROVIDENCE PKWY |
| City | NOVI |
| State | MI |
| Zip Code | 48374-1211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750367009 | John D Miller | Podiatrist | 26750 Providence Pkwy, Suite 130, Novi, MI 48374-1211 | 2005-12-19 |
| 1851941462 | Lisa Sue Hoatlin | Occupational Therapist | 26750 Providence Pkwy, Novi, MI 48374-1211 | 2019-09-16 |
| 1336598283 | James Allen Hyland | Physician Assistant | 26750 Providence Pkwy, # 220, Novi, MI 48374-1211 | 2016-06-10 |
| 1225430929 | Carol R. Grimmer | Nurse Practitioner | 26750 Providence Pkwy, Suite 210, Novi, MI 48374-1211 | 2014-09-24 |
| 1053758391 | Porretta Center for Orthopaedic Surgery PC | Durable Medical Equipment & Medical Supplies | 26750 Providence Pkwy, Ste 200, Novi, MI 48374-1211 | 2013-05-28 |
| 1902101520 | Vhs Physicians of Michigan | Orthopaedic Surgery | 26750 Providence Pkwy, Suite 210, Novi, MI 48374-1211 | 2011-01-12 |
| 1609006279 | William K. Kesto | Specialist | 26750 Providence Pkwy, Ste 200, Novi, MI 48374-1212 | 2009-07-17 |
| 1144457102 | Associated Podiatrists,pc | Podiatrist | 26750 Providence Pkwy, Suite 130, Novi, MI 48374-1211 | 2009-06-17 |
| 1417113036 | Erik Brian Eller | Specialist | 26750 Providence Pkwy, Ste 200, Novi, MI 48374-1212 | 2008-08-03 |
| 1427210038 | Eric Austin Neal | Physical Therapist | 26750 Providence Pkwy, Suite 200, Novi, MI 48374-1211 | 2008-06-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902323884 | Jhansi Navuluri | Physical Therapist | 27579 Etrada Lane, Novi, MI 48374 | 2017-08-23 |
| 1609306422 | James Vanderhaeghen | Foster Care Agency | 24375 Homestead Ct, Novi, MI 48374 | 2017-06-14 |
| 1558810622 | Iryna Chaykivska | Nurse Anesthetist, Certified Registered | 47601 Grand River Avenue, Novi, MI 48374 | 2016-09-29 |
| 1477937944 | Joseph Smola | Chiropractor | 48000 Grand River Ave, Novi, MI 48374 | 2015-07-15 |
| 1881005114 | Alpha Medical Services PC | Internal Medicine | 26131, Sunbury Ct, Novi, MI 48374 | 2014-05-08 |
| 1043565443 | Jason J Rizqallah | Surgery | 47601 Grand River Ave # B136, Novi, MI 48374 | 2012-07-21 |
| 1780992628 | Khyati Patel | Internal Medicine | 26850 Providence Pkwy Ste 420, Novi, MI 48374 | 2010-09-14 |
| 1891963799 | Luann Marie Redmond | Social Worker | 50598 Montana, Novi, MI 48374 | 2008-02-13 |
| 1427249424 | Ajay V Raman | Anesthesiology | 24875 Novi Road #454, Novi, MI 48374 | 2007-08-05 |
| 1003948233 | Sam's Club Optical | Technician/Technologist | 27300 Wixon Road, Novi, MI 48374 | 2007-03-12 |
| Find all providers in zip 48374 | ||||
| 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 |
|---|---|---|---|---|
| 1730726167 | Malorie A Most | Specialist/Technologist | 23602 N Rockledge, Novi, MI 48375-3759 | 2019-12-04 |
| 1497315840 | Kira Gabrielle Reading | Specialist/Technologist | 21600 Novi Rd Ste 400, Novi, MI 48375-5605 | 2019-06-18 |
| 1215492533 | Julia Marie Palushaj | Specialist/Technologist | 47181 Manhattan Cir, Novi, MI 48374-1834 | 2019-02-01 |
| 1962955435 | Jeffrey John Wilson | Specialist/Technologist | 24062 Taft Rd, Novi, MI 48375-3022 | 2016-08-01 |
| 1558738377 | Cathryn Nicole Haller | Specialist/Technologist | 48845 Delmont Dr, Novi, MI 48374-2770 | 2015-08-27 |
| 1093930950 | Johnny Leo Bray | Specialist/Technologist | 40557 Brenda, Novi, MI 48375-2803 | 2007-04-16 |
| 1629126461 | Meredith A Crawford | Specialist/Technologist | 39830 Grand River Ave Ste B-3, Novi, MI 48375-2134 | 2007-01-08 |
| 1235286956 | Wendy L Hughes | Specialist/Technologist | 23663 Stonehenge Blvd, Novi, MI 48375-3776 | 2007-01-04 |
| 1770091878 | Serena Renee Wilson | Specialist/Technologist | 23655 Novi Rd, Novi, MI 48375-5442 | 2018-01-11 |
| 1215232806 | Kelly Michelle Weir | Specialist/Technologist | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2011-01-13 |
| Find all providers in NOVI | ||||
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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.