KELLY LINVILLE (NPI# 1710221601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710221601 |
| Entity Type | Individual |
| Full Name | KELLY LINVILLE |
| Credential | ATC |
| Practice Address |
568 Main St Suite 2 Fryeburg ME 04037-1146 |
| Mailing Address |
Po Box 602 North Conway NH 03860-0602 |
| Practice Telephone | 2079357770 |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2012-11-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT450 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0540 | NH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982075883 | Kelly Linville | Occupational Therapy Assistant | 804 S Poplar St, Elizabethtown, NC 28337-9226 | 2015-10-18 |
| Street Address |
568 MAIN ST SUITE 2 |
| City | FRYEBURG |
| State | ME |
| Zip Code | 04037-1146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316469125 | E. Kelton Cullenberg | Physical Therapist | 568 Main St, Fryeburg, ME 04037-1146 | 2017-07-13 |
| 1760763544 | Denise Chisari | Speech-Language Pathologist | 568 Main St, Fryeburg, ME 04037-1146 | 2011-09-07 |
| 1306923040 | Community Chiropractic Ent Inc. | Chiropractor | 568 Main St, Fryeburg, ME 04037-1146 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275835563 | Fryeburg Rescue Association | Ambulance | 89 Bridgton Rd, Fryeburg, ME 04037 | 2010-11-19 |
| 1952638322 | Allison Ann Wolfe | Audiologist-Hearing Aid Fitter | 44 Portland Street, Fryeburg, ME 04037 | 2009-11-05 |
| 1972717007 | Maine School Administrative District No 72 | Local Education Agency (LEA) | 124 Portland Street, Fryeburg, ME 04037 | 2007-05-09 |
| 1871715870 | Maureen Whyte Kitching | Social Worker | 58 Boston Street, Guilford, CT 04037 | 2007-05-02 |
| 1184673691 | Joseph Chisari | Chiropractor | 568 Main Street, Fryeburg, ME 04037 | 2006-05-10 |
| 1407827520 | Mary T Nash | Family Medicine | 44 Portland St., Fryeburg, ME 04037 | 2006-01-27 |
| 1235512815 | Beth Bayley | Dental Hygienist | 19 Portland Road, Fryeburg, ME 04037 | 2015-07-01 |
| 1881808913 | Maine School Administrative District No 72 | Day Training, Developmentally Disabled Services | 124 Portland Street, Fryeburg, ME 04037 | 2007-05-09 |
| 1154893386 | Dr N Scott Ferguson Optometrist | Ophthalmology | 479 Main St, Fryeburg, ME 04037-1118 | 2018-12-28 |
| 1104003938 | N Scott Ferguson O.d. | Eyewear Supplier (Equipment, not the service) | 479 Main St, Fryeburg, ME 04037-1118 | 2008-01-23 |
| Find all providers in zip 04037 | ||||
| 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 |
|---|---|---|---|---|
| 1356958581 | Teresa Drag | Specialist/Technologist | 512 Paris Hill Rd, Paris, ME 04271 | 2020-10-01 |
| 1639784531 | Debra Lynn Gunn | Specialist/Technologist | 50 Church Rd, Holden, ME 04429-7152 | 2020-09-09 |
| 1639782550 | Madeleine Vivian Reid | Specialist/Technologist | 204 Maine Ave, Portland, ME 04103-3906 | 2020-08-29 |
| 1598377962 | Barbara Anne Cookson | Specialist/Technologist | 167 Wilson St, Brewer, ME 04412-2025 | 2020-08-18 |
| 1811533730 | Brianna Leslie Genthner | Specialist/Technologist | 389 Egypt Rd, Damariscotta, ME 04543-4306 | 2019-11-26 |
| 1376185785 | Mount Desert Island Ymca | Specialist/Technologist | 21 Park Street, Bar Harbor, ME 04609 | 2019-10-17 |
| 1043852981 | Diane Patricia Stone | Specialist/Technologist | 62 Turner St, Auburn, ME 04210-5953 | 2019-10-11 |
| 1326697145 | Karen Elizabeth Rendall | Specialist/Technologist | 120 Leach Hill Rd, Casco, ME 04015-3237 | 2019-09-04 |
| 1659929537 | Bronte Annette Fontaine | Specialist/Technologist | 7 Bickford Ave, Brunswick, ME 04011-3125 | 2019-09-03 |
| 1144889403 | Evan Mark Paradis | Specialist/Technologist | 100 Middle St Apt 1, Old Town, ME 04468-1480 | 2019-06-11 |
| Find all providers with the same taxonomy | ||||
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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.