RYAN JAMES MCGOVERN (NPI# 1710345996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710345996 |
| Entity Type | Individual |
| Full Name | RYAN JAMES MCGOVERN |
| Credential | ATC |
| Practice Address |
105 Pucillo Drive Millersville PA 17551 |
| Mailing Address |
240 Stone Mill Rd Apt E101 Lancaster PA 17603-4624 |
| Practice Telephone | 6097757152 |
| Mailing Telephone | 6097757152 |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2020-04-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
25MT00219800 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
RT005972 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1871 Old Main Dr, Shippensburg, PA 172572200 | 7174771749 | |
| 117 Evergreen Dr, Loretto, PA 159409704 | 8144722848 | 8144722786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043810138 | Ryan Hope Mcgovern | Peer Specialist | 950 S Oyster Bay Rd Bay Road, Hicksville, NY 11801-3510 | 2020-10-28 |
| 1881243160 | Ryan Christine Mcgovern | Specialist | 5130 65th St, Woodside, NY 11377-5813 | 2019-09-09 |
| 1427523000 | Ryan P. Mcgovern | Specialist/Technologist | 1120 Raintree Cir Ste 280, Allen, TX 75013-5258 | 2018-10-10 |
| 1679925291 | Ryan Mcgovern | Nurse Practitioner | 400 Bald Hill Rd, Warwick Pain Center, Warwick, RI 02886-1617 | 2016-07-07 |
| Street Address |
105 PUCILLO DRIVE |
| City | MILLERSVILLE |
| State | PA |
| Zip Code | 17551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780714691 | Katie Jo Fox | Specialist/Technologist | 105 Pucillo Drive, Millersville University, Millersville, PA 17551-1350 | 2007-03-07 |
| 1770119984 | Rachel Helen Lamb | Specialist/Technologist | 105 Pucillo Drive, Millersville, PA 17551-1755 | 2020-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992310767 | Natasha Ann Parrish | Student in an Organized Health Care Education/Training Program | Millersville University, School of Social Work, Strayer, 37 W. Frederick Street, Millersville, PA 17551 | 2020-09-09 |
| 1710501978 | Debra Lee Failor | Student in an Organized Health Care Education/Training Program | Stayer Hall, 51 Lyte Road, Millersville, PA 17551 | 2020-06-03 |
| 1598387565 | Kelly Spangenberg | Student in an Organized Health Care Education/Training Program | Millersville University, Stayer Hall, 51 Lyte Rd., Millersville, PA 17551 | 2020-05-13 |
| 1780206136 | Darien S Miller | Student in an Organized Health Care Education/Training Program | Stayer Hall, 51 Lyte Rd, Millersville, PA 17551 | 2020-05-08 |
| 1558983049 | Anthony Ha | Student in an Organized Health Care Education/Training Program | Millersville University, School of Social Work, Stayer, Millersville, PA 17551 | 2020-05-07 |
| 1619598455 | Cortnney Danielle Faulkner | Social Worker | 51 Lyte, Millersville, PA 17551 | 2020-05-04 |
| 1801417274 | Aaliyah Gilbert-walker | Student in an Organized Health Care Education/Training Program | Millersville University, School of Social Work Stayer H, Millersville, PA 17551 | 2020-04-27 |
| 1053931667 | Shiloh Hagerty | Student in an Organized Health Care Education/Training Program | 40 Dilmorth Rd, Millersville, PA 17551 | 2020-04-23 |
| 1114552049 | Emily Dicola | Social Worker | 1 S George St, Millersville, PA 17551 | 2020-03-11 |
| 1245863265 | Brooke Anna Swinehart | Social Worker | One South George Street, Millersville, PA 17551 | 2020-02-18 |
| Find all providers in zip 17551 | ||||
| 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 |
|---|---|---|---|---|
| 1891278925 | Jeffrey W Wimer | Specialist/Technologist | 115 Pucillo Dr, Millersville, PA 17551-0302 | 2018-09-14 |
| 1699257915 | Rebecca Covach | Specialist/Technologist | 125 Pucillo Dr, Millersville, PA 17551 | 2018-09-04 |
| 1932510302 | Sarah Saffran | Specialist/Technologist | 8531 Veterans Hwy # 105, Millersville, MD 21108-2651 | 2014-05-19 |
| 1346467214 | Catherine Marie Culver | Specialist/Technologist | 600 Patriot Ln, Millersville, MD 21108-1351 | 2007-04-20 |
| 1780714691 | Katie Jo Fox | Specialist/Technologist | 105 Pucillo Drive, Millersville University, Millersville, PA 17551-1350 | 2007-03-07 |
| 1952484529 | Henry Michael Fijalkowski | Specialist/Technologist | 105 Pucillo Dr, Millersville University, Millersville, PA 17551 | 2006-10-24 |
| 1770119984 | Rachel Helen Lamb | Specialist/Technologist | 105 Pucillo Drive, Millersville, PA 17551-1755 | 2020-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801642 | Allison Zilonis | Specialist/Technologist | 1923 Oak Hills Dr, Hanover, PA 17331-8522 | 2020-11-08 |
| 1487255642 | Siarra Grace Crum | Specialist/Technologist | 102 Bellwood Lane, Portage, PA 15946-1441 | 2020-11-04 |
| 1841891108 | Sydney Charles | Specialist/Technologist | 6325 Martins Mill Rd, Philadelphia, PA 19111-5321 | 2020-11-03 |
| 1871194308 | Alexander Hedrick | Specialist/Technologist | 33 Derstine Rd, Hatfield, PA 19440-3406 | 2020-11-02 |
| 1114528684 | Kelsey E Craig | Specialist/Technologist | 1856 N 16th St Apt 1r, Philadelphia, PA 19121-3301 | 2020-11-02 |
| 1740881333 | David Williams | Specialist/Technologist | 3100 W Thompson St Apt 42, Philadelphia, PA 19121-4485 | 2020-11-02 |
| 1992305940 | Alexandra Bossi | Specialist/Technologist | 450 N 18th St Apt 1032, Philadelphia, PA 19130-4198 | 2020-10-29 |
| 1043810021 | Randy W Dillon | Specialist/Technologist | 617c Chester Pike, Prospect Park, PA 19076-1506 | 2020-10-28 |
| 1871193086 | Troy Olsheski | Specialist/Technologist | 1970 Easton Tpke, Lake Ariel, PA 18436-4661 | 2020-10-27 |
| 1982203055 | Josiah Thompson | Specialist/Technologist | 20 Heather Rd, Feasterville Trevose, PA 19053-6320 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | MILLERSVILLE |
| Zip Code | 17551 |
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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.