PHILIP JOSEPH BRAZALOVICH JR. (NPI# 1710411491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710411491 |
| Entity Type | Individual |
| Full Name | PHILIP JOSEPH BRAZALOVICH JR. |
| Credential | ATC |
| Practice Address |
1824 Parkford Ln Columbus OH 43229-7084 |
| Mailing Address |
96 Talcott Rd Glastonbury CT 06033-2919 |
| Practice Telephone | 8607128466 |
| Mailing Telephone | 8607128466 |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2020-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT005382 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
001143 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 96 Talcott Rd, Glastonbury, CT 060332919 | 8607128466 |
| Street Address |
1824 PARKFORD LN |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43229-7084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659825040 | Ashley Swiger | Social Worker | 1824 Parkford Ln, Columbus, OH 43229-7084 | 2016-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760095988 | Place of Hope Inc. | Non-emergency Medical Transport (VAN) | 1395 E Dublin Granville Rd, Ste 321 #b, Columbus, OH 43229 | 2020-08-27 |
| 1831724723 | Delvonne Mcadoo | Technician | 6075 Lepage Court, Columbus, OH 43229 | 2020-03-11 |
| 1962963405 | Kayrisha Merica Taylor | Case Manager/Care Coordinator | 5900a Sharron Woods, Columbus, OH 43229 | 2019-03-27 |
| 1467922435 | Latoya Kaye Ogden | Case Manager/Care Coordinator | 4987 Karl Rd, Columbus, OH 43229 | 2018-12-03 |
| 1265900393 | Christiana Brown | Case Manager/Care Coordinator | 5900a Sharonwoods Blvd, Columbus, OH 43229 | 2018-11-07 |
| 1275008781 | La Kenya Renee Turner | Case Manager/Care Coordinator | 5900 Sharonwoods Blvd, Columbus, OH 43229 | 2018-10-11 |
| 1811490295 | Tiffany Nicole Anderson | Case Manager/Care Coordinator | 5900 Sharonwood Dr., Columbus, OH 43229 | 2018-03-13 |
| 1184138398 | Samyell Terry | Case Manager/Care Coordinator | 5900 Sharonwoods, Col, OH 43229 | 2017-11-27 |
| 1619481108 | Ohio Sleep Treatment LLC | Dentist | 6500 Busch Blvd Ste 104, Columbus, OH 43229 | 2017-11-20 |
| 1740793629 | Mary Ervine | Case Manager/Care Coordinator | 5900 Sharonwoods Blv, Columbus, OH 43229 | 2017-11-14 |
| Find all providers in zip 43229 | ||||
| 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 |
|---|---|---|---|---|
| 1700486313 | Jenifer Bojanowski | Specialist/Technologist | 1009 Parkleigh Rd, Columbus, OH 43220-4041 | 2020-11-01 |
| 1295332914 | Cayla Mckeon | Specialist/Technologist | 11 W 11th St Apt 17, Columbus, GA 31901-4239 | 2020-10-06 |
| 1558973495 | Kaitlyn Anne Burnham | Specialist/Technologist | 3003 White Bark Pl, Columbus, OH 43221-4738 | 2020-08-21 |
| 1053922211 | Derek Lutz | Specialist/Technologist | 834 Thurber Dr W Apt 25, Columbus, OH 43215-1278 | 2020-08-12 |
| 1083224380 | Hailee Wilhelm | Specialist/Technologist | 7733 Candlewood Ln, Columbus, OH 43235-1625 | 2020-08-03 |
| 1083232623 | Jessica Caroline Steger | Specialist/Technologist | 8823 Evening Star Rd, Columbus, OH 43240-1106 | 2020-07-09 |
| 1447877360 | Jalisa Howard | Specialist/Technologist | 2621 Weyburn Rd, Columbus, OH 43232-4824 | 2020-06-26 |
| 1619513231 | Barbara Anna Hausmann | Specialist/Technologist | 9375 Conway Dr Bldg 3425, Columbus, GA 31905-5920 | 2019-11-19 |
| 1417507393 | Zachary Gordon Moss | Specialist/Technologist | 223 Pine Branch Cir, Columbus, GA 31909-2121 | 2019-09-12 |
| 1083173371 | Alexis Richardson | Specialist/Technologist | 2125 N High St, Columbus, OH 43210-1127 | 2019-03-15 |
| Find all providers in COLUMBUS | ||||
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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.