JOHN SIMONS DE MAILLY (NPI# 1720343007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720343007 |
| Entity Type | Individual |
| Full Name | JOHN SIMONS DE MAILLY |
| Credential | ATC |
| Practice Address |
604 Dawsons Park Way Lexington SC 29072-1929 |
| Practice Telephone | 8039170571 |
| Mailing Telephone | 8039170571 |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2016-01-27 |
| 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 |
| Street Address |
604 DAWSONS PARK WAY |
| City | LEXINGTON |
| State | SC |
| Zip Code | 29072-1929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484821 | Grace Physicians Services | Clinic/Center | 1483 Old Cherokee Road, Lexington, SC 29072 | 2020-10-12 |
| 1750995007 | Trinity Health and Wellness | Clinic/Center | 1483 Old Cherokee Rd, Lexington, SC 29072 | 2020-09-03 |
| 1730727629 | Erika Watts | Occupational Therapist | 100 Tarrar Springs Road, Sped, Lexington, SC 29072 | 2019-12-11 |
| 1194380600 | Lexington County Health Services District, Inc. | Clinic/Center | 154 Saluda Pointe Ct, Lexington, SC 29072 | 2019-05-09 |
| 1962973768 | William R. Key | Counselor | Lexington Community Mental Health Center, 301 Palmetto Park Boulevard, Lexington, SC 29072 | 2018-12-06 |
| 1639651961 | Lindsey Terry | Social Worker | 108 Palmetto Pk. Boulveard, Suite D, Lexington, SC 29072 | 2018-09-04 |
| 1922594126 | Dental Professional of South Carolina, P.C. | Dentist | 2448 Augusta Hwy, Lexington, SC 29072 | 2018-07-11 |
| 1598251605 | Lynn Marceline Beckett-lowe | Nurse Practitioner | 124 Pink Camellia Lane, Lexington, SC 29072 | 2018-07-02 |
| 1083120620 | Diana Reiss | Counselor | 714 S Lake Drive, 120, Lexington, SC 29072 | 2017-12-19 |
| 1649781857 | Constance Jean Lynch | Occupational Therapist | 800 North Lake Boulevard, Lexington, SC 29072 | 2017-10-14 |
| Find all providers in zip 29072 | ||||
| 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 |
|---|---|---|---|---|
| 1548868334 | Alexander Kenneth Hollingsworth | Specialist/Technologist | 1904 Franklin Ave, Lexington, MO 64067-1705 | 2020-10-13 |
| 1982214433 | Brookelynn Thomason | Specialist/Technologist | 497 Angliana Ave, Lexington, KY 40508-3541 | 2020-08-08 |
| 1093325193 | Phillip Gribble | Specialist/Technologist | 210 Charles Wethington Building 900 South Limestone, Lexington, KY 40536-0200 | 2020-08-04 |
| 1710501143 | Karl Gerlach | Specialist/Technologist | 346 Oldham Ave, Lexington, KY 40502-1720 | 2020-06-01 |
| 1184248809 | David Raphael Tuduri | Specialist/Technologist | 1822 Courtland Dr, Lexington, KY 40505-2311 | 2020-05-29 |
| 1174146294 | Kianna N Anderson | Specialist/Technologist | 26 Penry St, Lexington, NC 27292-2638 | 2020-05-22 |
| 1164041786 | Olivia Szallai | Specialist/Technologist | 295 Alumni Dr, Lexington, KY 40506-0006 | 2020-04-14 |
| 1447896006 | Paige Alison Clawson | Specialist/Technologist | 629 Big Bear Ln, Lexington, KY 40517-2055 | 2019-11-19 |
| 1144865361 | Kyle B Kosik | Specialist/Technologist | 175 N Locust Hill Dr Apt 2204, Lexington, KY 40509-1580 | 2019-11-12 |
| 1821630336 | David Rodwell Walters II | Specialist/Technologist | 112 Twelve Mile Dr, Lexington, SC 29072-3964 | 2019-10-16 |
| Find all providers in LEXINGTON | ||||
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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.