JORY WALTHOUR (NPI# 1740889815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740889815 |
| Entity Type | Individual |
| Full Name | JORY WALTHOUR |
| Credential | CSMS, ACSM-EP |
| Practice Address |
4545 E Downing St Mesa AZ 85205-6319 |
| Practice Telephone | 4803598385 |
| Mailing Telephone | 4803598385 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| 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 |
4545 E DOWNING ST |
| City | MESA |
| State | AZ |
| Zip Code | 85205-6319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083130199 | Rose Campbell | Technician/Technologist | 649 North Orlando, Mesa, AZ 85205 | 2017-08-21 |
| 1528459781 | Elizabeth Sadler | Nurse Practitioner | 4434 E Brown Rd Ste 102, Mesa, AZ 85205 | 2015-02-10 |
| 1326444324 | Katherine G Perez | Counselor | 152 N Power Rd Ste 2, Mesa, AZ 85205 | 2014-11-18 |
| 1831500800 | C.b.o Hearing | Hearing Aid Equipment | 4406 E. Main St, Suite 103, Mesa, AZ 85205 | 2014-05-13 |
| 1699195107 | Amanda Mcdaniel | Occupational Therapist | 5911 E. Fountain St., Mesa, AZ 85205 | 2014-04-23 |
| 1952640278 | Medstar Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3932 E Fairfield Cir, Mesa, AZ 85205 | 2013-02-06 |
| 1245575398 | Fabulous Smiles of Mesa | Dentist | 4434 E. Brown Rd, Ste 104, Mesa, AZ 85205 | 2012-11-30 |
| 1992087639 | Matthew Robert Millward | Pharmacist | 1935 N. Power Rd, Mesa, AZ 85205 | 2011-09-19 |
| 1740596733 | Arizona Family & Geriatric Medicine Pllc | Clinic/Center | 5602 E. Main St., Mesa, AZ 85205 | 2010-08-27 |
| 1295049609 | Thomas Chambers | Podiatrist | 5520 E Main St Ste 2, Mesa, AZ 85205 | 2010-07-28 |
| Find all providers in zip 85205 | ||||
| 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 |
|---|---|---|---|---|
| 1316548746 | Cheyenne Varga | Specialist/Technologist | 918 W Nido Ave, Mesa, AZ 85210-7658 | 2020-11-03 |
| 1952900151 | Joseph Espinoza | Specialist/Technologist | 505 S Roosevelt Rd Apt I6, Mesa, AZ 85202-1702 | 2020-10-20 |
| 1093373805 | Michael John Morgan Jr. | Specialist/Technologist | 10612 E Wavelength Ave, Mesa, AZ 85212-8713 | 2019-06-05 |
| 1790240554 | Kathryn Anna Mercer | Specialist/Technologist | 2529 E Lockwood St, Mesa, AZ 85213-2382 | 2019-02-06 |
| 1518422344 | Alfredo Casillas | Specialist/Technologist | 1416 N Sierra Heights Cir, Mesa, AZ 85207-4275 | 2019-02-06 |
| 1225515638 | Molly Gordon | Specialist/Technologist | 9560 E Ray Rd, Mesa, AZ 85212-8530 | 2018-07-27 |
| 1396233417 | Courtney Van Damme | Specialist/Technologist | 6745 E Superstition Springs Blvd Apt 2115, Mesa, AZ 85206-4320 | 2018-04-24 |
| 1376030460 | Krista Maria Kim | Specialist/Technologist | 150 S Roosevelt Rd Apt 1029, Mesa, AZ 85202-1076 | 2018-04-16 |
| 1326559790 | Keighley Faye Richardson | Specialist/Technologist | 625 W Natal Cir, Mesa, AZ 85210-7594 | 2017-10-12 |
| 1649780305 | Theodore William Polakowski | Specialist/Technologist | 2909 E Fox St, Mesa, AZ 85213-5443 | 2017-10-09 |
| Find all providers in MESA | ||||
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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.