MR. BROOKS FARRY (NPI# 1760400378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760400378 |
Entity Type | Individual |
Full Name | MR. BROOKS FARRY |
Credential | MS, ATC. |
Practice Address |
175 Forest Street Athletic Training Department Waltham MA 02452 |
Mailing Address |
11 Brandley Rd Watertown MA 02472-2217 |
Practice Telephone | 7818912062 |
Mailing Telephone | 7818912062 |
Enumeration Date | 2006-07-18 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
403 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
175 FOREST STREET ATHLETIC TRAINING DEPARTMENT |
City | WALTHAM |
State | MA |
Zip Code | 02452 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124518956 | Peter Forkner | Psychologist | 175 Forest Street, Counseling Center, Callahan Bldg, 2nd Flr, Waltham, MA 02452 | 2018-05-17 |
1275038424 | Andrew John Dole | Psychologist | 175 Forest Street, Counseling Center, Waltham, MA 02452-0245 | 2018-03-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346894896 | Nsea Macipa LLC | Ophthalmology | 135 Beaver Street Ste 309, Waltham, MA 02452 | 2019-08-01 |
1750879383 | Rosemary Klein | Psychologist | Waltham Court Clinic, 38 Linden St., Waltham, MA 02452 | 2018-04-30 |
1497256374 | Chithra Susan Kuriakose | Nurse Practitioner | Waltham Medical Group, 6 Lexington St., 2nd Floor, Waltham, MA 02452 | 2018-02-26 |
1861883001 | Melanie H Deveikas | Physical Therapist | 425 Waverley Oaks Rd, Waltham, MA 02452 | 2015-02-10 |
1770992059 | Hope Elisabeth Forbes | Psychologist | 175 Forest St., Bentley University Counseling Center, Waltham, MA 02452 | 2014-08-12 |
1326462557 | Ann M Fletcher | Social Worker | 100 Church St., Waltham, MA 02452 | 2014-02-07 |
1801239397 | Rainbow Adhc of Waltham | Clinic/Center | 411 Waverly Oak Rd # 2, Suite 214, Waltham, MA 02452 | 2013-04-15 |
1356689335 | Jessica M Liberty | Physical Therapist | 425 Waverley Oaks Rd., Waltham, MA 02452 | 2013-01-25 |
1386946960 | Janyce M Gately | Dietitian, Registered | 425 Waverley Oaks Rd Ste 200, Waltham, MA 02452 | 2010-12-02 |
1265618839 | Anita Lynn Hurd | Registered Nurse | 411 Waverely Oaks Road, Building #3, Suite 305, Waltham, MA 02452 | 2008-01-14 |
Find all providers in zip 02452 |
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 |
---|---|---|---|---|
1952803306 | Sean William Reynolds II | Specialist/Technologist | 237 Grove St, Waltham, MA 02453-6548 | 2018-03-01 |
1922527761 | April May Pellegrini | Specialist/Technologist | 104 Ravenswood Rd, Waltham, MA 02453-1755 | 2017-09-13 |
1518400084 | Cassandra Berger | Specialist/Technologist | 90 Myrtle St, Waltham, MA 02453-0517 | 2016-11-30 |
1831631530 | Charles-john Wynters | Specialist/Technologist | 182 Doty St, Waltham, MA 02452-7833 | 2016-11-11 |
1487780318 | Andrea Jayne Rourke | Specialist/Technologist | 333 Forest St, Gann Academy, Waltham, MA 02452-4717 | 2007-02-26 |
1083677496 | Sarah Claire Calderone | Specialist/Technologist | 785 Beaver St, Waltham, MA 02452-5606 | 2006-04-07 |
1124679352 | Dana Cavedon | Specialist/Technologist | 840 Winter St, Waltham, MA 02451-1433 | 2019-09-29 |
1750893020 | Arthur Horne | Specialist/Technologist | 840 Winter St, Waltham, MA 02451-1433 | 2017-10-26 |
1588106868 | Christina Hollis | Specialist/Technologist | 175 Forest St, Waltham, MA 02452-4713 | 2016-11-17 |
1669880696 | Jason David Byrne | Specialist/Technologist | 415 South St, Brandeis University Sports Medicine Ms007, Waltham, MA 02453-2728 | 2014-07-22 |
Find all providers in WALTHAM |
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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.