MR. BROOKS FARRY


Address: 175 Forest Street, Athletic Training Department, Waltham, MA 02452
Phone: 7818912062

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 175 FOREST STREET
ATHLETIC TRAINING DEPARTMENT
City WALTHAM
State MA
Zip Code 02452

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City WALTHAM
Zip Code 02452

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Dataset Information

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.

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