AJA SIDES (NPI# 1760894430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760894430 |
| Entity Type | Individual |
| Full Name | AJA SIDES |
| Credential | ATC |
| Practice Address |
62 Hillcrest Ln Elizabethtown PA 17022-9742 |
| Practice Telephone | 6103488430 |
| Mailing Telephone | 6103488430 |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2014-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
RT003600 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
62 HILLCREST LN |
| City | ELIZABETHTOWN |
| State | PA |
| Zip Code | 17022-9742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669967162 | William Joseph Borowski | Dentist | 100 Continental Drive, Elizabethtown, PA 17022 | 2018-06-27 |
| 1477042422 | Sarah Marie Altman-kopko | Speech-Language Pathologist | 928 Hedgewyck Ln, Elizabethtown, PA 17022 | 2018-05-05 |
| 1013421676 | Michele Marie Heffner | Counselor | 222 S. Market Street, Suite 104, Elizabethtown, PA 17022 | 2017-11-18 |
| 1003325184 | Caroline Elizabeth Weisser | Physician Assistant | 432 Cloverleaf Road, Elizathebtown, PA 17022 | 2017-09-21 |
| 1710359146 | Carissa Ressler LLC | Massage Therapist | 8 East High Street, Elizabethtown, PA 17022 | 2015-10-26 |
| 1386013092 | Matthew Jacob Hoover | Physical Therapist | 19 Silver Drive, Elizabethtown, PA 17022 | 2015-09-23 |
| 1275913584 | White Family Dental - Masonic Village Pllc | Dentist | 83 North Freemason Dr, Elizabethtown, PA 17022 | 2015-06-02 |
| 1851781801 | Central Pa Therapy Connections, LLC | Speech-Language Pathologist | 36 Creekside Dr., Elizabethtown, PA 17022 | 2015-01-29 |
| 1053719120 | Corrine Mcgrail | Occupational Therapist | 138 Raven Place, Elizabethtown, PA 17022 | 2014-12-05 |
| 1639506843 | Bouquet Mulligan Demaio Eye Professionals | Optometrist | 600 Free Mason Drive, Elizabethtown, PA 17022 | 2013-10-02 |
| Find all providers in zip 17022 | ||||
| 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 |
|---|---|---|---|---|
| 1518521285 | Megan Polites | Specialist/Technologist | 253 Cliff Ln, Elizabethtown, PA 17022-1754 | 2019-04-27 |
| 1497107130 | Raymond Knorr | Specialist/Technologist | 530 N Lime St, Elizabethtown, PA 17022-1421 | 2016-07-06 |
| 1780718452 | Michael D Sweger | Specialist/Technologist | 1 Alpha Dr, Elizabethtown College, Elizabethtown, PA 17022-2298 | 2007-03-15 |
| 1962973644 | Gabriel Chapman | Specialist/Technologist | 1111 Ring Rd, Elizabethtown, KY 42701-4900 | 2018-12-06 |
| 1326519158 | Samantha Styer | Specialist/Technologist | 1111 Ring Rd, Elizabethtown, KY 42701-4900 | 2018-12-05 |
| 1891248688 | Kirsten West | Specialist/Technologist | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 | 2016-07-27 |
| 1811440811 | Alexandria Nicole Martin | Specialist/Technologist | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 | 2016-07-27 |
| 1649623778 | Richard Keenan Morse | Specialist/Technologist | 1111 Ring Rd, Elizabethtown, KY 42701-4900 | 2016-07-13 |
| 1023471323 | William Witzel | Specialist/Technologist | 1111 Ring Rd, Elizabethtown, KY 42701-4900 | 2016-04-04 |
| 1316331937 | Maria Catherine Backes | Specialist/Technologist | 1111 Ring Rd, Elizabethtown, KY 42701-4900 | 2015-03-20 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 17022 |
Please comment or provide details below to improve the information on AJA SIDES.
| 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.