COURTNEY JANE KRUSCAVAGE (NPI# 1780106179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780106179 |
| Entity Type | Individual |
| Full Name | COURTNEY JANE KRUSCAVAGE |
| Practice Address |
641 Dellwood Street Bethlehem PA 18018 |
| Mailing Address |
641 Dellwood St Bethlehem PA 18018-4306 |
| Practice Telephone | (267) 566-7214 |
| Mailing Telephone | 2675667214 |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2017-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
30426887 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
641 DELLWOOD STREET |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093373292 | Jade Madison Hennessy | Specialist/Technologist | Moravian College, 1200 Main Street, Bethlehem, PA 18018 | 2019-06-03 |
| 1205357936 | Balanced Body Therapeutic Massage, LLC | Massage Therapist | 227 W Broad St Ste 102, Bethlehem, PA 18018 | 2017-07-03 |
| 1033567599 | Jessamine Martin | Counselor | 1 East Broad Street, Suite 510, Bethlehem, PA 18018 | 2016-05-25 |
| 1841650041 | Akhi Saha | Internal Medicine | 325 W Broad St Fl 1, Bethlehem, PA 18018 | 2016-03-01 |
| 1063804193 | Paul Minh Le | Internal Medicine | 800 Eaton Ave Ste B, Bethlehem, PA 18018 | 2015-02-26 |
| 1578962841 | Elizabeth Veronica Weiss Iobst | Counselor | 1754 W. Broad St., Bethlehem, PA 18018 | 2014-08-22 |
| 1255771739 | Inner Resources Counseling Inc | Counselor | 807 West Broad St, Bethlehem, PA 18018 | 2013-06-28 |
| 1437404878 | St Luke Hospital | General Acute Care Hospital | 1956 C Allwood Dr., Bethlehem, PA 18018 | 2012-07-23 |
| 1275802944 | St. Luke's Physician Group, Inc | Ophthalmology | 800 Eaton Avenue, Suite 101, Bethlehem, PA 18018 | 2011-12-23 |
| 1326353954 | Fassmed Equipment & Supplies, Inc | Durable Medical Equipment & Medical Supplies | 1421 Center Street, Bethlehem, PA 18018 | 2010-08-06 |
| Find all providers in zip 18018 | ||||
| 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 |
|---|---|---|---|---|
| 1306454517 | Scott Chris Freitag | Specialist/Technologist | 2535 North Ct, Bethlehem, PA 18017-3929 | 2020-07-14 |
| 1487286399 | Emma Marie Krentler | Specialist/Technologist | 1315 Farmersville Rd, Bethlehem, PA 18020-9738 | 2020-02-08 |
| 1043842941 | Nicole Schroeder | Specialist/Technologist | 542 Thomas St, Bethlehem, PA 18015-3432 | 2020-02-07 |
| 1649800970 | Nathan Burk | Specialist/Technologist | 447 Timothy Dr, Bethlehem, PA 18017-2460 | 2020-01-26 |
| 1205498037 | Kaitlyn Lazicky | Specialist/Technologist | 5005 Allen Dr, Bethlehem, PA 18017-8223 | 2019-07-02 |
| 1093373292 | Jade Madison Hennessy | Specialist/Technologist | Moravian College, 1200 Main Street, Bethlehem, PA 18018 | 2019-06-03 |
| 1346708336 | Sarah M Soska | Specialist/Technologist | 3715 Trythall St, Bethlehem, PA 18020-2932 | 2019-03-08 |
| 1265997068 | Travis David Skinner | Specialist/Technologist | 1475 Stoke Park Rd, Bethlehem, PA 18017-2232 | 2019-02-05 |
| 1801351929 | Kazuhiro Yamamoto | Specialist/Technologist | 424 W 4th St, Bethlehem, PA 18015-1402 | 2019-02-02 |
| 1447729785 | Daulton Warshel | Specialist/Technologist | 521 Brighton St, Bethlehem, PA 18015-1219 | 2018-11-15 |
| Find all providers in BETHLEHEM | ||||
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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.