PEARL COLESHILL (NPI# 1801253810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801253810 |
| Entity Type | Individual |
| Full Name | PEARL COLESHILL |
| Credential | ATC, LAT |
| Practice Address |
3121 University Drive E. Suite 100 Bryan TX 77802 |
| Mailing Address |
4607 Brompton Ln Bryan TX 77802-5611 |
| Practice Telephone | 9797760169 |
| Practice Fax Number | 9797761372 |
| Mailing Telephone | 8033255429 |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT6404 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3121 UNIVERSITY DRIVE E. SUITE 100 |
| City | BRYAN |
| State | TX |
| Zip Code | 77802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
| 1942789110 | Alicia Diane Ates | Dentist | 3001 Wildflower Drive, Suite #511, Bryan, TX 77802 | 2018-08-09 |
| 1588151682 | Metx LLC | Audiologist-Hearing Aid Fitter | 3030 E 29th St Ste 102, Bryan, TX 77802 | 2018-04-16 |
| 1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
| 1265885180 | Scott Andrew Thayer | Dentist | 3811 Stoneparc Dr, Bryan, TX 77802 | 2016-07-15 |
| 1255792123 | Phoebe Mathew | Pharmacist | 3312 East 29th Street, Bryan, TX 77802 | 2016-03-18 |
| 1265847750 | Wesley Danielle Daniels | Dietitian, Registered | 3900-c Carter Creek Pkway, Bryan, TX 77802 | 2014-06-24 |
| 1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
| 1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
| 1437599453 | Yangel Correa | Occupational Therapy Assistant | 4091 East Chester Dr., Bryan, TX 77802 | 2013-07-05 |
| Find all providers in zip 77802 | ||||
| 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 |
|---|---|---|---|---|
| 1346891330 | Manuel Adrian Gurrola | Specialist/Technologist | 4110 College Main St Apt 73, Bryan, TX 77801-3852 | 2019-09-22 |
| 1942864731 | Maygen Lynn Wray | Specialist/Technologist | 825 W High St, Bryan, OH 43506-1516 | 2019-04-26 |
| 1730696055 | Michael Price | Specialist/Technologist | 4151 Wellborn Rd Apt 2206, Bryan, TX 77801-3887 | 2018-01-09 |
| 1265951073 | Scott Daniel Rieppel | Specialist/Technologist | 3718 Sweetbriar Dr, Bryan, TX 77802-3962 | 2017-09-12 |
| 1922547215 | Alissa Niswonger | Specialist/Technologist | 106 Avenue B, Bryan, OH 43506 | 2017-02-20 |
| 1942747456 | Aaron Karp | Specialist/Technologist | 210 Davis St, Bryan, TX 77801-2515 | 2017-01-22 |
| 1093180671 | Cody Peterman | Specialist/Technologist | 803b Frio Cir, Bryan, TX 77801-2813 | 2015-12-07 |
| 1194112383 | Monica Menchaca | Specialist/Technologist | 3007 Highwood Ln, Bryan, TX 77803-0306 | 2015-04-25 |
| 1184045494 | Daniel Wayne Barringer | Specialist/Technologist | 1209a Webhollow Cir, Bryan, TX 77801-1604 | 2014-01-04 |
| 1942552773 | Matthew Jason Doles | Specialist/Technologist | 2317 Kent St, Bryan, TX 77802-1936 | 2012-10-03 |
| Find all providers in BRYAN | ||||
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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.