MRS. SARAH FIREBAUGH BLOM (NPI# 1811460785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811460785 |
| Entity Type | Individual |
| Full Name | MRS. SARAH FIREBAUGH BLOM |
| Other Name | MS. SARAH MARIE FIREBAUGH |
| Credential | ATC, CSCS |
| Practice Address |
1115 Boulders Pkwy Ste 100 North Chesterfield VA 23225-4067 |
| Practice Telephone | 8044332080 |
| Practice Fax Number | 8047943708 |
| Mailing Telephone | 8044332080 |
| Mailing Fax Number | 8047943708 |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-01-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0126000933 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1115 BOULDERS PKWY STE 100 |
| City | NORTH CHESTERFIELD |
| State | VA |
| Zip Code | 23225-4067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538104138 | Johnathon Chisum | Physician Assistant | 1115 Boulders Pkwy Ste 100, North Chesterfield, VA 23225-4067 | 2006-06-18 |
| 1578056040 | Caroline Elizabeth Shedd | Physical Therapist | 1115 Boulders Pkwy Ste 100, North Chesterfield, VA 23225 | 2018-06-11 |
| 1548625668 | Jacquelyn Martin Cunigan | Physician Assistant | 1115 Boulders Pkwy Ste 100, North Chesterfield, VA 23225-4067 | 2015-12-16 |
| 1497138010 | Justin David Dumont | Physical Medicine & Rehabilitation | 1115 Boulders Pkwy Ste 100, North Chesterfield, VA 23225-4067 | 2015-06-30 |
| 1073945002 | Chase William Grinnell | Physical Therapist | 1115 Boulders Pkwy Ste 100, North Chesterfield, VA 23225-4067 | 2013-08-01 |
| 1164703922 | Miles Thomas Birmingham | Orthopaedic Surgery | 1115 Boulders Pkwy Ste 100, North Chesterfield, VA 23225-4067 | 2011-09-07 |
| 1992916449 | Ryan Gocke | Orthopaedic Surgery | 1115 Boulders Pkwy Ste 100, North Chesterfield, VA 23225 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114524543 | Alliance Mental Health LLC | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb#2867, Suite 300, Richmond, VA 23225 | 2020-10-08 |
| 1134734957 | Ai H Garner | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb# 2867, Suite 300, Richmond, VA 23225 | 2020-09-09 |
| 1659996023 | Amira Transport Inc. | Non-emergency Medical Transport (VAN) | 7400 Beaufont Springs Drive, Suite 300, North Chesterfield, VA 23225 | 2020-06-11 |
| 1548881352 | Kevin Raymond Tarlow | Psychologist | 2000 Riverside Drive, Apt. 6c, Richmond, VA 23225 | 2020-05-04 |
| 1619522000 | Spring Transport Inc | Non-emergency Medical Transport (VAN) | 2418 W Tremont Ct, Richmond, VA 23225 | 2019-08-02 |
| 1063976660 | Kelly Erin Mitchell | Nurse Practitioner | 7401 Beaufort Springs Dr, Suite 205, Richmond, VA 23225 | 2019-01-28 |
| 1760977540 | Marchett Hopkins | Counselor | 1601 Skilift Ln, Richmond, VA 23225 | 2018-06-25 |
| 1821582644 | Infinite Solutions Behavioral Services, LLC | Case Management | 6946 Forest Hill Ave Suite B, Richmond, VA 23225 | 2018-06-15 |
| 1922595230 | Andrea Ruth Steegmayer | Registered Nurse | Vcu Health System, 1250 E. Marshall Street, Richmond, VA 23225 | 2018-04-23 |
| 1306340153 | Eric Sheldon Jacobson | Internal Medicine | 2956 Hathaway Rd, Apt. 1101, Richmond, VA 23225 | 2018-03-19 |
| Find all providers in zip 23225 | ||||
| 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 |
|---|---|---|---|---|
| 1427691906 | Griffin Patterson | Specialist/Technologist | 10724 Red Lion Pl, North Chesterfield, VA 23235-4428 | 2019-10-28 |
| 1962044313 | Alexandra R Pumphrey | Specialist/Technologist | 9705 Ransom Hills Ter, North Chesterfield, VA 23237-3570 | 2019-10-16 |
| 1427557693 | Grace Katherine Bradtke | Specialist/Technologist | 1115 Boulders Pkwy Ste 110, North Chesterfield, VA 23225-4067 | 2018-02-02 |
| 1336673722 | Julie Falge | Specialist/Technologist | 8801 Buttermint Dr, North Chesterfield, VA 23237-2455 | 2017-04-12 |
| 1902330368 | Frances Colvin | Specialist/Technologist | 1807 Creek Bottom Way, North Chesterfield, VA 23236-5306 | 2017-04-12 |
| 1427418854 | Rachel Le | Specialist/Technologist | 10904 Krossridge Cir, North Chesterfield, VA 23236-5251 | 2016-02-26 |
| 1679966279 | Eric Morgan | Specialist/Technologist | 10524 Jason Rd, North Chesterfield, VA 23235-2632 | 2015-03-06 |
| 1053710301 | Katherine Doctor | Specialist/Technologist | 1136 Joliette Rd, North Chesterfield, VA 23235-6132 | 2014-08-21 |
| 1033536354 | Tim D Dominick | Specialist/Technologist | 1400 Johnston Willis Dr Ste A, North Chesterfield, VA 23235-4765 | 2014-03-25 |
| 1902867617 | Jacob Charles Puglisi | Specialist/Technologist | 1115 Boulders Pkwy, Suite 100, North Chesterfield, VA 23225-4067 | 2006-03-31 |
| Find all providers in NORTH CHESTERFIELD | ||||
| City | NORTH CHESTERFIELD |
| Zip Code | 23225 |
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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.