MR. ANTHONY LEE WALTHER (NPI# 1831319300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831319300 |
| Entity Type | Individual |
| Full Name | MR. ANTHONY LEE WALTHER |
| Credential | ATC |
| Practice Address |
5000 Deer Park Dr Se Salem OR 97301-9330 |
| Practice Telephone | 5035898108 |
| Practice Fax Number | 5033152947 |
| Mailing Telephone | 5035898108 |
| Mailing Fax Number | 5033152947 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT-AT-1008312 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5000 DEER PARK DR SE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-9330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730285859 | Jennifer D Garrard | Specialist/Technologist | 5000 Deer Park Dr Se, Salem, OR 97317-9392 | 2006-09-16 |
| 1023628419 | Santiam Memorial Hospital | Clinic/Center | 5000 Deer Park Dr Se, Salem, OR 97317-9392 | 2020-07-31 |
| 1841410057 | Jennifer Krug | Specialist/Technologist | 5000 Deer Park Dr Se, Salem, OR 97317 | 2007-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| 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 |
|---|---|---|---|---|
| 1992354435 | Christopher J Sousa | Specialist/Technologist | 10 Gibney Cir, Salem, NH 03079-4406 | 2019-09-07 |
| 1295236081 | Melissa Trainor | Specialist/Technologist | 64 Salem St, Salem, MA 01970-4935 | 2018-02-27 |
| 1073021481 | David Lloyd Kennedy Jr. | Specialist/Technologist | 330 Round Hill Rd, Salem, CT 06420-3832 | 2018-01-19 |
| 1508372202 | Meghan Elizabeth Claflin | Specialist/Technologist | 225 Canal St, Salem, MA 01970-4554 | 2017-12-18 |
| 1437678265 | Kaitlyn Quigley | Specialist/Technologist | 28 Dearborn St, Salem, MA 01970-2451 | 2017-09-13 |
| 1003338666 | Rachel Blazich | Specialist/Technologist | 25 General Pulaski Drive, Salem, NH 03079 | 2017-07-14 |
| 1912437534 | Shawna Regan | Specialist/Technologist | 64 Butler St, Salem, MA 01970 | 2017-06-15 |
| 1740729409 | Adam Tolley | Specialist/Technologist | 353 Glen Creek Rd Nw, Salem, OR 97304-3000 | 2017-02-14 |
| 1174066534 | Stephen Navarra | Specialist/Technologist | 1392 E Pershing St, Salem, OH 44460-2337 | 2016-12-02 |
| 1104274489 | Dakota Deamicis | Specialist/Technologist | 7777 W. Middletown Rd, Salem, OH 44460 | 2016-05-27 |
| Find all providers in SALEM | ||||
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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.