MRS. JODI MARAK OUELLETTE (NPI# 1831463785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831463785 |
| Entity Type | Individual |
| Full Name | MRS. JODI MARAK OUELLETTE |
| Credential | ATC |
| Practice Address |
5 Pequot Park Rd Suite 303 Westbrook CT 06498-2856 |
| Mailing Address |
867 W Pond Meadow Rd Westbrook CT 06498-2836 |
| Practice Telephone | 8603996411 |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
000189 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5 PEQUOT PARK RD SUITE 303 |
| City | WESTBROOK |
| State | CT |
| Zip Code | 06498-2856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356392203 | Todd David Applegate | Orthopaedic Surgery | 5 Pequot Park Rd, Suite 201a, Westbrook, CT 06498-2856 | 2006-05-15 |
| 1871027177 | Craig Chatfied | Physical Therapy Assistant | 5 Pequot Park Rd, Suite 102, Westbrook, CT 06498-2856 | 2017-04-13 |
| 1770020646 | Elizabeth Swift | Physical Therapist | 5 Pequot Park Rd, Suite 102, Westbrook, CT 06498-2856 | 2017-01-30 |
| 1770941643 | Conor Schmidt | Physical Therapist | 5 Pequot Park Rd, Suite 102, Westbrook, CT 06498-2856 | 2016-02-05 |
| 1356717482 | Mhs Primary Care Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5 Pequot Park Rd, Suite 203, Westbrook, CT 06498-2856 | 2015-08-12 |
| 1346626264 | Kevin Smith | Physical Therapist | 5 Pequot Park Rd, Suite 303, Westbrook, CT 06498-2856 | 2015-08-03 |
| 1407282429 | Meagan Hoffman | Physical Therapist | 5 Pequot Park Rd, Suite 102, Westbrook, CT 06498-2856 | 2013-09-23 |
| 1851724033 | Christopher L. Martin | Physical Therapist | 5 Pequot Park Rd, Suite 303, Westbrook, CT 06498-2856 | 2013-08-12 |
| 1053758383 | Allison B Resnick D.c. LLC | Chiropractor | 5 Pequot Park Rd, Suite 201a, Westbrook, CT 06498-2856 | 2013-05-28 |
| 1346511037 | Orthopedic Associates of Middletown, PC | Durable Medical Equipment & Medical Supplies | 5 Pequot Park Rd, Suite 202, Westbrook, CT 06498-2856 | 2012-01-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699966648 | Anthony P Ciaburri | Physical Therapist | 5 Pequot Park Road, Suite 303, Westbrook, CT 06498 | 2007-08-06 |
| 1043224579 | Thomas V Brady | Dentist | 1823 Boston Post Rd, Westbrook, CT 06498 | 2006-07-28 |
| 1194760579 | Gregory J Kundrat | Family Medicine | 4 Grove Beach Rd North, Building 1, Unit A, Westbrook, CT 06498 | 2006-06-18 |
| 1437468386 | Westbrook Youth and Family Services, Inc | Counselor | 1163 Boston Post Rd, Westbrook, CT 06498-0918 | 2010-09-27 |
| 1912295924 | Marvin Lloyd Sears | Ophthalmology | 952 Pond Meadow Rd, Westbrook, CT 06498-1429 | 2011-07-12 |
| 1700321403 | Dignity Home Health LLC | Home Health | 30 Ken Rose Ter, Westbrook, CT 06498-1487 | 2017-01-04 |
| 1568551174 | Holly Finley David | Dietitian, Registered | 44 Andre Dr, Westbrook, CT 06498-1525 | 2006-10-12 |
| 1851510929 | Mhs Primary Care, Inc. | Internal Medicine | Physician Office One, 250 Flat Rock Pl, Westbrook, CT 06498-1565 | 2007-04-25 |
| 1053385310 | David E Walker | Family Medicine | 250 Flat Rock Pl, 2nd Fl, Westbrook, CT 06498-1565 | 2006-02-14 |
| 1063937860 | Middlesex Hospital | Internal Medicine | Physician Office One, 250 Flat Rock Place, Westbrook, CT 06498-1565 | 2017-08-14 |
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| 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] |
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|---|---|---|---|---|
| 1053829366 | Gwenyth Breslen | Specialist/Technologist | 12 Island View Dr, Westbrook, ME 04092-4159 | 2018-01-21 |
| 1528412012 | Dylan Bunting | Specialist/Technologist | 35201 360th Ave, Westbrook, MN 56183-2166 | 2016-04-20 |
| 1891789087 | Peter Michael Clark | Specialist/Technologist | 23 Bridgton Rd, Westbrook, ME 04092-3653 | 2005-09-02 |
| 1609382290 | Brittany Creamer | Specialist/Technologist | 23 Bridgton Rd, Westbrook, ME 04092-3653 | 2017-12-19 |
| 1588770986 | Tracey Lynn Carrier | Specialist/Technologist | 23 Bridgton Rd, Suite 2, Westbrook, ME 04092-3653 | 2006-08-21 |
| 1336108471 | Kristin Leigh Ryan | Specialist/Technologist | 23 Bridgton Rd, Ste 2 Riverview Physical Therapy, Westbrook, ME 04092 | 2006-03-18 |
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|---|---|---|---|---|
| 1952901019 | Jessica Handy | Specialist/Technologist | 45 Cottage Rd, Oakdale, CT 06370-1051 | 2020-10-28 |
| 1770183030 | Adrienne Lara Fedyna Dembeck | Specialist/Technologist | 211 New Britain Rd Ste 101, Berlin, CT 06037-3167 | 2020-10-27 |
| 1194324665 | Francesca Chirico | Specialist/Technologist | 34 Farms Village Rd, Simsbury, CT 06070-2344 | 2020-10-25 |
| 1497354401 | Brandon Hallaway | Specialist/Technologist | 2098 Hillside Rd, Storrs, CT 06268 | 2020-10-21 |
| 1427657816 | Riley J Burns | Specialist/Technologist | 49 Farrell Rd, Newtown, CT 06470-1205 | 2020-10-18 |
| 1780283176 | Karl Kochersperger | Specialist/Technologist | 146 Sherwood Farm Rd, Fairfield, CT 06824-2979 | 2020-10-18 |
| 1720686215 | Liana Suarez | Specialist/Technologist | 31 Yates St, West Haven, CT 06516-1142 | 2020-10-15 |
| 1598363095 | Shayna Deluca | Specialist/Technologist | 178 New State Rd Apt 8, Manchester, CT 06042-7941 | 2020-10-15 |
| 1376150045 | Anna E Viscuso | Specialist/Technologist | 201 Regan Rd Apt 35a, Vernon Rockville, CT 06066-2861 | 2020-09-28 |
| 1881200962 | Keenan Thomas Love | Specialist/Technologist | 80 Shunpike Rd Unit 202, Cromwell, CT 06416-4402 | 2020-09-23 |
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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.