BROCK RYAN DAVID REICHARDT (NPI# 1831662493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831662493 |
| Entity Type | Individual |
| Full Name | BROCK RYAN DAVID REICHARDT |
| Credential | ATC, LAT |
| Practice Address |
1551 Lake Loudon Blvd Knoxville TN 37916-4009 |
| Mailing Address |
801 Gate Ln Apt 417 Knoxville TN 37909-3543 |
| Practice Telephone | 8659741231 |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2189 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1806 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1551 LAKE LOUDON BLVD |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37916-4009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528097771 | Chris A Klenck | Family Medicine | 1551 Lake Loudon Blvd, Knoxville, TN 37996-2674 | 2006-07-01 |
| 1093215790 | Stephanie Grace Horvath | Dietitian, Registered | 1551 Lake Loudon Blvd, Knoxville, TN 37916-4009 | 2018-02-19 |
| 1801297791 | University of Tenn Athletic Dept. Pharmacy | Pharmacy | 1551 Lake Loudon Blvd, A107, Knoxville, TN 37916-4009 | 2014-09-10 |
| 1437590171 | Marisa Maleike | Specialist/Technologist | 1551 Lake Loudon Blvd, Knoxville, TN 37916-4009 | 2013-07-10 |
| 1376888537 | Orthotennessee, PC | Internal Medicine | 1551 Lake Loudon Blvd, Knoxville, TN 37916-4009 | 2012-11-29 |
| 1841508751 | Orthotennessee | Physical Therapist | 1551 Lake Loudon Blvd, Knoxville, TN 37916-4009 | 2010-09-14 |
| 1811225410 | John B. Dean | Physical Therapist | 1551 Lake Loudon Blvd, Knoxville, TN 37916-4009 | 2009-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151322 | Chelsea Raye Tanner | Registered Nurse | American Anesthesiology of Tennessee, 501 20th Street, Suite 606, Knoxville, TN 37916 | 2020-10-13 |
| 1003473372 | Mary Katrina Quist Rouse | Nurse Practitioner | 2100 Clinch Ave Ste 330, Knoxville, TN 37916 | 2019-05-22 |
| 1457881724 | Leslie Lynette Taylor | Physical Medicine & Rehabilitation | 2120 Highland Avenue, Knoxville, TN 37916 | 2017-06-19 |
| 1235547423 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 2429 University Commons Way, Knoxville, TN 37916 | 2014-07-31 |
| 1801182340 | Jessica Lee Sheah | Psychiatry & Neurology | 2100 W Clinch Avenue, Suite 210, Knoxville, TN 37916 | 2011-06-23 |
| 1326203548 | Bradley Jason Davis | Internal Medicine | 1819 Clinch Ave Ste 114, Knoxville, TN 37916 | 2008-07-28 |
| 1003012782 | East Tennessee Children's Hospital Association, Inc | Clinic/Center | 2100 West Clinch Avenue, Suite 510, Knoxville, TN 37916 | 2007-06-21 |
| 1922203108 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 611 22nd Street, Knoxville, TN 37916 | 2007-06-18 |
| 1699825984 | Orthodontic Design By Michael Sawaf | Dentist | 2220 White Ave, Knoxville, TN 37916 | 2007-01-11 |
| 1427115096 | Deborah Lynne Maples | Physical Therapy Assistant | Nhc Ft Sanders 2120 Highland Ave, Knoxville, TN 37916 | 2007-01-03 |
| Find all providers in zip 37916 | ||||
| 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 |
|---|---|---|---|---|
| 1275147761 | Samantha Michelle Howell | Specialist/Technologist | 1551 Lake Loudon Blvd Ofc A111, Knoxville, TN 37916-4009 | 2020-09-02 |
| 1679194328 | Mia Brooks | Specialist/Technologist | 256 Fort Sanders West Blvd, Knoxville, TN 37922-3355 | 2020-05-05 |
| 1720636772 | Hannah Boller | Specialist/Technologist | 8129 Wiebelo Dr, Knoxville, TN 37931-3458 | 2019-09-03 |
| 1225690928 | Rachel Anna Kozemko | Specialist/Technologist | 417 Dixie View Rd, Knoxville, TN 37934-2610 | 2019-07-02 |
| 1194283234 | Alyshia Teffeteller | Specialist/Technologist | 1023 Nod St, Knoxville, TN 37932-3716 | 2019-03-07 |
| 1972091593 | Nathan Lee Sommers | Specialist/Technologist | 5636 Davida Rd, Knoxville, TN 37912-3820 | 2018-04-30 |
| 1538698170 | Kaitlin Blankenship | Specialist/Technologist | 6800 Highbank Ln, Knoxville, TN 37938 | 2017-06-07 |
| 1053845800 | Amanda Snow | Specialist/Technologist | 1201 Ashwood Pl, Knoxville, TN 37917-4418 | 2017-04-19 |
| 1346788262 | Veronica Danielle Carmazzi | Specialist/Technologist | 700 E Emerald Ave, Knoxville, TN 37917-5547 | 2017-02-11 |
| 1053645424 | Shannon Lee Lyle | Specialist/Technologist | 1120 E Weisgarber Rd Ste 101, Knoxville, TN 37909-3606 | 2009-10-01 |
| Find all providers in KNOXVILLE | ||||
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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.