CHRISTY PURPERO (NPI# 1851718050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851718050 |
| Entity Type | Individual |
| Full Name | CHRISTY PURPERO |
| Credential | LAT |
| Practice Address |
3811 Spring St Suite 102 Racine WI 53405 |
| Practice Telephone | 2626875838 |
| Practice Fax Number | 2626875895 |
| Mailing Telephone | 2626875838 |
| Mailing Fax Number | 2626875895 |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
837-039 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | STATE OF WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICE | 837-039 | 01 |
| Street Address |
3811 SPRING ST SUITE 102 |
| City | RACINE |
| State | WI |
| Zip Code | 53405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568450211 | Subbanna Jayaprakash | Physical Medicine & Rehabilitation | 3811 Spring St, Suite 301, Racine, WI 53405-1667 | 2005-10-07 |
| 1427475615 | Kayla Mcclure | Specialist/Technologist | 3811 Spring St, Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1023349057 | A.q.khan, M.d., S.c. | Anesthesiology | 3811 Spring St, Racine, WI 53405-1667 | 2010-01-14 |
| 1417146465 | Michael R Torhorst | Pharmacist | 3811 Spring St, Racine, WI 53405-1667 | 2007-10-16 |
| 1992994941 | Gary C Kober | Pharmacist | 3811 Spring St, Racine, WI 53405-1667 | 2007-10-16 |
| 1093921371 | Janice Gaeth | Audiologist | 3811 Spring St, Suite 303, Racine, WI 53405-1667 | 2007-05-15 |
| 1386716843 | Goran Jankovic | Family Medicine | 3811 Spring St, Suite 102, Racine, WI 53405-1667 | 2006-11-13 |
| 1427168475 | Jessica Jean Kasten | Physician Assistant | 3811 Spring St, Suite 201, Racine, WI 53405-1667 | 2006-08-30 |
| 1144239948 | Leigh Pitts | Physician Assistant | 3811 Spring St, Suite 201, Racine, WI 53405-1667 | 2006-08-08 |
| 1033129697 | James Waltenberger | Surgery | 3811 Spring St, Suite 201, Racine, WI 53405-1667 | 2006-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609407923 | Anita Kathy Nykaza | Dietitian, Registered | 3805 A Suite 311, Racine, WI 53405 | 2020-01-27 |
| 1023666062 | Shawn L Drulia | Physician Assistant | 3805 Spring St #320, Racine, WI 53405 | 2019-09-03 |
| 1235627720 | Oxygen One, Inc. | Durable Medical Equipment & Medical Supplies | 3805a Spring Street, Suite 210, Racine, WI 53405 | 2018-04-30 |
| 1356838650 | Melissa Metzger | Psychologist | 2340 Mohr Ave, Racine, WI 53405 | 2018-04-23 |
| 1689029217 | Melissa Ileen Swainston | Nurse Practitioner | 3803 Spring St., Suite Number 410, Racine, WI 53405 | 2016-05-02 |
| 1215305487 | Denetta Lauraelaine Flowers | Licensed Practical Nurse | 4311 Durand Ave., #104, Mt.pleasant, WI 53405 | 2015-09-04 |
| 1841675204 | Colleen Koderca | Registered Nurse | 3317-meachem Rd, Racine, WI 53405 | 2015-07-28 |
| 1790102986 | Georges Wakim | Specialist/Technologist | 3811 Spring St., Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1982021176 | Matthew F Patzke | Specialist/Technologist | 3811 Spring Street Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1073930269 | Jessica Geisler | Specialist/Technologist | 3811 Spring Street Suite #102, Racine, WI 53405 | 2014-03-25 |
| Find all providers in zip 53405 | ||||
| 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 |
|---|---|---|---|---|
| 1407492838 | Anna Christine Vaith | Specialist/Technologist | 10 Oak Ave Ne # 112, Racine, MN 55967-8832 | 2019-11-20 |
| 1780122994 | Ashley Elizabeth Smith | Specialist/Technologist | 5635 Charles St, Racine, WI 53402-1819 | 2017-02-08 |
| 1609254770 | Paige Borst | Specialist/Technologist | 1341 Kentucky St, Racine, WI 53405-2820 | 2015-05-11 |
| 1790102986 | Georges Wakim | Specialist/Technologist | 3811 Spring St., Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1982021176 | Matthew F Patzke | Specialist/Technologist | 3811 Spring Street Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1073930269 | Jessica Geisler | Specialist/Technologist | 3811 Spring Street Suite #102, Racine, WI 53405 | 2014-03-25 |
| 1598785768 | H. Keith Owsley | Specialist/Technologist | 4050 Lighthouse Dr, Racine, WI 53402-3114 | 2006-07-20 |
| 1427475615 | Kayla Mcclure | Specialist/Technologist | 3811 Spring St, Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1336566520 | Callan Curtis | Specialist/Technologist | 3811 Spring Street, Racine, WI 53405 | 2014-03-25 |
| 1063489300 | Troy Robert Gauger | Specialist/Technologist | 1244 Wisconsin Ave, Racine, WI 53403-1987 | 2006-03-07 |
| Find all providers in RACINE | ||||
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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.