STEPHEN WALTERSDORF (NPI# 1851783468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851783468 |
| Entity Type | Individual |
| Full Name | STEPHEN WALTERSDORF |
| Credential | MS, AT, ATC |
| Practice Address |
2526 Sandwedge Ln Pinckney MI 48169 |
| Mailing Address |
2526 Sandwedge Ln Pinckney MI 48169-9185 |
| Practice Telephone | 7344740610 |
| Mailing Telephone | 7344740610 |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2018-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2526 SANDWEDGE LN |
| City | PINCKNEY |
| State | MI |
| Zip Code | 48169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043777451 | Karli Denise Proctor | Behavior Technician | 9520 Bluewater Dr, Pinckney, MI 48169 | 2019-02-22 |
| 1710474812 | Linda Ann Jensen | Occupational Therapist | 644 S Howell, Pinckney, MI 48169 | 2018-04-16 |
| 1003335316 | Sharon Marie Mcphail | Occupational Therapy Assistant | 664 Howell St., Pinckney, MI 48169 | 2017-09-18 |
| 1497271647 | Victoria Joanne Seal | Occupational Therapist | 664 Howell St, Pinckney, MI 48169 | 2017-08-19 |
| 1093164394 | Derek Robison | Dentist | 1245 East Main Street, Pinckney, MI 48169 | 2016-06-07 |
| 1851663447 | Maija Marika Reisterer | Behavioral Analyst | 9520 Bluewater Dr., Pinckney, MI 48169 | 2012-01-30 |
| 1477863132 | Birch Ann Farkas Paffenbarger | Chiropractor | 2022 Rush Lake Rd, Pinckney, MI 48169 | 2010-10-15 |
| 1447575857 | Joanne Dodick | Social Worker | 9520 Bluewater Drive, Pinckney, MI 48169 | 2010-03-30 |
| 1407993546 | William Stevenson | Dentist | 1243 East Main Street, Pinckney, MI 48169 | 2007-01-30 |
| 1891848289 | John Shamraj | Dentist | 1243 E Main St, Pinckney, MI 48169 | 2007-01-19 |
| Find all providers in zip 48169 | ||||
| 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 |
|---|---|---|---|---|
| 1477167583 | Savannah Roberts | Specialist/Technologist | 9710 Portage Lake Ave, Pinckney, MI 48169-9449 | 2020-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467052027 | Brianna Redmond | Specialist/Technologist | 2145 Sunset Ln, Saginaw, MI 48604-2443 | 2020-10-31 |
| 1386243913 | Carrie A Lindsay | Specialist/Technologist | 4761 Highland Rd, Waterford, MI 48328-1178 | 2020-10-24 |
| 1528667128 | Bethany Lynn York | Specialist/Technologist | 1461 Crest Rd, Gladwin, MI 48624-7606 | 2020-10-23 |
| 1255930962 | Benjamin Foddrill | Specialist/Technologist | 7380 Clearview Dr, Caledonia, MI 49316-9309 | 2020-10-22 |
| 1427656040 | Travis Zaborowski | Specialist/Technologist | 2412 W 4th Ave, Sault Sainte Marie, MI 49783-1212 | 2020-10-15 |
| 1730787912 | Batoul Kassem | Specialist/Technologist | 6045 Steadman St, Dearborn, MI 48126-2052 | 2020-10-11 |
| 1801493697 | Janelle Dorsey | Specialist/Technologist | 24311 Ithaca St, Oak Park, MI 48237-1788 | 2020-10-05 |
| 1194332379 | Bryan Keith Baines Sr. | Specialist/Technologist | 4333 John R Rd, Troy, MI 48085-3681 | 2020-09-30 |
| 1205443553 | Emma Weber | Specialist/Technologist | 7776 Percheron St, Kalamazoo, MI 49009-5990 | 2020-09-29 |
| 1295342616 | Margaret Ann Gilbeau | Specialist/Technologist | 38051 Metro Villa Dr Unit 114f, Harrison Township, MI 48045-3553 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
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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.