MATTHEW LOUIS ENNIS (NPI# 1891960837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891960837 |
| Entity Type | Individual |
| Full Name | MATTHEW LOUIS ENNIS |
| Credential | A.T.,C. |
| Practice Address |
5840 26th St W Bradenton FL 34207-3522 |
| Mailing Address |
4104 1st Ave W Bradenton FL 34209-2057 |
| Practice Telephone | 9417525574 |
| Mailing Telephone | 9412388592 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL 796 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5840 26TH ST W |
| City | BRADENTON |
| State | FL |
| Zip Code | 34207-3522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932760543 | Yaima Alba | Dentist | 1602 State Hwy 684 W, Bradenton, FL 34207 | 2019-06-25 |
| 1770069361 | America's Pharmacy LLC. | Pharmacy | 5612 14th St W, Bradenton, FL 34207 | 2018-07-17 |
| 1265817829 | Elizabeth Anne Gross Baumgartner | Nurse Practitioner | 5515 27th St West, Bradenton, FL 34207 | 2015-07-24 |
| 1710152673 | Oasis Temps Health Care, Inc. | Nursing Care | 4814 26th Street West, Unit B, Bradenton, FL 34207 | 2008-04-22 |
| 1669694873 | Comfortable Care Dental Health Professionals, Pa | Dentist | 6513 14th Street West, Suite 131, Bradenton, FL 34207 | 2007-05-03 |
| 1831258524 | Susan Marie Mackey | Counselor | New View Counseling, 4506 26th Street West Suite C, Bradenton, FL 34207 | 2006-12-08 |
| 1073672333 | Debra K Carter | Psychologist | 4835 27th St West, Suite 125, Bradenton, FL 34207 | 2006-12-06 |
| 1033285952 | Neuromuscular Insitutute Inc | Physical Therapist | 4802 26th St West, Suite C, Bradenton, FL 34207 | 2006-11-24 |
| 1346315561 | Judith Rhea Korn | Social Worker | 6108 26th St West, Suite 3b, Bradenton, FL 34207 | 2006-11-22 |
| 1770652018 | Richard Allen Feasley | Dentist | 4418 5th St W, Bradenton, FL 34207 | 2006-11-08 |
| Find all providers in zip 34207 | ||||
| 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 |
|---|---|---|---|---|
| 1710454707 | Mikayla Nicole Owen | Specialist/Technologist | 4504 Useppa Dr, Bradenton, FL 34203-3139 | 2018-10-27 |
| 1316432859 | Denali Marie Schappacher | Specialist/Technologist | 14835 7th Ave E, Bradenton, FL 34212-2903 | 2018-06-27 |
| 1750871174 | Justin Douglas Peters | Specialist/Technologist | 6130 39th Ct E, Bradenton, FL 34203-7002 | 2018-05-10 |
| 1134635063 | Heather Hodges | Specialist/Technologist | 315 41st St W, Bradenton, FL 34209-2943 | 2017-12-14 |
| 1962912881 | Armer Alcorn | Specialist/Technologist | 5650 Bollettieri Blvd, Bradenton, FL 34210 | 2017-10-05 |
| 1902094642 | Christopher Brian Blank | Specialist/Technologist | 5500 Lakewood Ranch Blvd, Bradenton, FL 34211-2100 | 2007-10-09 |
| 1164552295 | Charles John Reda Jr. | Specialist/Technologist | 9511 59th Ave E, Bradenton, FL 34202-9680 | 2007-03-07 |
| 1215033980 | Carl Randolph Randolph | Specialist/Technologist | 1701 27th St E, Bradenton, FL 34208-7831 | 2006-09-16 |
| 1114903853 | Marcus Alan Holliday | Specialist/Technologist | 5500 34th St W, Bradenton, FL 34210-3506 | 2005-12-15 |
| 1750929816 | Kaitlyn Deshaies | Specialist/Technologist | 5500 34th St W, Bradenton, FL 34210-3506 | 2019-12-19 |
| Find all providers in BRADENTON | ||||
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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.