MR. COREY M RIDLEY (NPI# 1922410786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922410786 |
| Entity Type | Individual |
| Full Name | MR. COREY M RIDLEY |
| Credential | ATC |
| Practice Address |
77 Bates St Suite 201 Lewiston ME 04240-7637 |
| Mailing Address |
266 Paris Rd Hebron ME 04238-3414 |
| Practice Telephone | 2077958465 |
| Mailing Telephone | 2072122185 |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2016-03-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT203 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
77 BATES ST SUITE 201 |
| City | LEWISTON |
| State | ME |
| Zip Code | 04240-7637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952385171 | John F Lewandowski | Internal Medicine | 77 Bates St, Suite 202, Lewiston, ME 04240-7637 | 2005-12-01 |
| 1003306556 | Sarah Mclintock | Physical Therapist | 77 Bates St, Lewiston, ME 04240-7637 | 2018-05-10 |
| 1871916411 | Cody Lapointe | Occupational Therapist | 77 Bates St, Suite 774, Lewiston, ME 04240-7637 | 2014-02-03 |
| 1184979247 | Raymond Rivera | Physical Therapist | 77 Bates St, Ste. 201, Lewiston, ME 04240-7637 | 2012-07-16 |
| 1861747933 | Christine Draves York | Occupational Therapist | 77 Bates St, Ste. 201, Lewiston, ME 04240-7637 | 2012-07-16 |
| 1134483605 | Kathleen Bidwell | Physical Therapist | 77 Bates St, Ste/ 201, Lewiston, ME 04240-7637 | 2012-06-29 |
| 1265794655 | Spectrum Medical Group, P.a. | Physical Medicine & Rehabilitation | 77 Bates St, Suite 102, Lewiston, ME 04240-7637 | 2012-06-12 |
| 1962798611 | Thomas Sloan Hoke | Family Medicine | 77 Bates St, Ste 201, Lewiston, ME 04240 | 2011-06-21 |
| 1275837270 | Allison Maria Gagnon | Physician Assistant | 77 Bates St, Suite 103, Lewiston, ME 04240-7637 | 2011-01-05 |
| 1346577434 | Stephen Williams | Pain Medicine | 77 Bates St, Ste. 101, Lewiston, ME 04240-7637 | 2009-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
| 1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
| 1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
| 1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
| 1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
| 1609398544 | Lindsey Laforge | Occupational Therapist | 984 1/2 Sabattus Street, Lewiston, ME 04240 | 2017-07-12 |
| 1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
| 1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
| Find all providers in zip 04240 | ||||
| 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 |
|---|---|---|---|---|
| 1720632805 | Lincoln Carter | Specialist/Technologist | 723 Preston Ave Apt F, Lewiston, ID 83501-4648 | 2019-07-28 |
| 1215429535 | Shayla Rae Laney | Specialist/Technologist | 1117 17th St, Lewiston, ID 83501-3059 | 2018-06-01 |
| 1861914715 | Brianna Lajoie | Specialist/Technologist | 16 Bolduc St, Lewiston, ME 04240-5712 | 2017-07-12 |
| 1831455351 | Kelsey Sadowski | Specialist/Technologist | 907 Stewart Ave, Lewiston, ID 83501-4711 | 2012-04-10 |
| 1902172141 | Tracy Ann Collins | Specialist/Technologist | 621 19th Ave, Lewiston, ID 83501-3893 | 2012-03-30 |
| 1578705810 | Carol R Becker | Specialist/Technologist | 5795 Lewiston Rd, Lewiston, NY 14092-2152 | 2009-04-01 |
| 1912962952 | Michael Normand Verville | Specialist/Technologist | Bates College, 130 Central Ave., Alumni Gymnasium, Lewiston, ME 04240 | 2006-04-20 |
| 1770548018 | Jennifer Diane Collins | Specialist/Technologist | 130 Central Ave, Bates College Department of Athletics, Lewiston, ME 04240-6042 | 2006-04-19 |
| 1801855440 | Shannon D Campbell | Specialist/Technologist | 1114 9th Ave, Lewiston, ID 83501-2659 | 2006-03-22 |
| 1023002243 | Thomas Stephen Bourdon | Specialist/Technologist | 190 Birch St, Lewiston, ME 04240-6408 | 2005-09-02 |
| Find all providers in LEWISTON | ||||
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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.