TYLER JORDAN PHILLIPS (NPI# 1932591120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932591120 |
| Entity Type | Individual |
| Full Name | TYLER JORDAN PHILLIPS |
| Credential | ATC |
| Practice Address |
100 E University # 9522 Magnolia AR 71753-2181 |
| Mailing Address |
2909 Highway 229 N Traskwood AR 72167-9181 |
| Practice Telephone | 5014675349 |
| Mailing Telephone | 5014675349 |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912492364 | Tyler Wayne Phillips | Dentist | 305 Sw Pine Island Rd Unit 1, Cape Coral, FL 33991-2044 | 2018-06-28 |
| 1417565904 | Tyler P Phillips | Audiologist | 144 Concord Rd, Knoxville, TN 37934-2901 | 2020-07-21 |
| 1164910592 | Tyler Reed Phillips | Family Medicine | 3500 Nw 56th St Ste 100, Oklahoma City, OK 73112-4517 | 2018-05-01 |
| 1093232969 | Tyler Evan Phillips | Physical Therapist | 100 Loder St Ste 105, Hornell, NY 14843-1957 | 2017-08-23 |
| 1871937649 | Tyler Daniel Phillips | Occupational Therapist | 11623 Arbor St, Omaha, NE 68144-2981 | 2013-04-24 |
| 1154655181 | Tyler Jay Phillips | Anesthesiology | 6801 Park Ter, #300, Los Angeles, CA 90045-1543 | 2009-09-23 |
| Street Address |
100 E UNIVERSITY # 9522 |
| City | MAGNOLIA |
| State | AR |
| Zip Code | 71753-2181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851939862 | Kylie Nokes | Occupational Therapy Assistant | 1403 High School Drive, Magnolia, AR 71753 | 2019-12-20 |
| 1225510266 | Douglas Palmer | Specialist/Technologist | 100 E University St, Magnolia, AR 71753 | 2018-09-06 |
| 1568940781 | Alyssa Scholl | Specialist/Technologist | Msc 8800, Magnolia, AR 71753 | 2018-07-31 |
| 1881141950 | Yuichi Takizawa | Specialist/Technologist | 2212 Lacari Dr., Fox Creek Apt #a1, Magnolia, AR 71753 | 2016-09-07 |
| 1609322981 | Stephen Baldwin Jr. | Specialist/Technologist | 100 E University Msc 9202, Magnolia, AR 71753 | 2016-08-28 |
| 1760830038 | Deborah Ellis | Developmental Therapist | 301 West Calhoun, Magnolia, ARKANSAS 71753 | 2016-05-27 |
| 1053720144 | Alaina Atkinson-murphy | Counselor | 1705 E North St, Magnolia, AR 71753 | 2014-08-04 |
| 1467701250 | Charles P Story | Physical Therapy Assistant | 191 E Columbia # 25, Magnolia, AR 71753 | 2012-09-07 |
| 1043565542 | Magnolia Surgery Center, LLC | Clinic/Center | 25 Columbia Road 47, Magnolia, AR 71753 | 2012-07-20 |
| 1427288232 | Emily Loftin | Physical Therapy Assistant | 310 West Calhoun Road, Magnolia, AR 71753 | 2009-07-15 |
| Find all providers in zip 71753 | ||||
| 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 |
|---|---|---|---|---|
| 1386269157 | Abigail Hughes | Specialist/Technologist | 7944 Cleveland Avenue Se, Magnolia, OH 44643-4464 | 2020-06-08 |
| 1801429618 | Rachel A Adamski | Specialist/Technologist | 420 Gloucester Ave, Magnolia, NJ 08049-1023 | 2020-02-20 |
| 1225510266 | Douglas Palmer | Specialist/Technologist | 100 E University St, Magnolia, AR 71753 | 2018-09-06 |
| 1568940781 | Alyssa Scholl | Specialist/Technologist | Msc 8800, Magnolia, AR 71753 | 2018-07-31 |
| 1982190476 | Jessica Lynne Bates | Specialist/Technologist | 42202 Fm 1774 Rd, Magnolia, TX 77354-4204 | 2018-07-08 |
| 1215479050 | Marcus Bradley Wyatt | Specialist/Technologist | 100 E University # 8800, Magnolia, AR 71753-2181 | 2016-11-10 |
| 1881141950 | Yuichi Takizawa | Specialist/Technologist | 2212 Lacari Dr., Fox Creek Apt #a1, Magnolia, AR 71753 | 2016-09-07 |
| 1609322981 | Stephen Baldwin Jr. | Specialist/Technologist | 100 E University Msc 9202, Magnolia, AR 71753 | 2016-08-28 |
| 1568855245 | Danielle Keyes | Specialist/Technologist | 14350 Fm 1488 Rd, Magnolia, TX 77354-1665 | 2015-03-05 |
| 1699176669 | Michael Overman | Specialist/Technologist | 14250 Fm 1488 Rd, Magnolia, TX 77354-1664 | 2014-09-10 |
| Find all providers in MAGNOLIA | ||||
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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.