ERIC WILLIAM BORNHOLDT (NPI# 1932628617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932628617 |
| Entity Type | Individual |
| Full Name | ERIC WILLIAM BORNHOLDT |
| Credential | ATC |
| Practice Address |
725 University Blvd Beavercreek OH 45324-2640 |
| Mailing Address |
2446 Heather Glen Dr #4 Beavercreek OH 45431 |
| Practice Telephone | 9372457550 |
| Practice Fax Number | 9374250736 |
| Mailing Telephone | 5072729602 |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2017-09-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL4599 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
725 UNIVERSITY BLVD |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45324-2640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538794953 | Caleb Norton | Physical Therapist | 725 University Blvd, Beavercreek, OH 45324-2640 | 2020-03-05 |
| 1346707379 | Bryan Michael Dooley | Physician Assistant | 725 University Blvd, Beavercreek, OH 45324-2640 | 2019-02-26 |
| 1336627041 | Wade Stewart Rice | Physical Therapist | 725 University Blvd, Beavercreek, OH 45324 | 2018-08-03 |
| 1568955300 | Elizabeth Joan Usedom | Dermatology | 725 University Blvd, Beavercreek, OH 45324-2640 | 2018-06-06 |
| 1649768334 | Accelerated Rehabilitation Centers Ltd | Occupational Therapist | 725 University Blvd, Beavercreek, OH 45324-2640 | 2018-04-27 |
| 1174036008 | Brianna Lee Albers | Specialist/Technologist | 725 University Blvd, Beavercreek, OH 45324-2640 | 2017-11-14 |
| 1174059109 | Patrick Veerkamp | Student in an Organized Health Care Education/Training Program | 725 University Blvd, Beavercreek, OH 45324-2640 | 2017-05-11 |
| 1063948438 | Clayton Douglas Conner | Student in an Organized Health Care Education/Training Program | 725 University Blvd, Beavercreek, OH 45324 | 2017-05-04 |
| 1801258397 | Keith Michael Reisinger-kindle | Obstetrics & Gynecology | 725 University Blvd, Beavercreek, OH 45324-2640 | 2016-03-23 |
| 1316314925 | Samantha Jack | Physician Assistant | 725 University Blvd, Beavercreek, OH 45324-2640 | 2015-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023647591 | Michael Hubbell | Student in an Organized Health Care Education/Training Program | 2555 University Blvd., Fairborn, OH 45324 | 2020-04-06 |
| 1982243382 | Wickshire Fairborn Opco LLC | Assisted Living Facility | 2270 Park Hills Drive, Fairborn, OH 45324 | 2020-01-02 |
| 1104301654 | Sophia Alridge | Counselor | 594 East Dayton Yellow Springs Road, Fairborn, OH 45324 | 2018-10-01 |
| 1750863189 | Sydney Bowser | Behavior Technician | 1750 Commerce Center Blvd., Fairborn, OH 45324 | 2018-09-01 |
| 1710406798 | Chester Cashmir Torkornoo | Dentist | 3989 Colonel Glenn Hwy A, Fairborn, OH 45324 | 2017-09-11 |
| 1245772375 | Ranada LLC | Health Maintenance Organization | 17 Vanderbilt Drive Apt G, Fairborn, OH 45324 | 2016-11-07 |
| 1194277582 | Derrick Bark | Specialist/Technologist | 85 Old Yellow Springs Rd, Fairborn, OH 45324 | 2016-11-01 |
| 1326592635 | Sheena Elizabeth Geoghegan | Student in an Organized Health Care Education/Training Program | 725 Univerisity Blvd., Wright State Physicians, Fairborn, OH 45324 | 2016-08-04 |
| 1912360199 | Tarah Heath | Occupational Therapist | 2498 Dayton, Beavercreek, OH 45324 | 2016-04-04 |
| 1255706339 | Cierra Jackson | Counselor | 1560 Calder Ct, Fairborn, OH 45324 | 2015-12-01 |
| Find all providers in zip 45324 | ||||
| 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 |
|---|---|---|---|---|
| 1972162659 | Emily Kay Galloway | Specialist/Technologist | 2732 Lorrie Dr, Beavercreek, OH 45434-6443 | 2019-06-06 |
| 1225556038 | Brooke Michele Aveyard | Specialist/Technologist | 4429 Longmeadow Ln, Beavercreek, OH 45430-1864 | 2017-08-31 |
| 1578087870 | James Daniel Isaacs | Specialist/Technologist | 2939 Sunny Dr, Beavercreek, OH 45434-6333 | 2017-07-28 |
| 1649702473 | Zach Zwiesler | Specialist/Technologist | 55 Apple Blossom Pl, Beavercreek, OH 45440-3207 | 2017-03-30 |
| 1245782630 | Tracey Watkins | Specialist/Technologist | 3773 Highmont St, Beavercreek, OH 45432-3929 | 2016-11-01 |
| 1033661087 | Elizabeth Ann Larson | Specialist/Technologist | 1701 Forestdale Ave, Beavercreek, OH 45432-3913 | 2016-10-25 |
| 1215488457 | David Taylor | Specialist/Technologist | 1879 Scotch Pine Dr, Beavercreek, OH 45432-1855 | 2016-10-24 |
| 1013468560 | Abby Hergenrather | Specialist/Technologist | 4178 Middlebrook Dr, Beavercreek, OH 45440-3312 | 2016-10-19 |
| 1396102695 | Brian Wheeler | Specialist/Technologist | 735 Belauto Ct, Apt A, Beavercreek, OH 45430-1774 | 2016-01-19 |
| 1851758155 | Sarah Stauffer | Specialist/Technologist | 2300 Pine Knott Dr, Beavercreek, OH 45431-2679 | 2016-01-19 |
| Find all providers in BEAVERCREEK | ||||
| City | BEAVERCREEK |
| Zip Code | 45324 |
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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.