MR. TIM EARL RUBOTTOM I


Address: 7723 Chambers Creek Rd W, Tacoma, WA 98467-2017
Phone: 2536208300

MR. TIM EARL RUBOTTOM I (NPI# 1952896391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952896391
Entity Type Individual
Full Name MR. TIM EARL RUBOTTOM I
Credential ATC
Practice Address 7723 Chambers Creek Rd W
Tacoma
WA 98467-2017
Practice Telephone 2536208300
Mailing Telephone 2536208300
Enumeration Date 2018-06-28
Last Update Date 2018-06-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
A160033472 WA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 7723 CHAMBERS CREEK RD W
City TACOMA
State WA
Zip Code 98467-2017

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1689218927 Juliette Gallardo-zamora Behavioral Analyst 5915 Orchard St. W, Tacoma, WA 98467 2019-10-30
1306310925 Nancy Rubi Rosas Rodriguez Counselor 5915 Orchard St W., Tacoma, WA 98467 2019-01-16
1801309091 Penny L Crawford Registered Nurse 5424 57th Ave Ct. W., G8, University Place, WA 98467 2017-11-09
1316465578 C.f. Bridgeport, LLC Assisted Living Facility 5250 Bridgeport Way W., University Place, WA 98467 2017-09-07
1265950422 University Place Rehabilitation Center, LLC Skilled Nursing Facility 5520 Bridgeport Way W., University Place, WA 98467 2017-09-07
1689127037 Rachel Ann Cruz Counselor 5915 Orcahrd St W, Tacoma, WA 98467 2016-08-02
1396099313 Ryan Jack Holbrook Massage Therapist 6915 Lakewood Dr W Unit A2, Tacoma, WA 98467 2012-10-29
1740519701 Laura Jean Hubert Physical Therapist 5520 Bridgeport Way, University Place, WA 98467 2009-12-21
1437395548 Karen Marie Noyes Occupational Therapy Assistant 5520 Bridgeport Way West, University Place, WA 98467 2008-12-18
1770751083 Orchard Medical Clinic Internal Medicine 5320 Orchard St W, University Place, WA 98467 2008-02-20
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407482755 Audrey Ebert Specialist/Technologist 4215 S 30th St Apt G245, Tacoma, WA 98409-3272 2020-03-19
1790339877 Tristan Jess Turner Specialist/Technologist 2516 Mccarver St, Tacoma, WA 98403-3022 2019-07-28
1174177257 Luana Marjorie Williams Specialist/Technologist 720 Violet Meadow St S, Tacoma, WA 98444-3236 2019-07-28
1538520242 Seth Miller Specialist/Technologist 5006 Center St Ste P, Tacoma, WA 98409-2314 2016-03-09
1336557784 Anna Fukunaga Specialist/Technologist Pacific Lutheran University, Department of Athletics, Tacoma, WA 98447-0001 2014-07-29
1346516630 Erin Marie Pugh Specialist/Technologist 4316 S 41st St, #4, Tacoma, WA 98409-2164 2012-03-30
1750668141 Jason R Berglund Specialist/Technologist 6050 Tacoma Mall Blvd Ste 300, Tacoma, WA 98409-6828 2011-11-14
1568756245 Denise Renee Lopez Specialist/Technologist 140 115th St E, Tacoma, WA 98445-1714 2011-05-31
1275726796 Patricia Lee Walker Specialist/Technologist 3826 Nassau Ave Ne, Tacoma, WA 98422-2242 2007-08-20
1396862546 Erin Rebecca Rutledge Specialist/Technologist 409 119th St S, Tacoma, WA 98444-5209 2007-03-23
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City TACOMA
Zip Code 98467

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Dataset Information

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.

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