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).
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 |
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 |
Street Address |
7723 CHAMBERS CREEK RD W |
City | TACOMA |
State | WA |
Zip Code | 98467-2017 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Find all providers in zip 98467 |
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 |
---|---|---|---|---|
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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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.