TYLER WAITE (NPI# 1972992550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972992550 |
| Entity Type | Individual |
| Full Name | TYLER WAITE |
| Credential | MS, ATC, LAT |
| Practice Address |
800 E Lancaster Ave Jake Nevin Field House Villanova PA 19085-1603 |
| Practice Telephone | 6105195384 |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
RTO000082 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
800 E LANCASTER AVE JAKE NEVIN FIELD HOUSE |
| City | VILLANOVA |
| State | PA |
| Zip Code | 19085-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902870389 | Walter G. List Iv | Specialist/Technologist | 800 E Lancaster Ave, Villanova, PA 19085-1603 | 2006-02-14 |
| 1720691751 | Candice N Post | Psychologist | 800 E Lancaster Ave, Villanova, PA 19085-1478 | 2020-08-28 |
| 1912528241 | Tyme Rodriguez | Psychologist | 800 E Lancaster Ave, Villanova, PA 19085-1603 | 2020-04-28 |
| 1265081236 | Cailey Ryan | Specialist/Technologist | 800 E Lancaster Ave, Villanova, PA 19085-1603 | 2019-09-11 |
| 1497102438 | Edmund Leigh Riccio | Psychologist | 800 E Lancaster Ave, Villanova, PA 19085-1603 | 2016-05-19 |
| 1679939250 | Stacy Marie Carone | Specialist/Technologist | 800 E Lancaster Ave, Davis Center First Floor, Villanova, PA 19085-1603 | 2016-01-12 |
| 1407211469 | Shawn Keane | Specialist/Technologist | 800 E Lancaster Ave, Jake Nevin Fieldhouse, Villanova, PA 19085-1603 | 2015-12-17 |
| 1487034013 | Ty Bigelow | Specialist/Technologist | 800 E Lancaster Ave, Villanova, PA 19085-1603 | 2015-06-09 |
| 1871982488 | Andrew Bodziony | Specialist/Technologist | 800 E Lancaster Ave, Villanova University Sports Medicine, Villanova, PA 19085-1603 | 2015-01-20 |
| 1558791376 | Mary Mcgonigle | Internal Medicine | 800 E Lancaster Ave, Villanova, PA 19085-1603 | 2013-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245668128 | Jacob Kolff | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1125 Bryn Llawn Road, Villanova, PA 19085 | 2013-10-31 |
| 1467721555 | Bruce Freundlich | Internal Medicine | 1252 Lakemont Rd, Villanova, PA 19085 | 2011-12-20 |
| 1710276217 | Eileen Cohler Helzner | Family Medicine | 729 Canterbury Lane, Villanova, PA 19085 | 2011-04-05 |
| 1811213929 | Lauren Ann Kostelnik | Pediatrics | 789 E Lancaster Ave Ste 10, Villanova, PA 19085 | 2010-04-14 |
| 1306004338 | Richard Allen Davis | General Acute Care Hospital | 1238 Meadowbank Rd, Villanova, PA 19085 | 2008-05-27 |
| 1891870788 | Leeann M. Webb | Nurse Practitioner | Nemours Dupont Pediatrics, Villanova, 789 E. Lancaster Ave., Suite 10, Villanova, PA 19085 | 2006-10-26 |
| 1508865304 | Christine S Stanko | Dermatology | 775 E Lancaster Ave Ste 200, Villanova, PA 19085 | 2005-07-14 |
| 1184621930 | Lee A. Bowers | Psychologist | 210 Tower Rd, Villanova, PA 19085 | 2005-07-07 |
| 1457734238 | Amanda Cubbage | Physical Therapist | 734 E Lancaster Ave, Villanova, PA 19085 | 2015-06-30 |
| 1346298601 | Lynn T Williams | Physician Assistant | 775 E Lancaster Ave Ste 200, Villanova, PA 19085 | 2006-05-05 |
| Find all providers in zip 19085 | ||||
| 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 |
|---|---|---|---|---|
| 1902870389 | Walter G. List Iv | Specialist/Technologist | 800 E Lancaster Ave, Villanova, PA 19085-1603 | 2006-02-14 |
| 1265081236 | Cailey Ryan | Specialist/Technologist | 800 E Lancaster Ave, Villanova, PA 19085-1603 | 2019-09-11 |
| 1679939250 | Stacy Marie Carone | Specialist/Technologist | 800 E Lancaster Ave, Davis Center First Floor, Villanova, PA 19085-1603 | 2016-01-12 |
| 1407211469 | Shawn Keane | Specialist/Technologist | 800 E Lancaster Ave, Jake Nevin Fieldhouse, Villanova, PA 19085-1603 | 2015-12-17 |
| 1487034013 | Ty Bigelow | Specialist/Technologist | 800 E Lancaster Ave, Villanova, PA 19085-1603 | 2015-06-09 |
| 1871982488 | Andrew Bodziony | Specialist/Technologist | 800 E Lancaster Ave, Villanova University Sports Medicine, Villanova, PA 19085-1603 | 2015-01-20 |
| 1649551847 | Noelle Maria Hoag | Specialist/Technologist | 734 E Lancaster Ave, Villanova, PA 19085-1325 | 2011-08-31 |
| 1295956027 | John Willard Steele | Specialist/Technologist | 800 E Lancaster Ave, Villanova University, Villanova, PA 19085-1603 | 2007-05-01 |
| 1518923176 | Brett Vanfleet | Specialist/Technologist | 734 E Lancaster Ave, Villanova, PA 19085-1325 | 2006-04-24 |
| 1811963275 | Adam David Edwards | Specialist/Technologist | 800 E Lancaster Ave, Villanova, PA 19085 | 2006-02-27 |
| Find all providers in VILLANOVA | ||||
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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.