DANIELLE DARLENE DERETCHIN (NPI# 1982199360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982199360 |
| Entity Type | Individual |
| Full Name | DANIELLE DARLENE DERETCHIN |
| Credential | ATC |
| Practice Address |
1508 N Thornton Ave Ste 106 Dalton GA 30720 |
| Mailing Address |
6397 Lee Hwy Ste 300 Chattanooga TN 37421-2564 |
| Practice Telephone | 7062260816 |
| Practice Fax Number | 7062269584 |
| Mailing Telephone | 4232387217 |
| Mailing Fax Number | 4233628684 |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT003421 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1508 N THORNTON AVE STE 106 |
| City | DALTON |
| State | GA |
| Zip Code | 30720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003868225 | Independent Physical Therapy of Georgia, LLC | Clinic/Center | 1508 N Thornton Ave Ste 106, Dalton, GA 30720-8516 | 2006-05-16 |
| 1689288540 | Simone Yuds | Physical Therapist | 1508 N Thornton Ave Ste 106, Dalton, GA 30720-8516 | 2020-09-08 |
| 1801411061 | Jessica Nicole Mccabe | Physical Therapist | 1508 N Thornton Ave Ste 106, Dalton, GA 30720-8516 | 2020-06-13 |
| 1326682568 | Chelsea Marie Haas | Physical Therapist | 1508 N Thornton Ave Ste 106, Dalton, GA 30720-8516 | 2019-10-31 |
| 1396209789 | Justin Anthony Henry | Physical Therapist | 1508 N Thornton Ave Ste 106, Dalton, GA 30720-8516 | 2019-01-30 |
| 1457889396 | Michael Robert Petron | Physical Therapist | 1508 N Thornton Ave Ste 106, Dalton, GA 30720-8516 | 2017-05-23 |
| 1245584630 | Tracy Hodges Walker | Physical Therapist | 1508 N Thornton Ave Ste 106, Dalton, GA 30720-8516 | 2012-11-07 |
| 1649586751 | Benchmark Healthcare Services LLC | Clinic/Center | 1508 N Thornton Ave Ste 106, Dalton, GA 30720-8516 | 2010-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688421 | Nighat Purnima Kabir | Student in an Organized Health Care Education/Training Program | Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 | 2020-04-21 |
| 1720620727 | Elizabeth Nicole Gregory | Behavioral Analyst | 1201 Burleyson Rd., Dalton, GA 30720 | 2019-10-10 |
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1588039077 | Katie Walker | Social Worker | 900 Shugart Road, Dalton, GA 30720 | 2015-12-09 |
| 1215310800 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 98 West Walnut Ave, Dalton, GA 30720 | 2015-07-01 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1821439985 | Chantal Aneka Raheeda Lewis | Internal Medicine | 1109 Burleyson Rd Ste 103, Dalton, GA 30720 | 2013-07-17 |
| 1174960678 | Homestead Hospice of Northwest Georgia, LLC | Hospice Care, Community Based | 1601 Hickory Street, Dalton, GA 30720 | 2013-05-24 |
| Find all providers in zip 30720 | ||||
| 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 |
|---|---|---|---|---|
| 1770930265 | Alyssa Gwin | Specialist/Technologist | 500 Smith Ave, Dalton, OH 44618 | 2016-05-16 |
| 1467829911 | Crystal Lynn Clark | Specialist/Technologist | 1500 Manley St, Dalton High School, Dalton, GA 30720-4088 | 2015-08-31 |
| 1437551132 | Emily Stuenzi | Specialist/Technologist | 76 Harris Lane, Dalton, PA 18414 | 2014-09-24 |
| 1841637980 | Audrey Zuercher | Specialist/Technologist | 3567 Wenger Rd S, Dalton, OH 44618-9746 | 2013-05-30 |
| 1427693654 | Ryan Bonanno | Specialist/Technologist | 1225 Broadrick Dr, Dalton, GA 30720-2504 | 2019-11-12 |
| 1356840649 | Stephanie Rynas- Jones | Specialist/Technologist | 1225 Broadrick Dr, Dalton, GA 30720-2504 | 2018-02-01 |
| 1265947915 | Ka'chavis Devonna Huntley | Specialist/Technologist | 508 E Morris St, Dalton, GA 30721-3403 | 2017-12-04 |
| 1831603265 | Emily Skipper | Specialist/Technologist | 1225 Broadrick Dr, Dalton, GA 30720-2504 | 2017-11-21 |
| 1053447078 | Joella Matheny | Specialist/Technologist | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2007-02-26 |
| 1245323047 | Roy Lee Gray | Specialist/Technologist | 1104 Professional Blvd, Dalton, GA 30720-2588 | 2006-10-02 |
| Find all providers in DALTON | ||||
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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.