JAMES R BEVERSDORF LAT, CSCS, PES - NPI 1073508743 - Specialist/Technologist in Green Bay, WI

Q: What is James Beversdorf's NPI number?

The NPI number for James Beversdorf is 1073508743. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Q: What is James Beversdorf's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for James Beversdorf was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About James R Beversdorf Lat, Cscs, Pes NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES R BEVERSDORF LAT, CSCS, PES (NPI 1073508743) is an individual athletic trainer provider in Green Bay, Wisconsin, licensed in Wisconsin (24-039) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1073508743

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameJAMES R BEVERSDORFCredential: LAT, CSCS, PES

Location Address215 N WEBSTER AVEGreen Bay, WI 54301-4813

Mailing Address1330 Packerland Dr, Apt. B-3Green Bay, WI 54304-1388 · (920) 405-0872

Phone(920) 430-4750

Sole ProprietorNo

Enumeration DateSeptember 19, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1073508743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in WI · 24-039

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.

215 N WEBSTER AVE, Green Bay, WI 54301

Open in Google Maps ↗