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DEREK RAYNES MS ATC PES CFCE NPI 1770035594


NPI Information

NPI: 1770035594
Provider Name: DEREK RAYNES, MS, ATC, PES, CFCE
Classification: Specialist/Technologist - 2255A2300X
Entity Type: Individual

Specialization: Athletic Trainer

Address:
5510 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304
Phone: (304) 720-5433
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Derek Raynes, MS, ATC, PES, CFCE is an athletic trainer specialist technologist in Charleston, WV. The provider is 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. Derek Raynes, MS, ATC, PES, CFCE NPI is 1770035594. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5510 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304-320
Phone: (304) 720-5433

The enumeration date for this NPI number is 10/27/2016 and was last updated on 10/27/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12255A2300XSpecialist/TechnologistAthletic TrainerAT001306WEST VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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