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John Vipperman , ATC

Specialist/Technologist - Athletic Trainer β€’ Olney, MD

Active NPI 1134570898 Individual Practitioner Male Practitioner
Practice location in NPPES

18109 Prince Philip Dr
Olney, MD 20832

Call 3017748882 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

18109 Prince Philip Dr

Olney, MD 20832

Telephone 3017748882
Organization at the Same NPPES Address or Phone
Drs Mennitt & Daly, Pa Facility NPI 1154369569

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Mechanicsburg, PA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Olney and Maryland

4 active clinicians are listed under Specialist/Technologist - Athletic Trainer with a practice address in Olney, MD (713 in Maryland).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Maryland Board of Physicians.
Look Up on State Board Site

Secondary Practice Locations

406 Sioux Dr

Mechanicsburg, PA 170502567

Phone: 7179759739

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

22 listed
Rosemary Akinkunle , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1538778717

NURSEPRACTITIONER

Aryn Bereznay , PA-C

Physician Assistant

NPI 1376721563

Physician Assistant (Certified)

Dr. Colin Bonhag , DO

Internal Medicine

NPI 1114554854

Doctor of Osteopathic Medicine (D.O.)

Dr. Kendall Brown , MD

Internal Medicine

NPI 1689170714

Doctor of Medicine (M.D.)

Dr. Jihoon Choi , MD

Internal Medicine - Hematology & Oncology

NPI 1194285270

Doctor of Medicine (M.D.)

NPI 1235505611

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location July 11, 2018

Registered at 18109 PRINCE PHILIP DR, OLNEY, MD 20832 (Tel: 3017748882)

πŸ“
Updated Business Mailing Address July 11, 2018

Registered at 15030 KENWOOD CT, WOODBINE, MD 217978300

πŸ‘€
Provider Name / Credentials Updated July 11, 2018

Recorded as JOHN VIPPERMAN, ATC

βœ…
NPI Profile Active June 23, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 23, 2016

Registered at 406 SIOUX DR, MECHANICSBURG, PA 170502567 (Tel: 7179759739)

πŸ“
Business Mailing Address (Initial Record) June 23, 2016

Registered at 406 SIOUX DR, MECHANICSBURG, PA 170502567

πŸ‘€
Provider Name / Credentials (Initial Record) June 23, 2016

Recorded as JOHN VIPPERMAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2016

Specialist/Technologist

🟒
Initial NPI Registration & Enumeration June 23, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1134570898
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2016
Last Update: July 11, 2018
Sole Proprietor: No

Mailing Address

15030 Kenwood Ct

Woodbine, MD 217978300

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.