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Active NPI 1285149161 Individual Practitioner Male Practitioner

Samuel Joseph Stukenborg

Specialist/Technologist - Athletic Trainer • Memphis, TN

Professional Overview & Biography Verified Profile Summary

Samuel Stukenborg is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Memphis, TN. Practice services are available at 5900 WALNUT GROVE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5900 Walnut Grove Rd

Memphis, TN 381202104

Telephone 9012644900

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Memphis, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
33 Specialists

Practicing in Memphis, TN (856 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License TN 2298

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
D Scruggs , ATC, CSCS

Specialist/Technologist - Athletic Trainer

NPI 1811042658

Certified Athletic Trainer, Certified Strength and Conditioning Specialist

Chris Attaway , ATC

Specialist/Technologist - Athletic Trainer

NPI 1881946127

Certified Athletic Trainer

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 13, 2017

Registered at 5900 WALNUT GROVE RD, MEMPHIS, TN 381202104 (Tel: 9012644900)

📍
Updated Business Mailing Address December 13, 2017

Registered at 5900 WALNUT GROVE RD, MEMPHIS, TN 381202104

👤
Provider Name / Credentials Updated December 13, 2017

Recorded as SAMUEL STUKENBORG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2017

Specialist/Technologist (License #2298 in TN)

🟢
Initial NPI Registration & Enumeration December 13, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285149161
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2017
Last Update: December 13, 2017
Sole Proprietor: Yes

Mailing Address

5900 Walnut Grove Rd

Memphis, TN 381202104

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.