KICK SOME MASS (NPI# 1023491354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023491354 |
| Entity Type | Organization |
| Organization Name | KICK SOME MASS |
| Practice Address |
1839 Moorings Cir Middleburg FL 32068-6647 |
| Mailing Address |
331 Parkridge Ave Unit 1 2 3 Orange Park FL 32065-6560 |
| Practice Telephone | 9045890750 |
| Mailing Telephone | 9042724499 |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2015-07-06 |
| Authorized Official Name | JEFFREY ALLYN RUTERBUSCH (OWNER) |
| Authorized Official Telephone | 9045050628 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers | ||
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
OS6403 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1839 MOORINGS CIR |
| City | MIDDLEBURG |
| State | FL |
| Zip Code | 32068-6647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073084174 | Christopher Littles | Technician | 3122 Angora Bay Dr, Middleburg, FL 32068 | 2018-12-16 |
| 1730685157 | Children's Express Care Clinic | Pediatrics | 430 College Drive, Suite 100-102, Middleburg, FL 32068 | 2018-04-04 |
| 1588162762 | Lp Sw Jacksonville, LLC | Skilled Nursing Facility | 1280 Henley Road, Middleburg, FL 32068 | 2018-01-23 |
| 1396264982 | Michael Jessie Visita Roberts | Physical Therapy Assistant | 1648 St. Vincents Way, 100b, Middleburg, FL 32068 | 2017-09-14 |
| 1093239915 | Kevia Hart | In Home Supportive Care | 2718 Tina Lane, Middleburg, FL 32068 | 2017-08-02 |
| 1366899825 | Serena Burr | Midwife | 1986 Friendly Pl, Middleburg, FL 32068 | 2016-05-15 |
| 1932573672 | Jamie Dietrich | Physical Therapist | 2583-3 County Road 220, Middleburg, FL 32068 | 2015-11-18 |
| 1154791614 | Katherine Wenger | Physical Therapist | 2580-3 Country Road 220, Suite 3, Middleburg, FL 32068 | 2015-09-28 |
| 1699024240 | Amanda Copeland | Speech-Language Pathologist | 2823 Woodstone Dr., Middleburg, FL 32068 | 2012-08-29 |
| 1194089243 | Good Samaritan Home Companion Services, Inc. | In Home Supportive Care | 3689 Main Street, Middleburg, FL 32068 | 2012-07-03 |
| Find all providers in zip 32068 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295372027 | Wholehealth Physical Therapy, LLC | Physical Medicine & Rehabilitation | 21123 Via Ventura, Boca Raton, FL 33433-2230 | 2019-11-27 |
| 1306404843 | Gregory Carvajal | Physical Medicine & Rehabilitation | 3425 Nw 180th St, Miami Gardens, FL 33056-3429 | 2019-05-30 |
| 1871059196 | Michaela Moran | Physical Medicine & Rehabilitation | 2750 John Prom Blvd, Jacksonville, FL 32246-3921 | 2019-02-11 |
| 1194298216 | Courtney Quinn | Physical Medicine & Rehabilitation | 6233 Royal Tern St, Orlando, FL 32810-6085 | 2019-01-11 |
| 1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
| 1376023481 | Michelle L Stinehelfer | Physical Medicine & Rehabilitation | 1418 East Bloomingdale Avenue, Valrico, FL 33596 | 2018-08-17 |
| 1942715255 | Michael Clark | Physical Medicine & Rehabilitation | 10600 Riverside Drive, Coral Springs, FL 33071-3307 | 2017-12-08 |
| 1003266537 | Christiana Marron | Physical Medicine & Rehabilitation | 800 E Broward Blvd Ste 102, Fort Lauderdale, FL 33301-2020 | 2016-06-15 |
| 1780046177 | Shawn Darmond Homans | Physical Medicine & Rehabilitation | 13539 N Florida Ave, Tampa, FL 33613-3203 | 2016-03-24 |
| 1376933507 | Jessica Benshoshan | Physical Medicine & Rehabilitation | 6251 Palm Trace Landings Dr, Apt # 113, Davie, FL 33314-1841 | 2015-01-26 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLEBURG |
| Zip Code | 32068 |
Please comment or provide details below to improve the information on KICK SOME MASS.
| 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.