NICOLE A DEVLIEGER


Address: 4539 S Dale Mabry Hwy Ste 110, Tampa, FL 33611
Phone: 8132501208

NICOLE A DEVLIEGER (NPI# 1033654843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033654843
Entity Type Individual
Full Name NICOLE A DEVLIEGER
Practice Address 4539 S Dale Mabry Hwy Ste 110
Tampa
FL 33611
Mailing Address 11526 Leda Ln
New Port Richey
FL 34654-6237
Practice Telephone 8132501208
Mailing Telephone 7272650995
Enumeration Date 2017-01-03
Last Update Date 2019-08-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
AL4899 FL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PHONE 7272650995 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
4325 Seagull Dr, New Port Richey, FL 346522006 7272650995

Office Location

Street Address 4539 S DALE MABRY HWY STE 110
City TAMPA
State FL
Zip Code 33611

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982262069 Tyler Eisenbacher Physical Therapist 4539 S Dale Mabry Hwy Ste 110, Tampa, FL 33611-1404 2019-06-03
1134785280 Jillian Surridge Physical Therapist 4539 S Dale Mabry Hwy Ste 110, Tampa, FL 33611-1404 2019-05-14
1508348640 James Francis Haughney IIi Physical Therapist 4539 S Dale Mabry Hwy Ste 110, Tampa, FL 33611-1404 2018-09-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912519224 Health & Glow Primary Care & Med Spa LLC Internal Medicine 4331 S Manhattan Ave, Tampa, FL 33611 2020-08-18
1245867597 Susannah M Bultron Home Health 1663 Williambrg Sq, 1663 Williambrg Sq, Tampa, FL 33611 2020-03-26
1265077499 Jenna Davis Counselor 4517 S Shamrock Rd, Tampa, FL 33611 2019-11-12
1023585114 Samantha Lee Hamlin Dietitian, Registered 4003 S West Shore Blvd, Apt 4810, Tampa, FL 33611 2018-10-27
1023502572 Sunset Chiropractic P.a. Chiropractor 3826 South Dale Mabry Hwy, South Tampa, FL 33611 2018-06-19
1740633064 Charles Lindsey Case Manager/Care Coordinator 5215 South Westshore Blvd. #31, Tampa, FL 33611 2016-07-21
1699145078 Sarah Milam Physical Therapist 3111 W.martin Luther King Jr Blvd, Suite # 500, Tampa, FL 33611 2015-09-29
1912399163 Robert Robertson Pharmacist 4317 Gandy Blvd, Tampa, FL 33611 2015-02-25
1730514225 Charles Samuel Mahan Obstetrics & Gynecology 3111 E. Fletcher Av., Tampa, FL 33611 2013-09-04
1518217850 Sicily George Case Manager/Care Coordinator 4815 W. Bayvilla Avenue, Tampa, FL 33611 2012-09-13
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy 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.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740889377 Ryan Michael Hill Specialist/Technologist 314 S Habana Ave, Tampa, FL 33609-3223 2020-10-24
1225643240 Megan Marisa Fox Specialist/Technologist 5803 Marta Dr, Tampa, FL 33617-1125 2020-09-15
1053929240 Aldenceise Smith Specialist/Technologist 3320 W Napoleon Ave, Tampa, FL 33611-5407 2020-07-14
1245854173 Merlande Felizor Specialist/Technologist 9320 Crescent Loop Cir Apt 310, Tampa, FL 33619-7651 2020-06-06
1003435603 Jose Guzman-ramos Specialist/Technologist 3602 Data Dr Apt 101, Tampa, FL 33613-2792 2020-04-13
1437778255 Ai Ai La Specialist/Technologist 6406 W Paris St, Tampa, FL 33634-5009 2020-04-12
1760016489 Francis L Johnson IIi Specialist/Technologist 7201 Sheldon Rd, Tampa, FL 33615-2328 2020-03-03
1295369916 Skylar Jo Stevens Specialist/Technologist 5000 S Himes Ave Apt 312, Tampa, FL 33611-3675 2020-03-03
1174156400 Jessica Styles Specialist/Technologist The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 2020-02-14
1902449234 Kendra Richardson Specialist/Technologist 4541 S Dale Mabry Hwy Ste 200, Tampa, FL 33611-1407 2019-10-18
Find all providers in TAMPA

Competitor

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City TAMPA
Zip Code 33611

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Dataset Information

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.

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