KELLY QUACKENBUSH


Address: 5500 34th St W, Bradenton, FL 34210-3506
Phone: 9417397476

KELLY QUACKENBUSH (NPI# 1083189674) 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) 1083189674
Entity Type Individual
Full Name KELLY QUACKENBUSH
Practice Address 5500 34th St W
Bradenton
FL 34210-3506
Mailing Address 22830 Collridge Dr
Land O Lakes
FL 34639-4075
Practice Telephone 9417397476
Enumeration Date 2018-10-10
Last Update Date 2018-10-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
AL3807 FL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers KELLY QUACKENBUSH

NPI Name Taxonomy Address Enumeration
1427349067 Kelly Darling Quackenbush Occupational Therapy Assistant 379 Pinehaven Street Ext, Laurens, SC 29360-2672 2011-05-01

Office Location

Street Address 5500 34TH ST W
City BRADENTON
State FL
Zip Code 34210-3506

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114903853 Marcus Alan Holliday Specialist/Technologist 5500 34th St W, Bradenton, FL 34210-3506 2005-12-15
1750929816 Kaitlyn Deshaies Specialist/Technologist 5500 34th St W, Bradenton, FL 34210-3506 2019-12-19
1013553403 Clayton W Hanson Physical Medicine & Rehabilitation 5500 34th St W, Bradenton, FL 34210-3506 2019-11-21
1841836202 Krysthian Ramos Specialist/Technologist 5500 34th St W, Bradenton, FL 34210-3506 2019-11-20
1003385980 Monica Kimmel Specialist/Technologist 5500 34th St W, Bradenton, FL 34210-3506 2018-11-20
1629544424 Matthew White Specialist/Technologist 5500 34th St W, Bradenton, FL 34210-3506 2018-10-18
1245705854 Benjamin Dixon Wood Specialist/Technologist 5500 34th St W, Bradenton, FL 34210-3506 2018-10-10
1689045858 New York Society for The Relief of The Ruptured and Crippled Physical Therapist 5500 34th St W, Bradenton, FL 34210-3506 2015-10-14
1265818587 Alyssa Grell Specialist/Technologist 5500 34th St W, Bradenton, FL 34210-3506 2015-08-10
1679981617 Andre Pierre Washington Specialist/Technologist 5500 34th St W, Bradenton, FL 34210-3506 2014-07-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407337512 Global Therapy and Wellness, Pllc Social Worker 6112 45th Street West, Bradenton, FL 34210 2018-08-27
1962912881 Armer Alcorn Specialist/Technologist 5650 Bollettieri Blvd, Bradenton, FL 34210 2017-10-05
1053779611 Therapeutic Lifestyle Solutions LLC Occupational Therapist 4702 Cortez Road, W Bradenton, FL 34210 2016-02-10
1831568344 Alignment Healthcare Florida LLC Clinic/Center 3501 Cortez Rd. West, Jacksonville, FL 34210 2015-09-15
1659758910 Vinai Artyamsoal Obstetrics & Gynecology 3633 Cortez Road West, Unit B-3, Bradenton, FL 34210 2015-05-06
1922355957 Florida Medical Specialists Dermatology 4351 Cortez Rd W, Suite 101, Bradenton, FL 34210 2012-08-09
1386943728 Valerie A Valle Psychologist 5650 Bollettieir Blvd, Bradenton, FL 34210 2011-03-24
1881899938 Genevieve Duremdez Flexicare Physical Therapy Physical Therapist 3701 54th Dr. W. Bldg. M-101, Bradenton, FL 34210 2007-06-19
1194843623 Steve C Hannan Pharmacist 4400 75th St. W., Bradenton, FL 34210 2007-03-26
1881761153 Ruth Sidonie Cohn Eisner Psychiatry & Neurology 3639 Cortez Rd W Suite 108, Bradenton, FL 34210 2006-11-29
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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
1710454707 Mikayla Nicole Owen Specialist/Technologist 4504 Useppa Dr, Bradenton, FL 34203-3139 2018-10-27
1316432859 Denali Marie Schappacher Specialist/Technologist 14835 7th Ave E, Bradenton, FL 34212-2903 2018-06-27
1750871174 Justin Douglas Peters Specialist/Technologist 6130 39th Ct E, Bradenton, FL 34203-7002 2018-05-10
1134635063 Heather Hodges Specialist/Technologist 315 41st St W, Bradenton, FL 34209-2943 2017-12-14
1962912881 Armer Alcorn Specialist/Technologist 5650 Bollettieri Blvd, Bradenton, FL 34210 2017-10-05
1891960837 Matthew Louis Ennis Specialist/Technologist 5840 26th St W, Bradenton, FL 34207-3522 2008-04-29
1902094642 Christopher Brian Blank Specialist/Technologist 5500 Lakewood Ranch Blvd, Bradenton, FL 34211-2100 2007-10-09
1164552295 Charles John Reda Jr. Specialist/Technologist 9511 59th Ave E, Bradenton, FL 34202-9680 2007-03-07
1215033980 Carl Randolph Randolph Specialist/Technologist 1701 27th St E, Bradenton, FL 34208-7831 2006-09-16
1114903853 Marcus Alan Holliday Specialist/Technologist 5500 34th St W, Bradenton, FL 34210-3506 2005-12-15
Find all providers in BRADENTON

Competitor

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City BRADENTON
Zip Code 34210

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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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