MR. PHILLIP R WORTS (NPI# 1154557676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154557676 |
| Entity Type | Individual |
| Full Name | MR. PHILLIP R WORTS |
| Credential | LAT, ATC |
| Practice Address |
3334 Capital Medical Blvd Ste 600 Tallahassee FL 32308-4483 |
| Practice Telephone | 8508778174 |
| Mailing Telephone | 8508778174 |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2018-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL 2670 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3334 CAPITAL MEDICAL BLVD STE 600 |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-4483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972086866 | Kenneth George Spy | Specialist/Technologist | 3334 Capital Medical Blvd Ste 600, Tallahassee, FL 32308-4483 | 2018-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184257461 | Simone Nelson | Specialist/Technologist | 4433 Rivers Landing Dr, Tallahassee, FL 32303-8948 | 2020-02-14 |
| 1437781812 | Naliyah Gilbert | Specialist/Technologist | 6841 Canopy Grove Ln, Tallahassee, FL 32311-3510 | 2020-02-04 |
| 1811471022 | Isabella Egloff | Specialist/Technologist | 2060 Continental Ave Apt 122, Tallahassee, FL 32304-1755 | 2018-09-24 |
| 1902328263 | Rhonda Kelly Cooksey | Specialist/Technologist | 2640 Byron Cir, Tallahassee, FL 32308-3810 | 2017-07-08 |
| 1013445121 | Caroline Alice Stephens | Specialist/Technologist | 403 Stadium Dr # D107, Tallahassee, FL 32304-4247 | 2017-06-02 |
| 1982144168 | Jonathan Renault Jones | Specialist/Technologist | 1320-206 Hendrix Road, Tallahassee, FL 32301-5300 | 2017-03-07 |
| 1699215301 | Thomas Edward Gorman Jr. | Specialist/Technologist | 1835 Wahnish Way, Tallahassee, FL 32307 | 2017-02-28 |
| 1083165930 | Samuel Foster | Specialist/Technologist | 403 Stadium Dr, Tallahassee, FL 32304-4247 | 2016-10-16 |
| 1568819753 | Kaydi Blackstock | Specialist/Technologist | 7200 Lawton Chiles Ln, Tallahassee, FL 32312 | 2016-05-18 |
| 1659733962 | Jerry Holt | Specialist/Technologist | 2125 Atchena Nene, Tallahassee, FL 32301 | 2016-03-25 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
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| 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.