CHARLES JOHN REDA JR. (NPI# 1164552295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164552295 |
| Entity Type | Individual |
| Full Name | CHARLES JOHN REDA JR. |
| Credential | ATC |
| Practice Address |
9511 59th Ave E Bradenton FL 34202-9680 |
| Practice Telephone | 9417273556 |
| Mailing Telephone | 9417273556 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL382 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9511 59TH AVE E |
| City | BRADENTON |
| State | FL |
| Zip Code | 34202-9680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795857 | Kind Smiles Dental Health | Clinic/Center | 11155 State Road 70 E, Lakewood Ranch, FL 34202 | 2020-09-23 |
| 1881208494 | Abby Elizabeth Crews | Nurse Practitioner | 7534, Divot Loop, Bradenton, FL 34202 | 2020-09-01 |
| 1982220158 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 14605 Sr 70, Bradenton, FL 34202 | 2020-06-23 |
| 1871118380 | Alternative Psychiatry, LLC | Registered Nurse | 8788 Sr 70 E, Suite 101, Bradenton, FL 34202 | 2020-06-10 |
| 1528617651 | Bass Partners LLC | Behavioral Analyst | 20818 Parkstone Terrace, Lakewood Ranch, FL 34202 | 2019-09-11 |
| 1861049090 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 11521 Sr 70 East, Bradenton, FL 34202 | 2019-08-22 |
| 1205496171 | Bryan J Morgan Lwr Pa | Dentist | 11157 Sr70 E, Lakewood Ranch, FL 34202 | 2019-06-13 |
| 1023677358 | Taneshia Mcclendon | Nurse Practitioner | 6310 Health Park Way Ste 100, Lakewood Ranch, FL 34202 | 2019-06-11 |
| 1497231542 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 7325 University Pkwy, Lakewood Ranch, FL 34202 | 2018-07-12 |
| 1790273159 | Main Street Childrens Dentistry and Orthodontics of Lakewood Ranch Pll | Dentist | 11649 Sr 70 East, Suite 109, Bradenton, FL 34202 | 2018-05-01 |
| Find all providers in zip 34202 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1750929816 | Kaitlyn Deshaies | Specialist/Technologist | 5500 34th St W, Bradenton, FL 34210-3506 | 2019-12-19 |
| Find all providers in BRADENTON | ||||
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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.