JACLYN MARIE GONZALEZ (NPI# 1225544273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225544273 |
| Entity Type | Individual |
| Full Name | JACLYN MARIE GONZALEZ |
| Credential | ATC |
| Practice Address |
12450 Sw 7th Pl Davie FL 33325-3400 |
| Practice Telephone | 9542889466 |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2017-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL3233 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083222335 | Jaclyn Anne Gonzalez | Physical Therapist | 85 Godwin Ave, Midland Park, NJ 07432-1970 | 2020-07-22 |
| 1558801761 | Jaclyn Eileen Gonzalez | Specialist/Technologist | 207 N 3rd St, Kingsville, TX 78363-4401 | 2017-03-07 |
| Street Address |
12450 SW 7TH PL |
| City | DAVIE |
| State | FL |
| Zip Code | 33325-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588273437 | Gabriela Avila- Garcia | Behavior Technician | 440 Sawgrass Corporate Parkway Suite 106, Sunrise, FL 33325 | 2020-07-27 |
| 1174002711 | Susana Potter | Counselor | 11913 Sw 13th Ct, Davie, FL 33325 | 2018-08-13 |
| 1871015701 | Veredy S.a.s LLC | Specialist/Technologist, Other | 705 Sw 148 Av Apt 202, Davie, FL 33325 | 2017-07-12 |
| 1861922205 | Veronica Ivonne Franco-saavedra | Physician Assistant | 701 Sw 148th Ave Apt 101, Davie, FL 33325 | 2017-06-18 |
| 1174052229 | Edinson Antonio Matos-moreno | Physician Assistant | 705 Sw 148th Ave Apt 202, Davie, FL 33325 | 2017-06-11 |
| 1457887523 | Caribbean Pediatrics Inc | Exclusive Provider Organization | 11750 Nw 6th Place, Plantation, FL 33325 | 2017-05-10 |
| 1639605058 | Scott Rosiere | Psychologist | 480 West Mount Vernon Drive, Plantation, FL 33325 | 2017-05-04 |
| 1457896458 | New Life Counseling Inc. | Counselor | 1775 S. Flamingo Rd, Suite 1, Davie, FL 33325 | 2016-12-29 |
| 1821541541 | Heather Contreras | Physician Assistant | 11352 W State Road 84 Unit 1, Davie, FL 33325 | 2016-07-28 |
| 1568822070 | Martha Falconi | Acupuncturist | 13224 W. Broward Blvd., Plantation, FL 33325 | 2016-02-25 |
| Find all providers in zip 33325 | ||||
| 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 |
|---|---|---|---|---|
| 1760040299 | Jasmin D Grimes | Specialist/Technologist | 5550 S University Dr Apt 7208, Davie, FL 33328-5339 | 2019-05-30 |
| 1922564244 | Phiriyaphon Sinthawachiwa | Specialist/Technologist | 4701 Sw 72nd Ave, Davie, FL 33314-4115 | 2019-02-11 |
| 1174088579 | Juan Aquino | Specialist/Technologist | 14926 Sw 35th St, Davie, FL 33331-2730 | 2019-02-10 |
| 1548724248 | Frances Mejia | Specialist/Technologist | 3625 College Ave # 1928, Davie, FL 33314-7724 | 2019-01-27 |
| 1710459565 | Angel Stone | Specialist/Technologist | 9420 Poinciana Pl Apt 209, Davie, FL 33324-4841 | 2018-12-18 |
| 1053804047 | Shannon Stowe | Specialist/Technologist | 3160 Palm Trace Landings Dr Apt 731, Davie, FL 33314 | 2018-06-13 |
| 1336522903 | Adriana Chaves | Specialist/Technologist | 1171 Sw 109th Ln, Davie, FL 33324-4141 | 2015-07-01 |
| 1922574995 | Amanda Rae Bock | Specialist/Technologist | 3301 College Ave, Davie, FL 33314-7721 | 2018-10-17 |
| 1598289936 | Matthew Wozniak | Specialist/Technologist | 7500 Sw 30th St, Davie, FL 33314-1020 | 2017-07-27 |
| 1811423718 | David Joseph Luzenski Jr. | Specialist/Technologist | 3301 College Ave, Department of Athletics, Davie, FL 33314-7721 | 2017-05-11 |
| Find all providers in DAVIE | ||||
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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.