ROBERT LOUIS BOUTOTE (NPI# 1508359845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508359845 |
| Entity Type | Individual |
| Full Name | ROBERT LOUIS BOUTOTE |
| Credential | ATC |
| Practice Address |
401 W Kennedy Blvd # I Tampa FL 33606-1450 |
| Practice Telephone | 8132536264 |
| Practice Fax Number | 8132577746 |
| Mailing Telephone | 8132536264 |
| Mailing Fax Number | 8132577746 |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL3957 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BOARD OF CERTIFICATION | 2000011101 | 01 | |
| NATIONAL ATHLETIC TRAINERS ASSOCIATION | 36422 | 01 | |
| FL | STATE OF FLORIDA DEPARTMENT OF HEALTH | AL3957 | 01 |
| Street Address |
401 W KENNEDY BLVD # I |
| City | TAMPA |
| State | FL |
| Zip Code | 33606-1450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720295298 | Kimberly Sue Morris | Specialist/Technologist | 401 W Kennedy Blvd # I, Tampa, FL 33606-1450 | 2007-05-16 |
| 1205484169 | Alejandro Arenas | Specialist/Technologist | 401 W Kennedy Blvd # I, Tampa, FL 33606-1450 | 2019-09-03 |
| 1073168373 | Jessica Bergin | Physical Medicine & Rehabilitation | 401 W Kennedy Blvd # I, Tampa, FL 33606-1450 | 2019-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235758749 | Seyed Shayan Ahmad Falasiri | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. #308, Tampa, FL 33606 | 2020-04-14 |
| 1174156400 | Jessica Styles | Specialist/Technologist | The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 | 2020-02-14 |
| 1295389757 | David Green | Specialist/Technologist | 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 | 2019-08-01 |
| 1417514720 | Four Winds Counseling LLC | Counselor | 611 West Bay Street, Tampa, FL 33606 | 2019-05-22 |
| 1699238014 | Azubuogu Charles Anudu | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd., Suite 308 Tampa, Fl 33606, Tampa, FL 33606 | 2019-04-11 |
| 1508327883 | D'arcy Jocelyn Arden Wainwright | Student in an Organized Health Care Education/Training Program | 17 David Blvd., Suite 308, Tampa, FL 33606 | 2019-03-28 |
| 1659851772 | Heather Widmer | Counselor | 202 N Howard Ave, Tampa, FL 33606 | 2018-08-17 |
| 1447737291 | Jonathan T Bell | Marriage & Family Therapist | 425 S. Orleans Ave, Tampa, FL 33606 | 2018-07-24 |
| 1184157539 | Alexander Lim | Student in an Organized Health Care Education/Training Program | 17 David Blvd, Suite 308, Tampa, FL 33606 | 2017-04-04 |
| 1760913057 | Melanie Loretta Bradley | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. Suite 308, University of South Florida, Morsani College of Medicin, Tampa, FL 33606 | 2017-03-27 |
| Find all providers in zip 33606 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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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.