JUSTIN DOUGLAS PETERS (NPI# 1750871174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750871174 |
| Entity Type | Individual |
| Full Name | JUSTIN DOUGLAS PETERS |
| Credential | LAT, ATC |
| Practice Address |
6130 39th Ct E Bradenton FL 34203-7002 |
| Practice Telephone | 9415448089 |
| Mailing Telephone | 9415448089 |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL1083 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295221596 | Justin Peters | Dentist | 5250 S 108th St Ste 200, Hales Corners, WI 53130-1321 | 2018-07-10 |
| 1750843801 | Justin Peters | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Pkwy Ste 200, Lone Tree, CO 80124-5532 | 2019-04-05 |
| Street Address |
6130 39TH CT E |
| City | BRADENTON |
| State | FL |
| Zip Code | 34203-7002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063069268 | Mcr Health, Inc. | Clinic/Center | 6040 Sr 70 E, Bradenton, FL 34203 | 2019-08-22 |
| 1053814251 | Oneco Smiles Inc | Dentist | 1612 53rd Ave East, Oneco, FL 34203 | 2018-03-14 |
| 1811404908 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 1505 53rd Ave, Bradenton, FL 34203 | 2018-01-10 |
| 1871003632 | Linda J Campbell | Dietitian, Registered | 6610 68th Street East, Bradenton, FL 34203 | 2017-10-06 |
| 1710430988 | Crystal Camden | Dentist | 5205 Office Park Blvd, Bradenton, FL 34203 | 2016-07-25 |
| 1104214865 | Sea of Smiles, Inc. | Dentist | 6060 State Road 70, Suite A, Bradenton, FL 34203 | 2015-01-05 |
| 1699163808 | Florida Medical Specialists LLC | Family Medicine | 6110 State Road 70 East, Bradenton, FL 34203 | 2014-12-23 |
| 1881090025 | Lockwood Commons Dental Care | Dentist | 4222 53rd Ave E, Bradenton, FL 34203 | 2014-11-17 |
| 1447661418 | David W Heaton | Dentist | 1612 53rd Avenue East, Bradenton, FL 34203 | 2014-05-13 |
| 1346688066 | Joshua Donald Hogan | Pharmacist | 7290 55th Avenue East, Bradenton, FL 34203 | 2013-06-05 |
| Find all providers in zip 34203 | ||||
| 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 |
| 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 |
| 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.