JAMAL CORT (NPI# 1790175339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790175339 |
| Entity Type | Individual |
| Full Name | JAMAL CORT |
| Credential | ATC |
| Practice Address |
1026 Indian Oaks W Daytona Beach FL 32117-3114 |
| Practice Telephone | 3472671237 |
| Mailing Telephone | 3472671237 |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL4042 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1026 INDIAN OAKS W |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32117-3114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| 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 |
|---|---|---|---|---|
| 1750910105 | Aracelis Guzman | Specialist/Technologist | 1400 S Nova Rd Apt 226, Daytona Beach, FL 32114-5847 | 2020-04-07 |
| 1629621081 | Glennika Walker | Specialist/Technologist | 600 Jimmy Ann Dr Apt 817, Daytona Beach, FL 32114-7407 | 2019-07-24 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1063913861 | Jason D Pendergraph | Specialist/Technologist | 2441 Bellevue Ave, Daytona Beach, FL 32114-5615 | 2018-02-27 |
| 1477928067 | Kayla Pearson | Specialist/Technologist | 101 Seabreeze Blvd, 301, Daytona Beach, FL 32118-4073 | 2015-12-08 |
| 1578951893 | Brian Eschen | Specialist/Technologist | 2700 N Oleander Ave, Daytona Beach, FL 32118-3115 | 2015-01-09 |
| 1356774863 | Sandra Brendle | Specialist/Technologist | 212 Integra Shores Dr, Apt. 207, Daytona Beach, FL 32117-5577 | 2013-08-20 |
| 1720386725 | Scott Andrew Armstrong | Specialist/Technologist | 640 Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114 | 2011-03-01 |
| 1679781280 | James Richard Pinyan Jr. | Specialist/Technologist | 1255 W International Speedway Blvd, Daytona Beach, FL 32114-2816 | 2007-05-18 |
| 1669691523 | Justin Patrick White | Specialist/Technologist | 600 S Clyde Morris Blvd, Daytona Beach, FL 32114-3966 | 2007-04-25 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
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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.