KELLIE NICOLE WAY (NPI# 1962630244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962630244 |
| Entity Type | Individual |
| Full Name | KELLIE NICOLE WAY |
| Other Name | KELLIE NICOLE COX |
| Credential | MS, ATC, LAT, CSCS |
| Practice Address |
3401 Technological Ave Suite 1 Orlando FL 32817 |
| Mailing Address |
1378 Meadow Lark Dr Titusville FL 32780-7164 |
| Practice Telephone | 4076812520 |
| Practice Fax Number | 4076491414 |
| Mailing Telephone | 3212988247 |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2012-12-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL 2301 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3401 TECHNOLOGICAL AVE SUITE 1 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690886 | Ideal Dental of University Pointe | Dentist | 11871 University Blvd, Suite 110, Orlando, FL 32817 | 2020-08-20 |
| 1598373573 | Lifespan Therapy Services Inc | Clinic/Center | 9472 East Colonial Drive, Orlando, FL 32817 | 2020-07-16 |
| 1750937157 | Jacqueline Mary Mullay | Speech-Language Pathologist | 4780 Data Court, Orlando, FL 32817 | 2019-08-13 |
| 1457907784 | Austin Bermudez | Physical Therapist | 4780 Data Court, Orlando, Orlando, FL 32817 | 2019-08-13 |
| 1902306244 | Cinthia Paola Gascon Sierra | Behavioral Analyst | 3101 Lake Eastern Blvd Apt 202, Orlando, FL 32817 | 2018-02-13 |
| 1740703032 | Maeleen Chua | Physical Therapist | 3452 Lake Lynda Drive, Suite 200, Orlando, FL 32817 | 2017-07-19 |
| 1669829693 | Katherine Schwab | Counselor | 2562 Rouse Road, Orlando, FL 32817 | 2016-05-19 |
| 1487009569 | Parth Shah | Specialist | 3452 Lake Lynda Dr Ste 151, Orlando, FL 32817 | 2016-04-26 |
| 1801258223 | Jessica Ruch | Occupational Therapy Assistant | 3452 Lake Lynda Dr. Suite 200, Jackson Therapy Partners, Orlando, FL 32817 | 2016-03-24 |
| 1679938823 | Aventus Health LLC | Clinical Medical Laboratory | 11301 Corporate Blvd Ste 315, Orlando, FL 32817 | 2015-12-15 |
| Find all providers in zip 32817 | ||||
| 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 |
|---|---|---|---|---|
| 1770182651 | Sarah Danielle Combs | Specialist/Technologist | 4521 Lenmore Street, Orlando, FL 32812 | 2020-10-21 |
| 1861003501 | Zuzanna Barbara Maciejewska | Specialist/Technologist | 11172 Point Sylvan Cir Apt 29c, Orlando, FL 32825-6046 | 2020-08-16 |
| 1457960312 | Chris Gadah | Specialist/Technologist | 12340 Boggy Creek Rd, Orlando, FL 32824-6902 | 2020-07-27 |
| 1831716141 | Kelley April Gosling | Specialist/Technologist | 3829 Winding Lake Cir, Orlando, FL 32835-2655 | 2020-07-02 |
| 1801425806 | Brittney Marie Webb | Specialist/Technologist | 2475 Abalone Blvd, Orlando, FL 32833-3966 | 2020-04-02 |
| 1538707989 | Alan Bradley Zemel | Specialist/Technologist | 368 Lakeview St, Orlando, FL 32804-6882 | 2019-12-17 |
| 1003461948 | Jason Kirkman | Specialist/Technologist | 10402 Glassborough Dr, Orlando, FL 32825-5924 | 2019-08-07 |
| 1396399846 | Steven Outlaw | Specialist/Technologist | 216 Spencer St, Orlando, FL 32839 | 2019-08-01 |
| 1427600188 | Samuel G Winters | Specialist/Technologist | 5818 Petunia Ln, Orlando, FL 32821-5511 | 2019-07-12 |
| 1922563428 | Lindsay Perrin | Specialist/Technologist | 4058 Teriwood Ave, Orlando, FL 32812-7946 | 2019-02-08 |
| Find all providers in ORLANDO | ||||
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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.