MR. ROBERT CARL DETWYLER (NPI# 1245288463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245288463 |
| Entity Type | Individual |
| Full Name | MR. ROBERT CARL DETWYLER |
| Credential | ATC, LAT |
| Practice Address |
501 Park Street North Admiral Farragut Academy St Petersburg FL 33710 |
| Mailing Address |
Po Box 10254 St Petersburg FL 33733-0254 |
| Practice Telephone | 7273469465 |
| Mailing Telephone | 7273844459 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2008-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL386 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
501 PARK STREET NORTH ADMIRAL FARRAGUT ACADEMY |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
| 1821566845 | Harish J. Patel, Md | Non-Pharmacy Dispensing Site | 6449 38th Avenue North, Suite B3, Saint Petersburg, FL 33710 | 2018-11-07 |
| 1659860708 | Lydia M Gomez | Physical Therapist | 6775 Crosswinds Dr. N, Saint Petersburg, FL 33710 | 2018-05-04 |
| 1619498169 | Tiffiny C Rudkin | Massage Therapist | 3039 - 49th St. N., St. Petersburg, FL 33710 | 2017-07-05 |
| 1114456480 | Roberto Macedo Dentistry LLC | Dentist | 7801 38th Ave North, St. Petersburg, FL 33710 | 2017-06-08 |
| 1528429495 | Frank Michael Massotto Jr. | Nurse Practitioner | 3251 66th St. North, St Petersburg, FL 33710 | 2016-03-18 |
| 1235522889 | Toby Weinman Assisted Living Residence | Assisted Living Facility | 240 59th St N, St Petersburg, FL 33710 | 2015-03-06 |
| 1821415951 | Ryan Troup | Physician Assistant | 603 - 7th St. S, Suite 360, Emergency Physicians of Saint Petersburg, Saint Petersburg, FL 33710 | 2014-03-26 |
| 1629491600 | Garett Janes Sears | Psychologist | 1913 Tyrone Blvd, St. Petersburg, FL 33710 | 2014-01-28 |
| 1912331943 | Solimar Jimenez Diaz | Obstetrics & Gynecology | 6450 38th Ave N Ste 200, St Petersburg, FL 33710 | 2013-08-27 |
| Find all providers in zip 33710 | ||||
| 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 |
|---|---|---|---|---|
| 1629693072 | Arielle Ribel | Specialist/Technologist | 501 Park St N, St Petersburg, FL 33710-6743 | 2020-06-11 |
| 1174143689 | Jennifer Elaine Carroll | Specialist/Technologist | 4314 12th Ave N, St Petersburg, FL 33713-5218 | 2020-04-24 |
| 1659835338 | Jeannette Ringeisen | Specialist/Technologist | 3997 40th Way S, St Petersburg, FL 33711-4219 | 2019-01-26 |
| 1205321742 | Danielle Nicole Scognamiglio | Specialist/Technologist | 1436 74th Cir Ne, St Petersburg, FL 33702-4620 | 2018-06-27 |
| 1033625652 | Mark Stubblefield | Specialist/Technologist | 9550 16th St N, St Petersburg, FL 33716-4217 | 2017-12-19 |
| 1114477460 | Evan Ligon | Specialist/Technologist | 6450 4th St S, St Petersburg, FL 33705-5901 | 2016-10-11 |
| 1104287218 | Lindsey Marie Davis | Specialist/Technologist | 1412 7th Ave N, St Petersburg, FL 33705-1314 | 2016-03-16 |
| 1922475607 | Delaney Tyl | Specialist/Technologist | 369 Tallahassee Dr Ne, St Petersburg, FL 33702-3725 | 2015-08-28 |
| 1720467053 | Anthony Rupansingh | Specialist/Technologist | 8950 9th St N Ste 101, St Petersburg, FL 33702-3001 | 2015-05-19 |
| 1821489642 | Esther E Kim | Specialist/Technologist | 1901 Dr Martin Luther King Jr St N, Suite B, St Petersburg, FL 33704-4272 | 2015-02-16 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33710 |
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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.