MR. ANDREW JOSEPH MOFFATT (NPI# 1265419667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265419667 |
| Entity Type | Individual |
| Full Name | MR. ANDREW JOSEPH MOFFATT |
| Credential | MA, ATC, LAT |
| Practice Address |
3127 W International Speedway Blvd Daytona Beach FL 32124-1070 |
| Mailing Address |
531 Cygnet Ln Deland FL 32724-3772 |
| Practice Telephone | 3862589502 |
| Mailing Telephone | 3868225550 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2011-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL183 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3127 W INTERNATIONAL SPEEDWAY BLVD |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32124-1070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689952350 | Anthony Daniel Arnold | Specialist/Technologist | 3127 W International Speedway Blvd, Daytona Beach, FL 32124-1070 | 2011-07-29 |
| 1588942544 | Mary Stephens | Reflexologist | 3127 W International Speedway Blvd, Daytona Beach, FL 32124-1070 | 2011-07-25 |
| 1922239110 | Michael N Fulton | Orthopaedic Surgery | 3127 W International Speedway Blvd, Daytona Beach, FL 32124-1070 | 2009-08-05 |
| 1114995883 | Sandra Leah Thomas | Registered Nurse | 3127 W International Speedway Blvd, Daytona Beach, FL 32124-1070 | 2006-03-09 |
| 1295701670 | Michael N Fulton | Orthopaedic Surgery | 3127 W International Speedway Blvd, Daytona Beach, FL 32124-1070 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407302599 | Christine Lapila | Behavioral Analyst | 201 Thornberg Branch Lane, Daytona Beach, FL 32124 | 2016-08-29 |
| 1194708495 | Brent N. Fulton | Family Medicine | 3127 W International Speedway Blvd., Daytona Beach, FL 32124 | 2005-11-21 |
| 1891212130 | Brian Moore | Early Intervention Provider Agency | 201 Thornberry Branch Ln, Daytona Beach, FL 32124 | 2017-08-28 |
| 1588834725 | Glendoria Stephens | Counselor | 3875 Tiger Bay Rd, Rm 914 Bldg I, Daytona Beach, FL 32124 | 2008-03-04 |
| 1003146887 | Sequel Tsi of Florida, LLC Daytona Transitional | Residential Treatment Facility, Emotionally Disturbed Children | 1386 Indian Lake Rd, Daytona Beach, FL 32124-1001 | 2009-12-30 |
| 1376874370 | Sequel Tsi of Florida, LLC Daytona Residential Treatment Center | Psychiatric Residential Treatment Facility | 1386 Indian Lake Rd, Daytona Beach, FL 32124-1001 | 2010-01-15 |
| 1710531454 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 2630 Lpga Blvd, Daytona Beach, FL 32124-1008 | 2019-07-31 |
| 1336746544 | Kyle Adams | Pharmacist | 2630 Lpga Blvd, Daytona Beach, FL 32124-1008 | 2020-10-01 |
| 1750369666 | Sma Healthcare Inc | Community/Behavioral Health | 1150 Red John Road, Daytona Beach, FL 32124-1016 | 2006-01-03 |
| 1396742490 | Theodore Frank Matejka | Nurse Practitioner | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2005-07-05 |
| Find all providers in zip 32124 | ||||
| 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 |
| 1790175339 | Jamal Cort | Specialist/Technologist | 1026 Indian Oaks W, Daytona Beach, FL 32117-3114 | 2015-02-04 |
| 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 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32124 |
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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.