MR. GREGORY MANCE RICHARDSON


Address: 5232 Ne 18th Ave, Pompano Beach, FL 33064-5626
Phone: 9547327350

MR. GREGORY MANCE RICHARDSON (NPI# 1467008565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467008565
Entity Type Individual
Full Name MR. GREGORY MANCE RICHARDSON
Credential A.T;C. LLC
Practice Address 5232 Ne 18th Ave
Pompano Beach
FL 33064-5626
Practice Telephone 9547327350
Mailing Telephone 9547327350
Enumeration Date 2019-08-14
Last Update Date 2019-08-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
AL570 FL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

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Office Location

Street Address 5232 NE 18TH AVE
City POMPANO BEACH
State FL
Zip Code 33064-5626

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1841645587 Julia Kyung Yoo, Inc Point of Service 4510 N. Federal Hwy, Lighthouse Point, FL 33064 2016-05-02
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

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]

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1578028056 Norma Nichelle Pruitt Specialist/Technologist 428 Ne 1st Ave, Pompano Beach, FL 33060-6102 2019-02-08
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1679170369 David S Duchin Specialist/Technologist 19033 Nw 23rd Ct, Pembroke Pines, FL 33029-5337 2020-10-06
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Competitor

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City POMPANO BEACH
Zip Code 33064

Improve Information

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Dataset Information

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.

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