KELLI BUNDZA


Address: 5321 Georgia Peach Ave, Port Orange, FL 32128-7534
Phone: 3868524137

KELLI BUNDZA (NPI# 1477960771) 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) 1477960771
Entity Type Individual
Full Name KELLI BUNDZA
Other Name KELLI JOHNSON
Credential AT
Practice Address 5321 Georgia Peach Ave
Port Orange
FL 32128-7534
Practice Telephone 3868524137
Mailing Telephone 3868524137
Enumeration Date 2014-07-18
Last Update Date 2014-07-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
AL 3002 FL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 5321 GEORGIA PEACH AVE
City PORT ORANGE
State FL
Zip Code 32128-7534

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487209979 Encore Hearing Consultants, LLC Hearing Instrument Specialist 5889 S. Williamson Blvd, Suite 1409, Port Orange, FL 32128 2019-08-02
1346768835 T'neill Treherne Occupational Therapist 5535 S. Williamson Blvd Suite 774, Port Orange, FL 32128 2017-09-05
1881055440 Jose Ortiz Chiropractor 6315 S Williamson Blvd Apt 132, Port Orange, FL 32128 2016-03-10
1376915132 Comfortable Care Dental Health Professionals, Pa Dentist 5445 S. Williamson Blvd, Port Orange, FL 32128 2015-10-20
1508289570 Jeffrey Barnes Physical Therapist 5535 S. Williamson B;vd, Port Orange, FL 32128 2014-01-28
1881025542 Rachael Hall Physical Therapist 55335 S Williamson Blvd, Suite 774, Port Orange, FL 32128 2013-12-06
1154765840 Daniel Fleishman Counselor 6709 Ferri Circle, Port Orange, FL 32128 2013-04-24
1215282629 Jeffrey Mclaughlin Physical Therapist 5535 S. Williamson Blvd., Ste 774, Port Orange, FL 32128 2012-07-23
1710266812 Steven Gerald Daniels Chiropractor 1807 Creekwater Blvd, Port Orange, FL 32128 2011-08-08
1639489883 Dr. Michael Hay and Associates, LLC Optometrist 5517 S. Williamson Blvd., #310, Port Orange, FL 32128 2010-10-20
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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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528686839 Hannah Elayna Bornamann Specialist/Technologist 3780 Clyde Morris Blvd Apt 204, Port Orange, FL 32129-8200 2020-07-13
1265086250 Tabitha E Thode Specialist/Technologist 3447 Gaveson Ct, Port Orange, FL 32129-3122 2019-07-28
1104361831 Austin Bubb Specialist/Technologist 820 Whiporwill Dr, Port Orange, FL 32127-5969 2017-01-04
1902206113 Kelsey Tomaszewski Specialist/Technologist 1933 Spruce Creek Lndg, Port Orange, FL 32128-6870 2014-08-26
1912964891 Aimee Michelle Smith Specialist/Technologist 801 Taylor Rd, Port Orange, FL 32127-4715 2006-04-26
1417518994 Kyle Michael Rentschler Specialist/Technologist 801 Taylor Rd, Port Orange, FL 32127-4715 2019-06-25
1427326651 Heather Nicole Lemaster Specialist/Technologist 1525 Herbert St, Port Orange, FL 32129-6106 2011-12-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811597560 Hannah Ogle Specialist/Technologist 110 Gloria Drive, Hollister, FL 32147 2020-10-30
1740889377 Ryan Michael Hill Specialist/Technologist 314 S Habana Ave, Tampa, FL 33609-3223 2020-10-24
1568061182 Lester Vivian Leon Ferdinand Specialist/Technologist 6705 S Red Rd Ste 410, South Miami, FL 33143-3644 2020-10-24
1770182651 Sarah Danielle Combs Specialist/Technologist 4521 Lenmore Street, Orlando, FL 32812 2020-10-21
1679170369 David S Duchin Specialist/Technologist 19033 Nw 23rd Ct, Pembroke Pines, FL 33029-5337 2020-10-06
1750988838 Jade Shields Specialist/Technologist 144 Enrede Ln, Saint Augustine, FL 32095-7436 2020-10-02
1639786940 Dewayne N Dubose Specialist/Technologist 344 Chesham St, Ormond Beach, FL 32174-0692 2020-09-30
1467069914 Alison M Dougan Specialist/Technologist 3345 Cypress Legends Cir Apt 1104, Fort Myers, FL 33905-5542 2020-09-29
1225643240 Megan Marisa Fox Specialist/Technologist 5803 Marta Dr, Tampa, FL 33617-1125 2020-09-15
1104430305 Nikki Page Keown Specialist/Technologist 12136 Luftburrow Ln, Hudson, FL 34669-5005 2020-09-04
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Competitor

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City PORT ORANGE
Zip Code 32128

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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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