JEFFERY LEROUX


Address: 540 Kingsley Ave, Orange Park, FL 32073-4847
Phone: 9042642156

JEFFERY LEROUX (NPI# 1487732905) 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) 1487732905
Entity Type Individual
Full Name JEFFERY LEROUX
Credential ATC
Practice Address 540 Kingsley Ave
Orange Park
FL 32073-4847
Mailing Address 12793 86th Ter
Live Oak
FL 32060-8829
Practice Telephone 9042642156
Mailing Telephone 3863641381
Enumeration Date 2006-11-01
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
AL721 FL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 540 KINGSLEY AVE
City ORANGE PARK
State FL
Zip Code 32073-4847

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679546212 Garry Gillis Specialist/Technologist 540 Kingsley Ave, Orange Park, FL 32073-4847 2006-02-13
1033241427 Christopher Nuetzi Physical Therapy Assistant 540 Kingsley Ave, Orange Park, FL 32073-4847 2007-03-12
1477697407 Heartland Rehabilitation Services of Florida LLC Clinic/Center 540 Kingsley Ave, Orange Park, FL 32073-4847 2007-02-15
1235218447 Shannon White Physical Therapist 540 Kingsley Ave, Orange Park, FL 32073-4847 2006-11-06
1891873311 Shawn Wolf Specialist/Technologist 540 Kingsley Ave, Orange Park, FL 32073-4847 2006-11-01
1063590594 Julie Marie Tribett Specialist/Technologist 540 Kingsley Ave, Orange Park, FL 32073-4847 2006-11-01
1033297569 Christine Adams Specialist/Technologist 540 Kingsley Ave, Orange Park, FL 32073-4847 2006-11-01
1912085440 Amethyst Mann Specialist/Technologist 540 Kingsley Ave, Orange Park, FL 32073-4847 2006-11-01
1851475883 Gretchen Martin Physical Therapy Assistant 540 Kingsley Ave, Orange Park, FL 32073-4847 2006-10-25
1639253669 Alan Alvarez Physical Therapy Assistant 540 Kingsley Ave, Orange Park, FL 32073-4847 2006-10-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891309423 Kingsley Endoscopy Center LLC Clinic/Center 970 Kingsley Avenue, Orange Park, FL 32073 2020-09-01
1962028688 Esra Sari Student in an Organized Health Care Education/Training Program 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 2020-06-18
1104441146 Zeshan Tariq Malik Student in an Organized Health Care Education/Training Program 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 2020-06-16
1902421894 Ameer Hamza Student in an Organized Health Care Education/Training Program 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 2020-06-16
1497378103 Fawad Ahmed Rashid Student in an Organized Health Care Education/Training Program 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 2020-05-28
1477174985 Hannan Asghar Student in an Organized Health Care Education/Training Program Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 2020-05-06
1902427156 Emmanuel Iyanuloluwa Morakinyo Student in an Organized Health Care Education/Training Program 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 2020-04-29
1437799327 Dalande Leger Behavior Technician 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 2020-01-08
1215598313 Mohammad Harisullah Khan Student in an Organized Health Care Education/Training Program 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 2019-06-28
1558927970 Preetha Kamath Student in an Organized Health Care Education/Training Program Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 2019-05-10
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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
1679046726 Emily Kate Bartholomew Specialist/Technologist 110 Milwaukee Ave, Orange Park, FL 32073-5663 2019-01-10
1104890409 Matthew J Glogowski Specialist/Technologist 920-1 Blanding Blvd, Orange Park, FL 32065 2006-02-14
1679546212 Garry Gillis Specialist/Technologist 540 Kingsley Ave, Orange Park, FL 32073-4847 2006-02-13
1063995306 Carissa Aquino Specialist/Technologist 2140 Kingsley Ave, Orange Park, FL 32073-5180 2018-09-12
1316458094 Alexander John Herington Specialist/Technologist 2140 Kingsley Ave Ste 5, Orange Park, FL 32073-5129 2017-10-20
1891873311 Shawn Wolf Specialist/Technologist 540 Kingsley Ave, Orange Park, FL 32073-4847 2006-11-01
1063590594 Julie Marie Tribett Specialist/Technologist 540 Kingsley Ave, Orange Park, FL 32073-4847 2006-11-01
1033297569 Christine Adams Specialist/Technologist 540 Kingsley Ave, Orange Park, FL 32073-4847 2006-11-01
1912085440 Amethyst Mann Specialist/Technologist 540 Kingsley Ave, Orange Park, FL 32073-4847 2006-11-01
1699869917 Kelly Mccomiskey Specialist/Technologist 540 Kingsley Ave, Orange Park, FL 32073-4847 2006-10-03
Find all providers in ORANGE PARK

Competitor

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City ORANGE PARK
Zip Code 32073

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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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