MARRA BROOKS (NPI# 1558832162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558832162 |
| Entity Type | Individual |
| Full Name | MARRA BROOKS |
| Credential | MHA, LAT, ATC |
| Practice Address |
1601 S Andrews Ave Fort Lauderdale FL 33316-2509 |
| Mailing Address |
742 Nw 3rd Ave Fort Lauderdale FL 33311-7459 |
| Practice Telephone | 9545223355 |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2018-12-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL3554 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3600 College Ave, Davie, FL 333147723 | 9179741243 |
| Street Address |
1601 S ANDREWS AVE |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33316-2509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457315327 | Amos W Stoll | Neurological Surgery | 1601 S Andrews Ave, 3rd Floor, Fort Lauderdale, FL 33316-2509 | 2006-04-17 |
| 1366852873 | North Broward Hospital District | Clinic/Center | 1601 S Andrews Ave, Suite 136, Fort Lauderdale, FL 33316 | 2014-05-06 |
| 1093146854 | Scott Hoffman | Physician Assistant | 1601 S Andrews Ave, 2nd Floor, Fort Lauderdale, FL 33316-2509 | 2013-12-04 |
| 1679864581 | Christopher C Roberts | Neurological Surgery | 1601 S Andrews Ave, 3rd Floor, Fort Lauderdale, FL 33316-2509 | 2011-04-26 |
| 1831117118 | John Anthony Mcauliffe | Orthopaedic Surgery | 1601 S Andrews Ave, 2nd Floor, Fort Lauderdale, FL 33316-2509 | 2006-07-17 |
| 1114955176 | North Broward Hospital District | Neurological Surgery | 1601 S Andrews Ave, 3rd Floor, Fort Lauderdale, FL 33316-2509 | 2006-06-29 |
| 1528023314 | Erol A Yoldas | Orthopaedic Surgery | 1601 S Andrews Ave, 3rd Floor, Fort Lauderdale, FL 33316-2509 | 2006-04-18 |
| 1629032594 | Randell G Powell | Neurological Surgery | 1601 S Andrews Ave, 3rd Floor, Fort Lauderdale, FL 33316 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| 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 |
|---|---|---|---|---|
| 1699393231 | Mia Roberta Zullo | Specialist/Technologist | 1208 Avocado Isle, Fort Lauderdale, FL 33315-1342 | 2020-07-09 |
| 1497290464 | Angie Vanbemden | Specialist/Technologist | 1004 Avocado Isle, Fort Lauderdale, FL 33315-1338 | 2016-12-30 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1336419076 | Catharine N Lagrange | Specialist/Technologist | 1861 Cordova Rd, Fort Lauderdale, FL 33316-2198 | 2012-01-11 |
| 1376706671 | Candice Young | Specialist/Technologist | 1115 Sw 4th Ave, Fort Lauderdale, FL 33315-1203 | 2008-07-07 |
| 1376517946 | Laura Tabilo | Specialist/Technologist | 1501 Ne 62nd St, Fort Lauderdale, FL 33334-5116 | 2006-02-13 |
| 1710433438 | Anthony Paulino | Specialist/Technologist | 1600 S Andrews Ave, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1982064283 | Amber Sharp-brown | Specialist/Technologist | 5601 N Federal Hwy, Fort Lauderdale, FL 33308-2626 | 2016-02-29 |
| 1700272200 | Kimberly Schilling | Specialist/Technologist | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2015-04-10 |
| 1275924920 | Ivan Delgado | Specialist/Technologist | 1501 Ne 62nd St, Fort Lauderdale, FL 33334-5116 | 2015-02-16 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33316 |
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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.