BRENT VANDERZYL


Address: 190 E Cedarwood Cir, Kissimmee, FL 34743-9070
Phone: 4077912366

BRENT VANDERZYL (NPI# 1780816512) 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) 1780816512
Entity Type Individual
Full Name BRENT VANDERZYL
Credential ATC, LAT
Practice Address 190 E Cedarwood Cir
Kissimmee
FL 34743-9070
Practice Telephone 4077912366
Mailing Telephone 4077912366
Enumeration Date 2009-08-12
Last Update Date 2009-08-12
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
AL2701 FL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 190 E CEDARWOOD CIR
City KISSIMMEE
State FL
Zip Code 34743-9070

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740844711 Orlando Health Services At Central Florida LLC Nurse Practitioner 2685 Maxwell Ct W, Kissimmee, FL 34743 2019-04-25
1104316751 Melissa Lymari Martinez Case Manager/Care Coordinator 139 Puelba Ln, Kissimmee, FL 34743 2018-05-18
1083087886 Brenda Torres Social Worker 2203 Gatwick Ct., Kissimmee, FL 34743 2015-11-03
1629473582 Catalina Lasso Counselor 2005 Lacie Jo Ln, Kissimmee, FL 34743 2014-11-04
1114326584 Alexandra Buxo Social Worker 2182 Cypress Bay Blvd, Kissimmee, FL 34743 2014-08-21
1558609040 Ana Paula Machado Bernardi Pharmacist 2005 E Osceola Pkwy, Kissimmee, FL 34743 2013-01-18
1093075954 Lynda A Gonsalves Counselor 220 N Lake Ct, Kissimmee, FL 34743 2012-05-24
1912264805 Mario E Perez Occupational Therapist 2517 Hikers Ct, Kissimmee, FL 34743 2012-04-16
1003118555 Alvaro Jose Altamirano Family Medicine 729 Buenaventura Blvd, Kissimmee, FL 34743 2010-12-02
1891929402 Federico Nicholas Physical Therapy Assistant 1441 Fortune Rd, #256, Kissimmee, FL 34743 2009-05-11
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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
1720606007 Chaquirah Goodman Specialist/Technologist 2300 S Poinciana Blvd, Kissimmee, FL 34758-2400 2020-07-13
1548884141 Jacob Kyle Glassmeyer Specialist/Technologist 8805 Dunes Ct Apt 301, Kissimmee, FL 34747-1019 2020-05-31
1346725066 Juan Camilo Castano Specialist/Technologist 2441 Hybrid Dr, Kissimmee, FL 34758-2268 2018-09-27
1538663240 Terri Alexander Charlock Specialist/Technologist 5314 Barefoot Path, Kissimmee, FL 34746 2018-03-19
1669918579 Kyle Mcclurg Specialist/Technologist 700 S Victory Way, Kissimmee, FL 34747 2017-01-17
1811340623 Diane Rey Specialist/Technologist 510 Floral Dr, Kissimmee, FL 34743-9416 2016-07-16
1932563137 Megan Mckenna Specialist/Technologist 420 S Thacker Ave, Kissimmee, FL 34741-5963 2016-04-13
1972911733 Amanda Hosier Specialist/Technologist 2726 W Oak St, Kissimmee, FL 34741 2014-07-24
1538415146 Alexandra Brown Specialist/Technologist 3050 Pinewood Ct, Kissimmee, FL 34746-3031 2012-08-01
1972818755 Nakita W Baldic Specialist/Technologist 8421 Titkos Dr # 428, Kissimmee, FL 34747-3323 2010-08-17
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City KISSIMMEE
Zip Code 34743

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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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