GREGORY DEROAN CATRETT (NPI# 1891730446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891730446 |
| Entity Type | Individual |
| Full Name | GREGORY DEROAN CATRETT |
| Credential | ATC |
| Practice Address |
13895 Hwy 27 Lake Wales FL 33859-2549 |
| Mailing Address |
2049 San Marcos Dr Se #222 Winter Haven FL 33880-6607 |
| Practice Telephone | 8636387257 |
| Mailing Telephone | 8635145328 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
13895 HWY 27 |
| City | LAKE WALES |
| State | FL |
| Zip Code | 33859-2549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437655180 | Colleen Coombs | Specialist/Technologist | 13895 Hwy 27, Lake Wales, FL 33859-2549 | 2018-04-02 |
| 1679095954 | David Jantz | Physical Medicine & Rehabilitation | 13895 Hwy 27, Lake Wales, FL 33859-2549 | 2017-07-08 |
| 1689094096 | Natalie Caudio | Specialist/Technologist | 13895 Hwy 27, Lake Wales, FL 33859-2549 | 2014-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740699982 | Pm Radiology P L | Radiology | 23607 Us Highway 27, Lake Wales, FL 33859 | 2014-08-12 |
| 1588990758 | Eye Specialists of Mid Florida, Pa | Ophthalmology | 2800 A Ridge Way, Suite 100, Lake Wales, FL 33859 | 2009-10-23 |
| 1841583929 | Marcus Anthony Jahna | Chiropractor | 23857 Hwy 27, Lake Wales, FL 33859-0000 | 2011-05-23 |
| 1114439866 | Michelle Lora Mendez | Early Intervention Provider Agency | 4360 Dinner Lake Blvd, Lake Wales, FL 33859-2129 | 2017-11-02 |
| 1245506013 | Barbara Louise Collette | Pharmacist | 217 Dinner Lake Loop, Lake Wales, Lake Wales, FL 33859-2153 | 2012-03-27 |
| 1558434852 | Yesenia Dejesus-suarez | Nurse Anesthetist, Certified Registered | 205 Dinner Lake Loop, Lake Wales, FL 33859-2153 | 2006-11-16 |
| 1164021176 | Dave Aaron Dangan | Physical Therapist | 1750 Longleaf Blvd Ste 5&6, Lake Wales, FL 33859-2504 | 2020-10-21 |
| 1144855933 | Sandra Collins Domanski | Physical Therapist | 1750 Longleaf Blvd # 5&6, Lake Wales, FL 33859-2504 | 2020-03-11 |
| 1437394541 | Central Florida Health Systems, Inc | Specialist | 2301 Longleaf Blvd Ste 200, Lake Wales, FL 33859-2542 | 2008-12-04 |
| 1639303688 | U.S. Home Health Care Services, Corp | Home Health | 14440 Us Highway 27, Lake Wales, FL 33859-2546 | 2009-05-06 |
| Find all providers in zip 33859 | ||||
| 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 |
|---|---|---|---|---|
| 1265064521 | Tatyana Wimbley | Specialist/Technologist | 307 State Road 60 E, Lake Wales, FL 33853-3751 | 2020-02-05 |
| 1437655180 | Colleen Coombs | Specialist/Technologist | 13895 Hwy 27, Lake Wales, FL 33859-2549 | 2018-04-02 |
| 1689094096 | Natalie Caudio | Specialist/Technologist | 13895 Hwy 27, Lake Wales, FL 33859-2549 | 2014-04-24 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | LAKE WALES |
| Zip Code | 33859 |
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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.