MISS RAPHAELLA PETROSINO (NPI# 1982050720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982050720 |
| Entity Type | Individual |
| Full Name | MISS RAPHAELLA PETROSINO |
| Credential | ATC, LAT |
| Practice Address |
5030 Champion Blvd Ste D9 Boca Raton FL 33496-2497 |
| Practice Telephone | 5614320111 |
| Mailing Telephone | 5614320111 |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL4199 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5030 CHAMPION BLVD STE D9 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33496-2497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164073433 | Taryn Ann Glynn | Physical Therapist | 5030 Champion Blvd Ste D9, Boca Raton, FL 33496-2497 | 2019-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275193708 | Georgia Management Group | Health Maintenance Organization | 9878 Clint Moore Rd Suite 206, Boca Raton, FL 33496 | 2019-06-17 |
| 1326505710 | Capital Ortho LLC | Durable Medical Equipment & Medical Supplies | 6599 Newport Lake Cir, Boca Raton, FL 33496 | 2019-02-21 |
| 1710409636 | Armando Rodriguez | Specialist/Technologist | 9975 Boca Gardens Trail, Unit C, Boca Raton, FL 33496 | 2017-07-12 |
| 1942721782 | Lang Thi Woodmansee | Optometrist | 17940 S Military Trl Ste 400, Boca Raton, FL 33496 | 2017-07-02 |
| 1710325006 | Home Care Assistance of South Florida, LLC | Home Health | 3050 Champion Blvd., Boca Raton, FL 33496 | 2013-06-07 |
| 1568704450 | Gary J Edman | Physician Assistant | 4705 N Federal Highway, Boca Raton, FL 33496 | 2013-03-19 |
| 1396065512 | Holiday Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 6651 N. Military Trail, Suite 100, Boca Raton, FL 33496 | 2010-06-10 |
| 1265765093 | Mark Alan Needle | Internal Medicine | 2231 Nw 58 St, Boca Raton, FL 33496 | 2009-09-11 |
| 1780834036 | Richard Allen Peshkin | General Practice | 5227-a Lake Catalina Dr. N, Boca Raton, FL 33496 | 2008-09-23 |
| 1073712071 | Ehsan Esmaeili | Surgery | 1905 Clint Moore Rd., Suite 105, Boca Raton, FL 33496 | 2007-07-11 |
| Find all providers in zip 33496 | ||||
| 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 |
|---|---|---|---|---|
| 1932745320 | Logan Christopher Skees | Specialist/Technologist | 6710 Congress Ave Apt 204, Boca Raton, FL 33487-1203 | 2019-11-21 |
| 1831653534 | Jessica Krason | Specialist/Technologist | 1161 Sw 16th St, Boca Raton, FL 33486-6773 | 2019-01-27 |
| 1144713132 | Shelby Peterson | Specialist/Technologist | 23054 Post Gardens Way Apt 419, Boca Raton, FL 33433-7115 | 2018-06-13 |
| 1710409636 | Armando Rodriguez | Specialist/Technologist | 9975 Boca Gardens Trail, Unit C, Boca Raton, FL 33496 | 2017-07-12 |
| 1699211623 | Rachel Miller | Specialist/Technologist | 9434 Fox Trot Ln, Boca Raton, FL 33496-4104 | 2017-01-14 |
| 1306299136 | Ralph Krugler | Specialist/Technologist | 1381 Sw 14th St, Boca Raton, FL 33486-5313 | 2016-07-17 |
| 1487017570 | Ryan Mccrea | Specialist/Technologist | 944 Jeffery St, Boca Raton, FL 33487-4179 | 2016-04-05 |
| 1538522644 | Sarah Holton | Specialist/Technologist | 3601 N Military Trl, Boca Raton, FL 33431-5507 | 2016-04-05 |
| 1093074247 | Keriann Napora | Specialist/Technologist | 9970 Central Park Blvd N Ste 300, Boca Raton, FL 33428-2237 | 2012-05-09 |
| 1578868543 | Jason Jerome | Specialist/Technologist | 7085 Nw Beacon Square Boulevard Building 1, Boca Raton, FL 33487 | 2011-01-21 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33496 |
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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.