MR. ICHIRO KITANO (NPI# 1982859336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982859336 |
| Entity Type | Individual |
| Full Name | MR. ICHIRO KITANO |
| Credential | MED, ATC |
| Practice Address |
651 N Old Coachman Rd Clearwater FL 33765-2321 |
| Practice Telephone | 2153417736 |
| Mailing Telephone | 2153417736 |
| Enumeration Date | 2008-11-27 |
| Last Update Date | 2008-11-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL1914 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
651 N OLD COACHMAN RD |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33765-2321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386733665 | Brian Samuel Cammarota | Specialist/Technologist | 651 N Old Coachman Rd, Carpenter Complex, Clearwater, FL 33765-2321 | 2006-10-12 |
| 1235766098 | Troy Allen Hoffert | Specialist/Technologist | 651 N Old Coachman Rd, Clearwater, FL 33765-2321 | 2020-03-23 |
| 1710419536 | Samantha Myers | Specialist/Technologist | 651 N Old Coachman Rd, Clearwater, FL 33765-2321 | 2017-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023654449 | Seawa Enterprise LLC | Durable Medical Equipment & Medical Supplies | 1802 North Belcher Road, Suite 100, Clearwater, FL 33765 | 2019-11-20 |
| 1962996140 | Jeremy Scott Martin | Clinic/Center | 2481 N.e. Coachman Rd, Clearwater, FL 33765 | 2018-06-20 |
| 1891172078 | Comprehensive Surgery Center LLC | Clinic/Center | 407 Aurora Ave, Clearwater, FL 33765 | 2015-04-27 |
| 1184050411 | Anthony Richard Cheslock | Dentist | 1831 Belcher Road North, 1-b, Clearwater, FL 33765 | 2013-09-18 |
| 1548609522 | Andrew S Cormier | Optometrist | 2288 Drew Street, Suite B, Clearwater, FL 33765 | 2013-06-23 |
| 1124372412 | Kelly Ann Potts | Acupuncturist | 112 Evelyn Avenue, Clearwater, FL 33765 | 2012-11-08 |
| 1235402876 | Jerry N Karasick | Chiropractor | 901 N. Hercules Ave, Ste C, Clearwater, FL 33765 | 2012-02-13 |
| 1538329362 | Aei Diagnostic Imaging LLC | Clinic/Center | 1831 N Belcher Road, D Building, Clearwater, FLORIDA 33765 | 2008-06-16 |
| 1700053311 | Loredana Repetto | Social Worker | 2329 Sunset Point Road, Suite 203, Clearwater, FL 33765 | 2008-05-13 |
| 1679741920 | Kussel & Associates Inc. | Podiatrist | 2378 Sunset Point Rd, Clearwater, FL 33765 | 2008-02-20 |
| Find all providers in zip 33765 | ||||
| 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 |
|---|---|---|---|---|
| 1417589151 | Chakaia Miles | Specialist/Technologist | 1001 N Mlk Jr Ave Apt 1203, Clearwater, FL 33755-3334 | 2020-02-11 |
| 1801444740 | Sara Crawford | Specialist/Technologist | 1986 Carolina Ct, Clearwater, FL 33760-1722 | 2019-09-03 |
| 1174944763 | Charles Benjamin Bell Jr. | Specialist/Technologist | 22043 Us 19 N, Clearwater, FL 33765-2363 | 2013-12-27 |
| 1053732776 | Kyle Adrian Montgomery | Specialist/Technologist | 2761 Sea Pines Cir E, Clearwater, FL 33761-3008 | 2013-12-23 |
| 1306166020 | Robert Gallagher Jr. | Specialist/Technologist | 2675 Sabal Springs Cir, #204, Clearwater, FL 33761-3155 | 2010-06-03 |
| 1386733665 | Brian Samuel Cammarota | Specialist/Technologist | 651 N Old Coachman Rd, Carpenter Complex, Clearwater, FL 33765-2321 | 2006-10-12 |
| 1114956448 | Scott Alexander Anderson | Specialist/Technologist | 1326 Marjohn Ave, Clearwater, FL 33756-3622 | 2006-06-30 |
| 1487603460 | Kai J Kline | Specialist/Technologist | 1944 N Hercules Ave, Suite C, Clearwater, FL 33763-4403 | 2006-05-08 |
| 1376525386 | Randy C Holland | Specialist/Technologist | 800 Phillies Dr, Clearwater, FL 33755-4337 | 2005-11-16 |
| 1235766098 | Troy Allen Hoffert | Specialist/Technologist | 651 N Old Coachman Rd, Clearwater, FL 33765-2321 | 2020-03-23 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33765 |
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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.