TARA VANDENBOSCH MS, ATC, CSCS, LAT
NPI 1174991210
Specialist/Technologist - Athletic Trainer in Miami Shores, FL

Q: What is Tara Vandenbosch's NPI number?

The NPI number for Tara Vandenbosch is 1174991210. It was assigned to this individual provider in the NPPES registry on September 7, 2015.

Q: What is Tara Vandenbosch's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Tara Vandenbosch was last updated on September 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 07, 2015

11300 NE 2ND AVE, MIAMI SHORES, FL 33161(308) 899-3572 Get Directions Write a Review

NPPES record last updated: September 7, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tara Vandenbosch Ms, Atc, Cscs, Lat NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA VANDENBOSCH MS, ATC, CSCS, LAT (NPI 1174991210) is an individual athletic trainer provider in Miami Shores, Florida, licensed in Florida (AL4125) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1174991210

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameTARA VANDENBOSCHCredential: MS, ATC, CSCS, LAT

Location Address11300 NE 2ND AVEMiami Shores, FL 33161-6628

Mailing Address5725 Garfield StHollywood, FL 33021-5150 · (860) 912-9745

Phone(308) 899-3572

Sole ProprietorYes

Enumeration DateSeptember 7, 2015

✔ NPI 1174991210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in FL · AL4125

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.

11300 NE 2ND AVE, Miami Shores, FL 33161

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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