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MR. TRAYVOND ETIENNE MS
NPI 1194505339
Clinical Exercise Physiologist in Orlando, FL

Active since October 04, 2023PECOS Enrolled
3901 E COLONIAL DR, ORLANDO, FL 32803(407) 972-0924(407) 930-6070 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 19, 2025, Oct 4, 2023 (2 updates tracked since 2023).

About Mr. Trayvond Etienne Ms NPPES

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

MR. TRAYVOND ETIENNE MS (NPI 1194505339) is an individual clinical exercise physiologist provider in Orlando, Florida, licensed in Florida (1076885) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1194505339
Entity TypeIndividualMale
Primary Taxonomy224Y00000X
Provider Legal NameMR. TRAYVOND ETIENNECredential: MS
Location Address3901 E COLONIAL DROrlando, FL 32803-5230
Mailing Address3901 E Colonial DrOrlando, FL 32803-5230 · (407) 972-0924 · Fax (407) 930-6070
Phone(407) 972-0924
Fax(407) 930-6070
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 4, 2023
Last NPPES UpdateDecember 19, 20252 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
✔ NPI 1194505339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Exercise PhysiologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Y00000X
License✔ Licensed in FL · 1076885
Definition

A Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary disease, and metabolic disorders.

3901 E COLONIAL DR, Orlando, FL 32803
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Trayvond Etienne Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254819212
PECOS Enrollment IDI20260130002567
Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MRS. TARA M KLEIN PHARM.D.
Pharmacist
3901 E COLONIAL DR, SUITE 'C'
ORLANDO, FL 32803
Orange County (407) 898-4427
DR. JOSEPH TAD DAVIS PHARM. D.
Pharmacist
3901 E COLONIAL DR, SUITE A
ORLANDO, FL 32803
Orange County (407) 898-4427
ADVANCED PAIN CLINIC PA
Anesthesiology (Pain Medicine)
3901 E COLONIAL DR
ORLANDO, FL 32803
Orange County (407) 935-9404
FLORIDA AMBULATORY INFUSION CENTERS, INC.
Clinic/Center (Infusion Therapy)
3901 E COLONIAL DR, SUITE C2
ORLANDO, FL 32803
Orange County (407) 898-4427
FLORIDA AMBULATORY INFUSION CENTERS, INC.
Clinic/Center (Infusion Therapy)
3901 E COLONIAL DR, SUITE C2
ORLANDO, FL 32803
Orange County (407) 898-4427
MR. GRETTY HERNANDEZ LPN
Licensed Practical Nurse
3901 E COLONIAL DR, SUITE E
ORLANDO, FL 32803
Orange County (407) 447-5971
MRS. INDIRA BEEPIN JAMNADAS RPH
Pharmacist
3901 E COLONIAL DR
ORLANDO, FL 32803
Orange County (407) 898-4427
DR. CHRISTOPHER LEE LACEY PHARM.D. B.S. B.M.E.
Pharmacist (Oncology)
3901 E COLONIAL DR
ORLANDO, FL 32803
Orange County (407) 898-4427

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trayvond Etienne's NPI number?

The NPI number for Trayvond Etienne is 1194505339. It was assigned to this individual provider in the NPPES registry on October 4, 2023.

Where is Trayvond Etienne located?

Trayvond Etienne practices at 3901 E Colonial Dr, Orlando, FL 32803. The listed phone number is (407) 972-0924.

What is Trayvond Etienne's specialty?

The primary specialty registered for this NPI is Clinical Exercise Physiologist with taxonomy code 224Y00000X.

Is Trayvond Etienne enrolled in Medicare?

Yes. Trayvond Etienne is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Trayvond Etienne was last updated on December 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.