JAE HWAN SONG ATC
NPI 1265823421
Specialist/Technologist - Athletic Trainer in Daytona Beach, FL

Q: What is Jae Hwan Song's NPI number?

The NPI number for Jae Hwan Song is 1265823421. It was assigned to this individual provider in the NPPES registry on February 10, 2015.

Q: What is Jae Hwan Song'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 Jae Hwan Song was last updated on February 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 February 10, 2015

640 DR MARY MCLEOD BETHUNE BLVD, HANDFILED ATHLETIC TRAINING CENTER, DAYTONA BEACH, FL 32114(386) 481-2261 Get Directions Write a Review

NPPES record last updated: February 10, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jae Hwan Song Atc NPPES

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

JAE HWAN SONG ATC (NPI 1265823421) is an individual athletic trainer provider in Daytona Beach, Florida, licensed in Florida (AL3738) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1265823421

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameJAE HWAN SONGCredential: ATC

Location Address640 DR MARY MCLEOD BETHUNE BLVD, HANDFILED ATHLETIC TRAINING CENTERDaytona Beach, FL 32114-3012

Mailing Address1400 Hancock Blvd Apt 1312Daytona Beach, FL 32114-5636 · (619) 886-6597

Phone(386) 481-2261

Sole ProprietorYes

Enumeration DateFebruary 10, 2015

✔ NPI 1265823421 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 · AL3738

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.

640 DR MARY MCLEOD BETHUNE BLVD, Daytona Beach, FL 32114

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Other Providers at the Same Location NPPES 19

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

BRIA JONES

Specialist/Technologist (Athletic Trainer)