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TANNER CACCAVALE MS, LAT, ATC
NPI 1538944400
Specialist/Technologist - Athletic Trainer in Freehold, NJ

Active since August 29, 2023
210 MOUNTS CORNER DR, FREEHOLD, NJ 07728(732) 724-2433 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tanner Caccavale Ms, Lat, Atc NPPES

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

TANNER CACCAVALE MS, LAT, ATC (NPI 1538944400) is an individual athletic trainer provider in Freehold, New Jersey, licensed in New Jersey (25MT00319600) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1538944400
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameTANNER CACCAVALECredential: MS, LAT, ATC
Location Address210 MOUNTS CORNER DRFreehold, NJ 07728-2547
Mailing Address122 Atlantic AveManasquan, NJ 08736-2929 · (732) 962-3483
Phone(732) 724-2433
Sole ProprietorNo
Enumeration DateAugust 29, 2023
NPPES CertifiedAugust 11, 2023
✔ NPI 1538944400 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 NJ · 25MT00319600
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.
210 MOUNTS CORNER DR, Freehold, NJ 07728
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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.

ALEXANDRA SACCO
Occupational Therapist
210 MOUNTS CORNER DR
FREEHOLD, NJ 07728
Monmouth County (732) 414-2700
DR. MARK JULES ABRAMS PT, DPT
Physical Therapist
210 MOUNTS CORNER DR
FREEHOLD, NJ 07728
Monmouth County (732) 896-9065
ALEXIS CORRALIZZA OTA
Occupational Therapy Assistant
210 MOUNTS CORNER DR
FREEHOLD, NJ 07728
Monmouth County (877) 532-7832
OLD BRIDGE SPINE & WELLNESS CENTER,PA
Durable Medical Equipment & Medical Supplies
210 MOUNTS CORNER DR
FREEHOLD, NJ 07728
Monmouth County (732) 414-2700
ALEXANDRA ROQUE ATC
Specialist/Technologist (Athletic Trainer)
210 MOUNTS CORNER DR
FREEHOLD, NJ 07728
Monmouth County (732) 538-8561
BROOKE HADEN OTR/L
Occupational Therapist
210 MOUNTS CORNER DR
FREEHOLD, NJ 07728
Monmouth County (877) 532-7837
GABRIELLA ANN POLERA
Physical Therapist
210 MOUNTS CORNER DR
FREEHOLD, NJ 07728
Monmouth County (877) 532-7837
DR. MATTHEW CHLETSOS DC
Chiropractor
210 MOUNTS CORNER DR
FREEHOLD, NJ 07728
Monmouth County (877) 532-7837

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 Tanner Caccavale's NPI number?

The NPI number for Tanner Caccavale is 1538944400. It was assigned to this individual provider in the NPPES registry on August 29, 2023.

Where is Tanner Caccavale located?

Tanner Caccavale practices at 210 Mounts Corner Dr, Freehold, NJ 07728. The listed phone number is (732) 724-2433.

What is Tanner Caccavale's specialty?

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

When was this NPI record last updated?

The NPPES record for Tanner Caccavale was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.