JACOB KOTLICKY ATC/LAT
NPI 1720494644
Specialist/Technologist - Athletic Trainer in Hollywood, FL

Active since July 11, 2014
3403 ISLAND RD, HOLLYWOOD, FL 33026(954) 594-1883 Get Directions Write a Review

NPPES record last updated: July 11, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Specialist/Technologist
  • Athletic Trainer

About JACOB KOTLICKY

This page provides the complete NPI Profile along with additional information for Jacob Kotlicky, a provider established in Hollywood, Florida with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1720494644 assigned on July 2014. The practitioner's primary taxonomy code is 2255A2300X with license number AL2874 (FL). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1720494644 Verify this NPI
Provider Name
JACOB KOTLICKY ATC/LAT
Gender
Male
Entity Type
Individual
Location Address
3403 ISLAND RD HOLLYWOOD, FL 33026
Location Phone
(954) 594-1883
Mailing Address
3403 ISLAND RD HOLLYWOOD, FL 33026
Mailing Phone
(954) 594-1883
Is Sole Proprietor?
Yes
Enumeration Date
07-11-2014
Last Update Date
07-11-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist Athletic Trainer

Taxonomy Code
2255A2300X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
AL2874
License State
FL
Taxonomy Description
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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720494644, enumerated as an "individual" on July 11, 2014.

The provider is located at 3403 ISLAND RD HOLLYWOOD, FL 33026 and the phone number is (954) 594-1883.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.