SOPHIA DIANE BELLAVISTA LAT, ATC
NPI 1760973572
Specialist/Technologist - Athletic Trainer in Ponte Vedra Beach, FL

Active since May 29, 2018
100 EXECUTIVE WAY STE 109, PONTE VEDRA BEACH, FL 32082(904) 543-9011 Get Directions Write a Review

NPPES record last updated: May 29, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sophia Diane Bellavista Lat, Atc NPPES

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

SOPHIA DIANE BELLAVISTA LAT, ATC (NPI 1760973572) is an individual athletic trainer provider in Ponte Vedra Beach, Florida and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1760973572
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameSOPHIA DIANE BELLAVISTACredential: LAT, ATC
Location Address100 EXECUTIVE WAY STE 109Ponte Vedra Beach, FL 32082-2713
Mailing Address43 Primrose LnPalm Coast, FL 32164-7416 · (904) 669-0020
Sole ProprietorNo
Enumeration DateMay 29, 2018
NPI 1760973572 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
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.

100 EXECUTIVE WAY STE 109, Ponte Vedra Beach, FL 32082

Other Providers at the Same Location NPPES 3

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

Physical Therapist
100 EXECUTIVE WAY STE 109
PONTE VEDRA BEACH, FL 32082
Physical Therapist
100 EXECUTIVE WAY STE 109
PONTE VEDRA BEACH, FL 32082
Physical Therapist
100 EXECUTIVE WAY STE 109
PONTE VEDRA, FL 32082

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 Sophia Bellavista's NPI number?

The NPI number for Sophia Bellavista is 1760973572. It was assigned to this individual provider in the NPPES registry on May 29, 2018.

Where is Sophia Bellavista located?

Sophia Bellavista practices at 100 Executive Way Ste 109, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 543-9011.

What is Sophia Bellavista'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 Sophia Bellavista was last updated on May 29, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.