TRIDENT SPORTS MEDICINE AND REHABILITATION INC.
NPI 1811766637
Family Medicine - Sports Medicine in Ormond Beach, FL

Q: What is Trident Sports Medicine And Rehabilitation Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Active since December 20, 2023

873 HULL RD UNIT 12, ORMOND BEACH, FL 32174(386) 267-2965(386) 603-6007 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Trident Sports Medicine And Rehabilitation Inc. NPPES

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

TRIDENT SPORTS MEDICINE AND REHABILITATION INC. (NPI 1811766637) is a healthcare organization registered as a sports medicine in Ormond Beach, Florida and active in the NPI registry since December 2023. The organization lists Michael F Lynch, President, as its authorized official.

NPPES Registry Identity

NPI1811766637

Entity TypeOrganization

Primary Taxonomy207QS0010X

Legal Business NameTRIDENT SPORTS MEDICINE AND REHABILITATION INC.

Location Address873 HULL RD UNIT 12Ormond Beach, FL 32174-0738

Mailing Address873 Hull Rd Unit 12Ormond Beach, FL 32174-0738 · (386) 267-2965 · Fax (386) 603-6007

Phone(386) 267-2965

Fax(386) 603-6007

Organization SubpartNo

Authorized OfficialMichael F LynchPresident · (570) 762-3953

Enumeration DateDecember 20, 2023

Last NPPES UpdateMay 8, 2024

NPPES CertifiedMay 8, 2024

✔ NPI 1811766637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedClinic/Center · Hearing and SpeechTaxonomy 261QH0700X

Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X

873 HULL RD UNIT 12, Ormond Beach, FL 32174

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Trident Sports Medicine And Rehabilitation Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 8 clinicians reassign Medicare billing to Trident Sports Medicine And Rehabilitation Inc., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Brent Fulton, M.D.

Sports Medicine

NPI 1194708495

873 HULL RD UNIT 12
Ormond Beach, FL 32174

(386) 267-2965

✔ PECOS✔ Accepts MedicareSame address

Michael Lynch, DPT

Physical Therapist in Private Practice

NPI 1194092114

873 HULL RD
Ormond Beach, FL 32174

(386) 267-2965

✔ Accepts MedicareSame address

Whittney Lynch, NP

Nurse Practitioner

NPI 1912443987

873 HULL RD UNIT 12
Ormond Beach, FL 32174

(586) 925-3360

✔ PECOS✔ Accepts MedicareSame address

Chelci Dineen, FNP

Nurse Practitioner

NPI 1811789589

77 VILLAGE DR
Ormond Beach, FL 32174

(727) 204-7517

✔ PECOS✔ Accepts Medicare1.4 mi

Maria Brantley, SLP

Qualified Speech Language Pathologist

NPI 1821691346

50 PLAZA DR
Ormond Beach, FL 32176

(570) 762-3953

✔ Accepts Medicare3.2 mi

Nicole Meyer, P.T.

Physical Therapist in Private Practice

NPI 1013226273

1893 N CLYDE MORRIS BLVD
Daytona Beach, FL 32117

(386) 676-0307

✔ Accepts Medicare5.4 mi

Samantha Maffucci, OT

Occupational Therapist in Private Practice

NPI 1831956408

3127 W INTERNATIONAL SPEEDWAY BLVD
Daytona Beach, FL 32124

(386) 258-9502

✔ Accepts Medicare11 mi

Caitlin Nolan

Physical Therapist in Private Practice

NPI 1588171946

3259 CATLIN AVE
Quantico, VA 22134

(703) 784-3205

✔ Accepts Medicare670 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Trident Sports Medicine And Rehabilitation Inc.'s NPI number?

The NPI number for Trident Sports Medicine And Rehabilitation Inc. is 1811766637. It was assigned to this organization in the NPPES registry on December 20, 2023.

Where is Trident Sports Medicine And Rehabilitation Inc. located?

Trident Sports Medicine And Rehabilitation Inc. is located at 873 Hull Rd Unit 12, Ormond Beach, FL 32174. The listed phone number is (386) 267-2965.

What is Trident Sports Medicine And Rehabilitation Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Trident Sports Medicine And Rehabilitation Inc. enrolled in Medicare?

Yes. Trident Sports Medicine And Rehabilitation Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Trident Sports Medicine And Rehabilitation Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 5 Medicare specialties reassign their Medicare billing to Trident Sports Medicine And Rehabilitation Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (3), Nurse Practitioner (2) and Occupational Therapist in Private Practice (1). Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Trident Sports Medicine And Rehabilitation Inc. was last updated on May 8, 2024. 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.