ANGEL LY ATC, LAT
NPI 1871008169
Specialist/Technologist - Athletic Trainer in Tampa, FL

Q: What is Angel Ly's NPI number?

The NPI number for Angel Ly is 1871008169. It was assigned to this individual provider in the NPPES registry on December 8, 2017.

Q: What is Angel Ly'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 Angel Ly was last updated on December 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 December 08, 2017

4202 E FOWLER AVE STOP ATH100, TAMPA, FL 33620(813) 974-0661 Get Directions Write a Review

NPPES record last updated: December 8, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Angel Ly Atc, Lat NPPES

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

ANGEL LY ATC, LAT (NPI 1871008169) is an individual athletic trainer provider in Tampa, Florida, licensed in Florida (AL4485) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1871008169

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameANGEL LYCredential: ATC, LAT

Location Address4202 E FOWLER AVE STOP ATH100Tampa, FL 33620-8455

Mailing Address2028 Blue Rock Dr Apt 204Tampa, FL 33612-5144

Phone(813) 974-0661

Sole ProprietorNo

Enumeration DateDecember 8, 2017

✔ NPI 1871008169 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 · AL4485

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.

4202 E FOWLER AVE STOP ATH100, Tampa, FL 33620

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Other Providers at the Same Location NPPES 9

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

AMY MARIE BERGAN ATC

Specialist/Technologist (Athletic Trainer)