MADDIE A WAGONER ATS - NPI 1871200766 - Specialist/Technologist in Gulf Breeze, FL

Q: What is Maddie Wagoner's NPI number?

The NPI number for Maddie Wagoner is 1871200766. It was assigned to this individual provider in the NPPES registry on November 1, 2022.

Q: What is Maddie Wagoner'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 Maddie Wagoner was last updated on July 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Maddie A Wagoner Ats NPPES

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

MADDIE A WAGONER ATS (NPI 1871200766) is an individual athletic trainer provider in Gulf Breeze, Florida, licensed in Florida (7019) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1871200766

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameMADDIE A WAGONERCredential: ATS

Location Address1040 GULF BREEZE PKWY STE 203Gulf Breeze, FL 32561-7808

Mailing Address1110 E Halliday StPocatello, ID 83201-4824 · (208) 851-8361

Phone(208) 851-8361

Sole ProprietorNo

Enumeration DateNovember 1, 2022

Last NPPES UpdateJuly 10, 20242 updates tracked since enumeration

NPPES CertifiedJuly 10, 2024

✔ NPI 1871200766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in FL · 7019

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1040 GULF BREEZE PKWY STE 203, Gulf Breeze, FL 32561

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Other Providers at the Same Location NPPES 5

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

BAPTIST HEALTH CARE, INC

General Acute Care Hospital