MR. MOSI BLAKE L/ATC
NPI 1336656263
Specialist/Technologist - Athletic Trainer in Brandon, FL

NPI Status: Active since December 31, 2017

Contact Information

305 E BRANDON BLVD
BRANDON, FL
ZIP 33511
Phone: (813) 978-9700
Fax: (813) 558-6187

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  • Individual
  • Male
  • Specialist/Technologist
  • Athletic Trainer

About MOSI BLAKE

This page provides the complete NPI Profile along with additional information for Mosi Blake, a provider established in Brandon, Florida with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1336656263 assigned on December 2017. The practitioner's primary taxonomy code is 2255A2300X with license number AL2928 (FL). The provider is registered as an individual and his NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI
1336656263
Provider Name
MR. MOSI BLAKE L/ATC
Gender
Male
Entity Type
Individual
Location Address
305 E BRANDON BLVD BRANDON, FL 33511
Location Phone
(813) 978-9700
Location Fax
(813) 558-6187
Mailing Address
13020 N TELECOM PKWY TEMPLE TERRACE, FL 33637
Mailing Phone
(813) 978-9700
Mailing Fax
(813) 558-6187
Is Sole Proprietor?
Yes
Enumeration Date
12-31-2017
Last Update Date
04-22-2021
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Location Map

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.
AL2928
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336656263
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
236612512212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 2 + 5 + 1 + 2 + 2 + 1 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1336656263 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114909975 STEPHEN R DARCY PT
Individual
Physical Therapist305 E BRANDON BLVD
BRANDON, FL 33511
(813) 978-9700
1003009341MRS. KAREN GREENE
Individual
Registered Nurse (Orthopedic)305 E BRANDON BLVD SUITE 101
BRANDON, FL 33511
(813) 978-9700
1619309614 KEVIN B OSBORNE PA
Individual
Physician Assistant (Surgical)305 E BRANDON BLVD
BRANDON, FL 33511
(813) 978-9700
1265422802 SUE MOKRIS OT
Individual
Occupational Therapist (Hand)305 E BRANDON BLVD
BRANDON, FL 33511
(813) 978-9700
1437185113 CYNTHIA MARSHALL OT
Individual
Occupational Therapist (Hand)305 E BRANDON BLVD
BRANDON, FL 33511
(813) 657-8448
1891031274 NISHIT JAYANTILAL PATEL PT
Individual
Physical Therapist (Orthopedic)305 E BRANDON BLVD
BRANDON, FL 33511
(813) 978-9700
1346471935 ASHLEY L MOURADIAN PTA
Individual
Physical Therapy Assistant305 E BRANDON BLVD
BRANDON, FL 33511
(813) 978-9700
1881978286 ELIZABETH M PEIRANO ARNP
Individual
Nurse Practitioner305 E BRANDON BLVD
BRANDON, FL 33511
(813) 978-9700
1669994661 OMAR L ABADIE ATC,LAT
Individual
Specialist/Technologist (Athletic Trainer)305 E BRANDON BLVD
BRANDON, FL 33511
(813) 657-8448
1912903204 THOMAS M DAVISON MD
Individual
Orthopaedic Surgery305 E BRANDON BLVD
BRANDON, FL 33511
(813) 978-9700
1912993122MRS. DONNA ANN SAATMAN M.D.
Individual
Neurological Surgery305 E BRANDON BLVD
BRANDON, FL 33511
(813) 978-9700
1366417644 EDDY L ECHOLS JR. MD
Individual
Orthopaedic Surgery305 E BRANDON BLVD SUITE 101
BRANDON, FL 33511
(813) 978-9700
1225202575 MICHAEL A MIRANDA DO
Individual
Orthopaedic Surgery305 E BRANDON BLVD
BRANDON, FL 33511
(813) 978-9700
1699261206 COREY MICHAEL SPEGAL PA-C
Individual
Physician Assistant (Medical)305 E BRANDON BLVD
BRANDON, FL 33511
(813) 978-9700
1922549104 KELLY CORNNELL PA-C
Individual
Physician Assistant (Surgical)305 E BRANDON BLVD
BRANDON, FL 33511
(813) 978-9700
1184296071TAMPA BAY EMERGENCY PHYSICIANS LLC
Organization
Emergency Medicine305 E BRANDON BLVD
BRANDON, FL 33511
(330) 493-4443
1164944450 RONALD SHANNON TERRELL
Individual
Specialist/Technologist (Athletic Trainer)305 E BRANDON BLVD
BRANDON, FL 33511
(813) 657-8448

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336656263, enumerated in the NPI registry as an "individual" on December 31, 2017

The provider is located at 305 E Brandon Blvd Brandon, Fl 33511 and the phone number is (813) 978-9700

The provider's speciality is Specialist/Technologist with taxonomy code 2255A2300X with a focus in Athletic Trainer

This NPI record was last updated on December 31, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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