Jeff Daniel Feroglia, ATC,LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL#1926 Issued in FL

Practice address

934 Williston Park PT
Suite 1020
Lake Mary, FL 32746-2165

Phone

(407) 829-7311

Fax

(407) 829-7805

NPI assigned

Feb 8, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013057819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12328 EASTCOVE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328263622",
            "telephone_number": "305-519-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 WILLISTON PARK PT",
            "address_2": "SUITE 1020",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462165",
            "telephone_number": "407-829-7311",
            "fax_number": "407-829-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEROGLIA",
        "first_name": "JEFF",
        "middle_name": "DANIEL",
        "credential": "ATC,LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL#1926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Joseph Felsberg, M.D.
• Carlie Mai Felts
• Ariagny Elena Fereira, M.A.
• Akiara Ferguson
• Nilusha Tania Fernando, D.O.
• Mataiah Ferrante
• Katherine Ferraro, D.P.M.
• Aileen J. Field, M.D.
• Rebecca Leann Field
• Brooke Alison Fields, DPT

• Athletic Trainer in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.