Dustin Rory Gatens, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL1757 Issued in FL

Practice address

3301 College Ave
Nova Southeastern University Athletic Training
Davie, FL 33314-7721

Phone

(754) 264-9155

NPI assigned

Mar 6, 2007

Sex

Male

Sole proprietor

Yes

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1033249776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ISLE OF VENICE DR",
            "address_2": "APT #22",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011459",
            "telephone_number": "954-262-8246",
            "fax_number": "954-262-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 COLLEGE AVE",
            "address_2": "NOVA SOUTHEASTERN UNIVERSITY ATHLETIC TRAINING",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333147721",
            "telephone_number": "754-264-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATENS",
        "first_name": "DUSTIN",
        "middle_name": "RORY",
        "name_prefix": "Mr.",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL1757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Davie, FL
• Providers in Davie, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.