Trayvond Etienne, MS

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

License

1076885 Issued in FL

Practice address

3901 E Colonial Dr
Orlando, FL 32803-5230

Phone

(407) 972-0924

Fax

(407) 930-6070

NPI assigned

Oct 4, 2023

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Undefined Non-Physician Type (Specify)

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1194505339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035230",
            "telephone_number": "407-972-0924",
            "fax_number": "407-930-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035230",
            "telephone_number": "407-972-0924",
            "fax_number": "407-930-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETIENNE",
        "first_name": "TRAYVOND",
        "name_prefix": "Mr.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-04",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": "FL",
            "license": "1076885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethic Health Services, LLC
• Ethica Wellcare Technologies LLC
• Cheikh Ethmane Abou El Maali, MD
• Ethos Health Group Orlando
• Marilyne Etienne, PA-C
• Wilhelmine Johanne Etienne, CRNA
• Yolette Etienne, APRN, FNP-C
• Joshua Carlton Etkins, PHARMD
• Coral Etshman, ARNP
• Etta Cares LLC

• Clinical Exercise Physiologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinical Exercise Physiologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.