Active NPI
David Stotts
- Athletic Trainer
- Orlando, FL
National Provider Identifier
1295266088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL4502
- Practice address
- 12500 S Apopka Vineland Rd
Orlando, FL 32836-6723 - Phone
- (407) 827-8164
- NPI assigned
- Mar 23, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AL4502 | FL | Primary |
Addresses
Primary practice location
12500 S Apopka Vineland Rd
Orlando, FL 32836-6723
Mailing address
3203 Zander Dr
Apt 203
Kissimmee, FL 34747-1177
Phone (419) 961-3514
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL4502 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490227200000",
"number": "1295266088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3203 ZANDER DR",
"address_2": "APT 203",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347471177",
"telephone_number": "419-961-3514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12500 S APOPKA VINELAND RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328366723",
"telephone_number": "407-827-8164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOTTS",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-23",
"last_updated": "2017-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL4502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.