Active NPI
James Branch, ATC, LAT
- Athletic Trainer
- Oviedo, FL
National Provider Identifier
1386057503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL3816
- Practice address
- 142 Windflower Way
Oviedo, FL 32765-4014 - Phone
- (904) 728-6505
- NPI assigned
- Jun 5, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | AL3816 | FL | Primary |
Addresses
Primary practice location
142 Windflower Way
Oviedo, FL 32765-4014
Mailing address
142 Windflower Way
Oviedo, FL 32765-4014
Phone (904) 728-6505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AL3816 | Other | FL | FLORIDA BOARD OF HEALTH ATHLETIC TRAINING LICENSURE |
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 |
|---|---|---|---|
| AL3816 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401926400000",
"number": "1386057503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 WINDFLOWER WAY",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327654014",
"telephone_number": "904-728-6505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 WINDFLOWER WAY",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327654014",
"telephone_number": "904-728-6505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANCH",
"first_name": "JAMES",
"credential": "ATC, LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-05",
"last_updated": "2014-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL3816",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BOARD OF HEALTH ATHLETIC TRAINING LICENSURE",
"identifier": "AL3816",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oviedo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.