Active NPI
Daniel L. Riegle, MAT ATC
- Athletic Trainer
- Deland, FL
National Provider Identifier
1396010328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL 2576
- Practice address
- 421 N Woodland Blvd
Unit 8317
Deland, FL 32723-0001 - Phone
- (386) 822-7165
- Fax
- (386) 822-8143
- NPI assigned
- Mar 8, 2012
- Last updated
- Mar 8, 2012
- 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 | AL 2576 | FL | Primary |
Addresses
Primary practice location
421 N Woodland Blvd
Unit 8317
Deland, FL 32723-0001
Mailing address
421 N Woodland Blvd
Unit 8317
Deland, FL 32723-0001
Phone (386) 822-7165
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 |
|---|---|---|---|
| AL 2576 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331164800000",
"number": "1396010328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 N WOODLAND BLVD",
"address_2": "UNIT 8317",
"city": "DELAND",
"state": "FL",
"postal_code": "327230001",
"telephone_number": "386-822-7165",
"fax_number": "386-822-8143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 N WOODLAND BLVD",
"address_2": "UNIT 8317",
"city": "DELAND",
"state": "FL",
"postal_code": "327230001",
"telephone_number": "386-822-7165",
"fax_number": "386-822-8143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIEGLE",
"first_name": "DANIEL",
"middle_name": "L.",
"name_prefix": "Mr.",
"credential": "MAT ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-08",
"last_updated": "2012-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL 2576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deland, FL
- Karina Ann Ricko, LCSW
- Ride to Care Transit LLC
- Ridge Surgical Services LLC
- Ridgecrest NH, LLC (Ridgecrest Nursing and Rehabilitation Center)
- Ridgecrest Nursing and Rehab LLC
- Kathrine N Rigney, FNP
- Elizabeth Rivera, MD
- Rosario Michael Rizzo Jr., LPN
- John Murphy Roa, LIC OPTICIAN
- Tina Sue-Marie Roberts-Smith, MPAS,PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.