TD Athletics Incorporated

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

TD ATHLETICS INCORPORATED

Practice address

1540 Van Siclen Ave
Brooklyn, NY 11239-2412

Phone

(347) 409-7031

NPI assigned

Mar 19, 2024

Last updated

Mar 22, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Derrick Strong

Title

Owner

Phone

(347) 409-7031

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karlene Gayle

  • Registered Nurse
  • Brooklyn, NY
  • NPI 1194572917
  NPD

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1700646668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 VAN SICLEN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112392412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 VAN SICLEN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112392412",
            "telephone_number": "347-409-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TD ATHLETICS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "STRONG",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-409-7031",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "133VN1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalia Tcherednitchenko, RPH
• Rifkatou Tchignaha, MD
• Rachel Tchokogoue
• Ana Tchonishvili
• Hailin Tchou, M.S. CCC-SLP
• TDL Medical,PC
• Alex Te, PHARM.D,
• Conchita H Te, M.D.
• Teach Alexander Educational Services Inc.
• Teach With Love Early Intervention Services Inc.

• Health & Wellness Coach in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Health & Wellness Coach in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.