Individual provider Active NPI

J R Titsworth, ATC, LAT, LPTA

  • Athletic Trainer
  • Dade City, FL
National Provider Identifier
1861428120
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
5007 Bobwhite CT
38652 Sr 52 , PHS Dade City FL 33525
Dade City, FL 33523-8806
Phone
(352) 583-0659
NPI assigned
Jun 25, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X FL Primary

Addresses

Primary practice location

5007 Bobwhite CT
38652 Sr 52 , PHS Dade City FL 33525
Dade City, FL 33523-8806

Mailing address

5007 Bobwhite CT
Dade City, FL 33523-8806
Phone (352) 583-0659

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

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1861428120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007 BOBWHITE CT",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335238806",
            "telephone_number": "352-583-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5007 BOBWHITE CT",
            "address_2": "38652 SR 52 , PHS DADE CITY FL 33525",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335238806",
            "telephone_number": "352-583-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITSWORTH",
        "first_name": "J",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "ATC, LAT, LPTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dade City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.