David-Dorian Ross
Individual provider Active NPI Athletic Trainer · Brier, WA
NPI 1902367253 · NPPES record last updated Mar 15, 2022
Key facts
- NPI
- 1902367253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- TJF1 (CA)
- Practice address
- 2350 215TH PL SW
Brier, WA 98036-8929 - Phone
- (425) 608-9400
- NPI assigned
- Mar 28, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TJF1 | CA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taijifit LLC | Athletic Trainer | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Athletic Trainer | 2255A2300X | TJF1 | CA | Yes |
Addresses
Primary practice location
2350 215TH PL SW
Brier, WA 98036-8929
Mailing address
2350 215TH PL SW
Brier, WA 98036-8929
Phone (425) 608-9400
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ddr@taijifit.net | Direct |
Other providers in Brier, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.