Adrian Terrell Dixon, PT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL2608 Issued in FL

Practice address

1 Buccaneer PL
Tampa, FL 33607-5701

Phone

(850) 212-6483

NPI assigned

May 27, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1369612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1912344391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BUCCANEER PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075701",
            "telephone_number": "850-212-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BUCCANEER PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075701",
            "telephone_number": "850-212-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "ADRIAN",
        "middle_name": "TERRELL",
        "name_prefix": "Mr.",
        "credential": "PT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-27",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL2608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divine Path Nemt, LLC
• Sachin Vijay Diwadkar, MD
• Jackie Dix, PHARMD
• Melody Dix, R.PH
• Aaron David Dixon, D.C.
• Ariel Denson Dixon, PHARMD
• Caitlin Dixon
• Earl R Dixon, MD
• Jessica Dixon, RDMS
• Rosemary Dixon, G11000111514

• Athletic Trainer in Tampa, FL
• Providers in Tampa, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.

Verify at the official NPI Registry.