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Mosi Blake , L, ATC

Specialist/Technologist - Athletic Trainer β€’ Brandon, FL

Active NPI 1336656263 Individual Practitioner Male Practitioner
Practice location in NPPES

305 E Brandon Blvd
Brandon, FL 335115222

Call 8139789700 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

305 E Brandon Blvd

Brandon, FL 335115222

Telephone 8139789700
Fax 8135586187
Organization at the Same NPPES Address or Phone
Tampa Bay Emergency Physicians Llc Facility NPI 1184296071

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Brandon and Florida

14 active clinicians are listed under Specialist/Technologist - Athletic Trainer with a practice address in Brandon, FL (2,202 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Brandon

0% of these 14 clinicians have the CMS telehealth indicator.

0% of these 14 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-04-22
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

License # reported to NPPES FL AL2928

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Javier Alvarado , PT

Physical Therapist

NPI 1023687688

Physical Therapist

Matthew Anderson , PT

Physical Therapist

NPI 1043906589

Physical Therapist

Shane Anderson , PA-C

Physician Assistant

NPI 1003509100

Physician Assistant (Certified)

Magdalena Bachan , PT

Physical Therapist

NPI 1043705783

Physical Therapist

Ashley Beamer , MOT, OTR, L

Occupational Therapist

NPI 1093481384

Master of Occupational Therapy, Occupational Therapist Registered, L

Nathan Bevan , PA

Physician Assistant

NPI 1023441763

Physician Assistant

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location April 22, 2021

Registered at 305 E BRANDON BLVD, BRANDON, FL 335115222 (Tel: 8139789700)

πŸ“
Updated Business Mailing Address April 22, 2021

Registered at 13020 N TELECOM PKWY, TEMPLE TERRACE, FL 336370925 (Tel: 8139789700)

πŸ‘€
Provider Name / Credentials Updated April 22, 2021

Recorded as MOSI BLAKE, L/ATC

βœ…
NPI Profile Active December 31, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 31, 2017

Registered at 3575 MAIN HWY, MIAMI, FL 331335903 (Tel: 3054608835)

πŸ“
Business Mailing Address (Initial Record) December 31, 2017

Registered at 20810 SAN SIMEON WAY APT 108, MIAMI, FL 331791744 (Tel: 3057257616)

πŸ‘€
Provider Name / Credentials (Initial Record) December 31, 2017

Recorded as MOSI BLAKE, L/ATC, CPT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 31, 2017

Specialist/Technologist (license number reported to NPPES: FL AL2928)

🟒
Initial NPI Registration & Enumeration December 31, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1336656263
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 31, 2017
Last Update: April 22, 2021
Sole Proprietor: Yes

Mailing Address

13020 N Telecom Pkwy

Temple Terrace, FL 336370925

Phone: 8139789700

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.