Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Patrick Gorrell , LAT, ATC

Specialist/Technologist - Athletic Trainer β€’ Fort Myers, FL

Active NPI 1760830244 Individual Practitioner Male Practitioner
Practice location in NPPES

2600 Buckingham Rd
Fort Myers, FL 339052499

Call 0000000000 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

2600 Buckingham Rd

Fort Myers, FL 339052499

Telephone 0000000000
Organization at the Same NPPES Address or Phone
Dawn Romeo Lcsw,lcadc,llc Facility NPI 1003760075

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

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Tampa, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2016

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 Fort Myers and Florida

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fort Myers

0% of these 34 clinicians have the CMS telehealth indicator.

0% of these 34 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: 2020-09-14
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

License # reported to NPPES FL AL4508

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

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Florida Board Of Athletic Training
AL4508 (FL)

Secondary Practice Locations

9401 N Boulevard

Tampa, FL 336127839

Phone: 8046907233

4401 W Cypress St

Tampa, FL 336074006

Phone: 0000000000

Clinicians Sharing This Practice Address or Phone

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

12 listed
Nicole Baker , NP-C

Nurse Practitioner - Family

NPI 1013550482

Nurse Practitioner (Certified)

Dr. Jyothsna Bandaru , MD

Internal Medicine

NPI 1013362086

Doctor of Medicine (M.D.)

Dr. Catherine Fairgrieve Appel , DO

Emergency Medicine - Sports Medicine

NPI 1013256569

Doctor of Osteopathic Medicine (D.O.)

NPI 1013335405

Doctor of Medicine (M.D.)

Dana Howell , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013674084

Psychiatric-Mental Health Nurse Practitioner

Dr. Osakhuemen Ihenyen , MD

Psychiatry & Neurology - Psychiatry

NPI 1013437102

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events
πŸ“
Updated Practice Location September 14, 2020

Registered at 2600 BUCKINGHAM RD, FORT MYERS, FL 339052499 (Tel: 0000000000)

πŸ“
Updated Business Mailing Address September 14, 2020

Registered at 2600 BUCKINGHAM RD, FORT MYERS, FL 339052499

πŸ‘€
Provider Name / Credentials Updated September 14, 2020

Recorded as PATRICK GORRELL, LAT, ATC

βœ…
NPI Profile Active December 30, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location December 30, 2017

Registered at 4401 W CYPRESS ST, TAMPA, FL 336074006 (Tel: 0000000000)

πŸ“
Updated Business Mailing Address December 30, 2017

Registered at 5753 HARBORSIDE DR, TAMPA, FL 336153685

πŸ‘€
Provider Name / Credentials Updated December 30, 2017

Recorded as PATRICK GORRELL, ATC, LAT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2017

Specialist/Technologist (license number reported to NPPES: FL AL4508)

βœ…
NPI Profile Active May 25, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 25, 2016

Registered at 9401 N BOULEVARD, TAMPA, FL 336127839 (Tel: 8046907233)

πŸ“
Business Mailing Address (Initial Record) May 25, 2016

Registered at 15420 LIVINGSTON AVE, APT 2402, LUTZ, FL 335593430

πŸ‘€
Provider Name / Credentials (Initial Record) May 25, 2016

Recorded as PATRICK GORRELL, ATC, LAT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2016

Specialist/Technologist (license number reported to NPPES: FL AL4508)

🟒
Initial NPI Registration & Enumeration May 25, 2016

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1760830244
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 25, 2016
Last Update: September 14, 2020
Sole Proprietor: Yes

Mailing Address

2600 Buckingham Rd

Fort Myers, FL 339052499

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.