Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Andrew Warren Klock , ATC, LAT

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

Active NPI 1720102403 Individual Practitioner Male Practitioner
Practice location in NPPES

3450 Hull Rd
Gainesville, FL 326074144

Call 3522737001 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

3450 Hull Rd

Gainesville, FL 326074144

Telephone 3522737001
Organization at the Same NPPES Address or Phone
Florida Clinical Practice Association Inc Facility NPI 1457411126

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 1 additional practice-address record in Fort Worth, TX. 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

2007

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 Gainesville and Florida

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gainesville

0% of these 106 clinicians have the CMS telehealth indicator.

0% of these 106 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: 2022-12-21
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

License # reported to NPPES TX AT3301

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

Secondary Practice Locations

3500 Bellaire Dr, Walsh Complex Athletic Training Room

Fort Worth, TX 761290001

Phone: 8172575035

Clinicians Sharing This Practice Address or Phone

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

11 listed
Chung Ming Chan , MB, BS

Orthopaedic Surgery

NPI 1639301641

MB, Bachelor of Science

Dr. Caitlin Curtis Crocker , MD

Student in an Organized Health Care Education/Training Program

NPI 1326788365

Doctor of Medicine (M.D.)

Dr. Robert Decker , MD

Orthopaedic Surgery

NPI 1033396908

Doctor of Medicine (M.D.)

Dr. Kevin Dunne , MD

Orthopaedic Surgery - Hand Surgery

NPI 1306238936

Doctor of Medicine (M.D.)

Keegan Hones

Student in an Organized Health Care Education/Training Program

NPI 1164127031
Emily Krisanda

Student in an Organized Health Care Education/Training Program

NPI 1982309845

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location December 21, 2022

Registered at 3450 HULL RD, GAINESVILLE, FL 326074144 (Tel: 3522737001)

πŸ“
Updated Business Mailing Address December 21, 2022

Registered at 3450 HULL RD, GAINESVILLE, FL 326074144 (Tel: 3522737001)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 3500 BELLAIRE DR, WALSH COMPLEX ATHLETIC TRAINING ROOM, FORT WORTH, TX 761290001 (Tel: 8172575035)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 5212 BRYANT IRVIN RD, 3154, FORT WORTH, TX 761323830 (Tel: 8172575035)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as ANDREW KLOCK, ATC, LAT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist/Technologist (license number reported to NPPES: TX AT3301)

🟒
Initial NPI Registration & Enumeration March 19, 2007

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1720102403
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2007
Last Update: December 21, 2022
Sole Proprietor: No

Mailing Address

3450 Hull Rd

Gainesville, FL 326074144

Phone: 3522737001

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.