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Gerald Allen Stevens , ATC, LAT

Specialist/Technologist - Athletic Trainer • Jacksonville, FL

Active NPI 1720069065 Individual Practitioner Male Practitioner
Practice location in NPPES

11945 San Jose Blvd, Suite 202
Jacksonville, FL 322231613

Call 9048802424 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

11945 San Jose Blvd
Suite 202

Jacksonville, FL 322231613

Telephone 9048802424
Fax 9048802420
Organization at the Same NPPES Address or Phone
Firstchoice Physical Therapy And Sports Rehabiltation Inc Facility NPI 1871574426

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

NPI first issued

2005

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, “Does 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 Jacksonville and Florida

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

0% of these 149 clinicians have the CMS telehealth indicator.

0.7% of these 149 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 · Report an error.

Specialties & License Numbers Reported to NPPES

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

License # reported to NPPES FL AL 428

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 State License
AL 428 (FL)

Clinicians Sharing This Practice Address or Phone

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

8 listed
Dr. Sirlys Arcon Rios , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1508186727

Doctor of Medicine (M.D.)

Dr. Kayla Bagwell , MD

Obstetrics & Gynecology

NPI 1023579992

Doctor of Medicine (M.D.)

Dr. Mitzi Brock , MD

Obstetrics & Gynecology - Gynecology

NPI 1417956970

Doctor of Medicine (M.D.)

NPI 1730279142

Doctor of Medicine (M.D.)

NPI 1801242128

Doctor of Optometry

Dr. Todd Rasner , MD

Obstetrics & Gynecology - Gynecology

NPI 1336148964

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated November 11, 2005.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1720069065
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 11, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

11945 San Jose Blvd, Suite 202

Jacksonville, FL 322231613

Phone: 9048802424

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.