Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720069065 Individual Practitioner Male Practitioner

Gerald Allen Stevens , ATC, LAT

Specialist/Technologist - Athletic Trainer • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Gerald Stevens, ATC, LAT is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Jacksonville, FL. Practice services are available at 11945 SAN JOSE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11945 San Jose Blvd
Suite 202

Jacksonville, FL 322231613

Telephone 9048802424
Fax 9048802420
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 6.7 Yrs
Regional Practice Density
150 Specialists

Practicing in Jacksonville, FL (2221 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State License
AL 428 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Leanne Lenker , DPT

Physical Therapist

NPI 1366425324

Doctor of Physical Therapy

Colleen Sutton , PT

Physical Therapist - Orthopedic

NPI 1396985396

Physical Therapist

Dr. Lindsey Kern , DPT

Physical Therapist

NPI 1588854335

Doctor of Physical Therapy

NPI 1841225703

Licensed Massage Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 11945 SAN JOSE BLVD, SUITE 202, JACKSONVILLE, FL 322231613 (Tel: 9048802424)

📍
Updated Business Mailing Address July 08, 2007

Registered at 11945 SAN JOSE BLVD, SUITE 202, JACKSONVILLE, FL 322231613 (Tel: 9048802424)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as GERALD STEVENS, ATC, LAT

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

Specialist/Technologist (License #AL 428 in FL)

🟢
Initial NPI Registration & Enumeration November 11, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.