Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649774027 Individual Practitioner Male Practitioner

Johan Samir Mussa , LAT, ATC

Specialist/Technologist - Athletic Trainer • Orlando, FL

Professional Overview & Biography Verified Profile Summary

Johan Mussa, LAT, ATC is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Orlando, FL. Practice services are available at 4000 CENTRAL FLORIDA BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4000 Central Florida Blvd

Orlando, FL 328168005

Telephone 4078232408
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

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

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.7 Yrs
Regional Practice Density
197 Specialists

Practicing in Orlando, 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

CMS Verified: 2026-02-24
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License FL 6784

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.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Katherine Conklin , ATC

Specialist/Technologist - Athletic Trainer

NPI 1043626708

Certified Athletic Trainer

Dynesha Peterson , LAT, ATC

Specialist/Technologist - Athletic Trainer

NPI 1083173249

Licensed Athletic Trainer, Certified Athletic Trainer

Gabrielle Bell , ATC

Specialist/Technologist - Athletic Trainer

NPI 1477968048

Certified Athletic Trainer

Alison Stevens , ATC, LAT, SPT

Specialist/Technologist - Athletic Trainer

NPI 1588135362

Certified Athletic Trainer, Licensed Athletic Trainer, SPT

Michael Taylor

Specialist/Technologist - Athletic Trainer

NPI 1598020794

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location February 24, 2026

Registered at 4000 CENTRAL FLORIDA BLVD, ORLANDO, FL 328168005 (Tel: 4078232408)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2026

Specialist/Technologist (License #6784 in FL)

📍
Updated Practice Location November 16, 2023

Registered at 11500 FENWAY SOUTH DR, FORT MYERS, FL 339139830 (Tel: 8777337699)

📍
Updated Business Mailing Address November 16, 2023

Registered at 4612 PARK EDEN CIR, ORLANDO, FL 328101903 (Tel: 7873612019)

👤
Provider Name / Credentials Updated November 16, 2023

Recorded as JOHAN MUSSA, LAT, ATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2023

Specialist/Technologist (License #3215 in MA)

NPI Profile Active March 21, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 21, 2018

Registered at 263 ALDEN ST, SPRINGFIELD, MA 011093707 (Tel: 7873612019)

📍
Updated Business Mailing Address March 21, 2018

Registered at 263 ALDEN ST, SPRINGFIELD, MA 011093707 (Tel: 7873612019)

👤
Provider Name / Credentials Updated March 21, 2018

Recorded as JOHJAN MUSSA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 21, 2018

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: 1649774027
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2018
Last Update: February 24, 2026
Sole Proprietor: No

Mailing Address

4612 Park Eden Cir

Orlando, FL 328101903

Phone: 7873612019

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.