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General NPI Number Information
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NPI Number | 1659023281
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Entity Type | Organization
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Legal Business Name | ORTHO ATHLETE LLC
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Dates
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Enumeration Date | 01/25/2022
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 12268 TAMIAMI TRL E STE 302
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City | NAPLES
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State | FL
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Zip | 34113-7946
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Country | US
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Telephone | 802-363-8745
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Fax |
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Provider Business Mailing Address
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Address Line | 4474 CALDERA CIR
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City | NAPLES
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State | FL
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Zip | 34119-9057
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Country | US
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Telephone | 802-363-8745
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERIK HEMMETT
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Credential | DC
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Telephone | 802-363-8745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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