JACOB KOTLICKY (ATC/LAT) – Athletic Trainer, NPI 1720494644

JACOB KOTLICKY (ATC/LAT) is a healthcare provider. based in Hollywood, Florida. specializing in Athletic Trainer. They hold the professional credentials ATC/LAT. They hold a License No. AL2874 (FL). The NPI Number for JACOB KOTLICKY (ATC/LAT) is 1720494644

Main info

Male
Sole Proprietor
Name
JACOB KOTLICKY (ATC/LAT)
NPI
1720494644
Phone
(954) 594-1883
Address
3403 ISLAND RD
Enumeration Date
11 July 2014
Last Update Date
11 July 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for JACOB KOTLICKY (ATC/LAT)

  • 3403 ISLAND RD

    HOLLYWOOD, FL 330261249

    Phone: (954) 594-1883

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33026)

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Reviews

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Frequently asked questions

What is JACOB KOTLICKY (ATC/LAT)'s NPI number?
JACOB KOTLICKY (ATC/LAT)'s NPI is 1720494644 — the number used across U.S. healthcare to identify this provider.
Is there an active status for JACOB KOTLICKY (ATC/LAT)?
For scheduling context, JACOB KOTLICKY (ATC/LAT) is shown as active in the registry.
What area of care is associated with JACOB KOTLICKY (ATC/LAT)?
JACOB KOTLICKY (ATC/LAT)'s record emphasizes Athletic Trainer. Clinical services aligned with this taxonomy classification.
Is JACOB KOTLICKY (ATC/LAT) associated with Hollywood?
Public fields place JACOB KOTLICKY (ATC/LAT) around Hollywood, Florida. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for JACOB KOTLICKY (ATC/LAT) is noted as July 11, 2014 where the registry provides it.

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