IndividualActive
Miranda Lee, MS, LAT, ATC
NPI 1629702089 · Athletic Trainer · Daytona Beach, FL
Provider details
- NPI number
- 1629702089
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, LAT, ATC
- Sex
- Female
- Sole proprietor
- No
- License
- AL6346 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1200 W International Speedway Blvd
Daytona Beach, FL 32114-2817
Phone: (386) 506-3989
Street-level locationGet directions
Mailing address
2330 Sw Williston Rd Apt 813
Gainesville, FL 32608-4028
Additional practice locations (1)
- 230 Sands Parc Blvd Apt 307Daytona Beach, FL 32117-0052Phone: (860) 986-4532
Registry dates
- Enumerated
- 2022-07-12
- Last updated
- 2025-06-20
- Certified
- 2025-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.