Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Jacob Roush

Individual provider Athletic Trainer · NPI 1780210062

Andrew Jacob Roush is an Athletic Trainer in Gainesville, Florida. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2020
Specialties on file
2

Practice location Address checks out

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone: (352) 265-9593
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X · Licence 2000038169 (UT)

Record details

NPI number1780210062
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 18, 2020
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026
Mailing address7138 Sw 80th Ter, Gainesville, FL 32608-8412

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