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

Individual provider Athletic Trainer · NPI 1619391091

Theodora Scott, MS, ATC, LAT is an Athletic Trainer in Daytona Beach, Florida. Practices as a sole proprietor. Licensed in Florida and North Carolina.

Licensed in
FL, NC
In the registry since
2014
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

640 Mary McLeod Bethune Blvd
Daytona Beach, FL 32114-3211
Phone: (386) 481-2282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AL5323 (FL)
Athletic Trainer Taxonomy 2255A2300X · Licence 2211 (NC)

Record details

NPI number1619391091
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , ATC , LAT
Sole proprietorYes
NPI enumeratedFebruary 6, 2014
Last updated in NPPESFebruary 12, 2021
Certification dateJanuary 27, 2021

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