Active NPI
Kasey Alan Thrush
- Athletic Trainer
- Milford, IL
National Provider Identifier
1003209743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- T62050193310
- Practice address
- 507 E Irving St
Milford, IL 60953-1141 - Phone
- (815) 592-4936
- NPI assigned
- Mar 5, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | T62050193310 | IL | Primary |
Addresses
Primary practice location
507 E Irving St
Milford, IL 60953-1141
Mailing address
507 E Irving Street
Milford, IL 60953
Phone (815) 592-4936
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T62050193310 | IL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425513600000",
"number": "1003209743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 E IRVING STREET",
"city": "MILFORD",
"state": "IL",
"postal_code": "60953",
"telephone_number": "815-592-4936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 E IRVING ST",
"city": "MILFORD",
"state": "IL",
"postal_code": "609531141",
"telephone_number": "815-592-4936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THRUSH",
"first_name": "KASEY",
"middle_name": "ALAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-05",
"last_updated": "2015-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": "T62050193310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.