Michael McCafferty

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2175 State Route 131
Fayetteville, OH 45118-9208

Phone

(513) 315-1759

NPI assigned

Jun 24, 2016

Last updated

Jun 24, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1003267626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 STATE ROUTE 131",
            "city": "FAYETTEVILLE",
            "state": "OH",
            "postal_code": "451189208",
            "telephone_number": "513-315-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 STATE ROUTE 131",
            "city": "FAYETTEVILLE",
            "state": "OH",
            "postal_code": "451189208",
            "telephone_number": "513-315-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAFFERTY",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Lynn Johnson
• Dale Anthony Kirby
• Morgan Klette
• Matt Joseph Landock
• Kathleen Mason, OT
• Kristin R Paulus, CPM
• Mallory Grace Carol Pope, R.N.
• Lori Prine, MA-CCC, SLP
• Brittany Danielle Reeves
• Chelsie Reeves

• Athletic Trainer in Fayetteville, OH
• Providers in Fayetteville, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.