Active NPI
Daniel Aaron Massirer, LAT, ATC
- Athletic Trainer
- Paragould, AR
National Provider Identifier
1013304203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 813
- Practice address
- 1701 W Court St
Paragould, AR 72450-4093 - Phone
- (870) 240-2271
- NPI assigned
- Apr 25, 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 | 813 | AR | Primary |
Addresses
Primary practice location
1701 W Court St
Paragould, AR 72450-4093
Mailing address
3518 E Thomas Green Rd
Jonesboro, AR 72405-8217
Phone (501) 837-1525
Other practice location 1
900 W Kingshighway
Paragould, AR 72450-5942
Phone (501) 837-1525
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 |
|---|---|---|---|
| 813 | AR | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595203200000",
"number": "1013304203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3518 E THOMAS GREEN RD",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724058217",
"telephone_number": "501-837-1525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 W COURT ST",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724504093",
"telephone_number": "870-240-2271"
}
],
"practiceLocations": [
{
"address_1": "900 W Kingshighway",
"address_purpose": "LOCATION",
"city": "Paragould",
"state": "AR",
"postal_code": "724505942",
"country_code": "US",
"telephone_number": "501-837-1525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASSIRER",
"first_name": "DANIEL",
"middle_name": "AARON",
"name_prefix": "Mr.",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-25",
"last_updated": "2020-07-20",
"certification_date": "2020-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AR",
"license": "813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paragould, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.