Active NPI
Arthur Entwistle IV, MED, ATC, LAT
- Athletic Trainer
- East Greenwich, RI
National Provider Identifier
1013375377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT00254
- Practice address
- 530 Ives Rd
East Greenwich, RI 02818-4609 - Phone
- (401) 884-9070
- NPI assigned
- Feb 2, 2016
- 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 | AT00254 | RI | Primary |
Addresses
Primary practice location
530 Ives Rd
East Greenwich, RI 02818-4609
Mailing address
136 Botka Dr
Charlestown, RI 02813-3703
Phone (401) 556-4305
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT00254 | RI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454371200000",
"number": "1013375377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 BOTKA DR",
"city": "CHARLESTOWN",
"state": "RI",
"postal_code": "028133703",
"telephone_number": "401-556-4305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 IVES RD",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028184609",
"telephone_number": "401-884-9070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENTWISTLE",
"first_name": "ARTHUR",
"name_prefix": "Mr.",
"name_suffix": "IV",
"credential": "MED, ATC, LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-02",
"last_updated": "2016-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "RI",
"license": "AT00254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Greenwich, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.