Mike Ralph Sitler, EDD, ATC, FNATA

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT000632B Issued in PA

Practice address

1800 N Broad St
Philadelphia, PA 19121-3302

Phone

(215) 204-1950

NPI assigned

Sep 7, 2017

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

State licenses

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504742400000",
    "number": "1013435312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 SUNSET DR",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541857",
            "telephone_number": "215-953-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191213302",
            "telephone_number": "215-204-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITLER",
        "first_name": "MIKE",
        "middle_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "EDD, ATC, FNATA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-07",
        "last_updated": "2017-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT000632B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sit With Meghan, LLC
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• Claire Sitarz, LSW
• Sophia Sithya, MD
• Ramona Sitko, LCSW
• Elizabeth Ann Sitter, MD
• Robert David Sitzler, D.C.
• Youck Jen Siu Navarro, MD
• Karen Siu, PHARMD
• Sonia L. Siu, MD

• Athletic Trainer in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; 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.