Nicholas Mirabito
Individual provider Active NPI Athletic Trainer · Bath, PA
NPI 1023536653 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1023536653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 270 E Northampton St
Bath, PA 18014 - Phone
- (484) 894-2142
- NPI assigned
- Sep 4, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
270 E Northampton St
Bath, PA 18014
Mailing address
270 E Northampton St
Bath, PA 18014
Phone (484) 894-2142
Other providers in Bath, PA
- Ronald J Lewullis
- Sarah McKinnon
- Courtney Lynn Miller
- Ann Fantauzzi Millett
- Gerald Kermit Millheim
- Laura Jean Moyer
- Ruvarashe Munyariwa
- Venugopal Narramneni
- Brent M Nickischer
- Northern Lehigh Primary Care
All providers in Bath, PA · Athletic Trainer in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.