Active NPI
Christopher R Durr, MS, LAT, ATC
- Athletic Trainer
- College Park, MD
National Provider Identifier
1043758386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- A0001197
- Practice address
- 4068 Fieldhouse Drive
College Park, MD 20742-1590 - Phone
- (301) 314-9906
- NPI assigned
- Feb 7, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Athletic Trainer | 2255A2300X | 36002878A | IN | |
| Athletic Trainer | 2255A2300X | A0001197 | MD | Primary |
Addresses
Primary practice location
4068 Fieldhouse Drive
College Park, MD 20742-1590
Mailing address
32 Susan Dr
Poughquag, NY 12570-4943
Phone (845) 392-6504
Other practice location 1
953 Danby Rd
Ithaca, NY 14850-7000
Phone (607) 274-3011
Other practice location 2
1001 E 17th St
Bloomington, IN 47408-1590
Phone (812) 855-4509
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36002878A | IN | MD | Athletic Trainer |
| A0001197 | MD | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588896000000",
"number": "1043758386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 SUSAN DR",
"city": "POUGHQUAG",
"state": "NY",
"postal_code": "125704943",
"telephone_number": "845-392-6504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4068 FIELDHOUSE DRIVE",
"city": "COLLEGE PARK",
"state": "MD",
"postal_code": "207421590",
"telephone_number": "301-314-9906"
}
],
"practiceLocations": [
{
"address_1": "953 Danby Rd",
"address_purpose": "LOCATION",
"city": "Ithaca",
"state": "NY",
"postal_code": "148507000",
"country_code": "US",
"telephone_number": "607-274-3011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1001 E 17th St",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IN",
"postal_code": "474081590",
"country_code": "US",
"telephone_number": "812-855-4509",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DURR",
"first_name": "CHRISTOPHER",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "MS, LAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-07",
"last_updated": "2020-05-08",
"certification_date": "2020-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36002878A",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MD",
"license": "A0001197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in College Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.