NPIMap

Organization Active NPI

Washington University in St. Louis

Doing business as Athletic Therapy & Rehabilitation Departmen

  • Athletic Trainer
  • Saint Louis, MO
National Provider Identifier
1053593319
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
00062 Issued in MO
Legal business name
WASHINGTON UNIVERSITY IN ST. LOUIS
Doing business as
Athletic Therapy & Rehabilitation Departmen
Practice address
1 Brookings Dr
Campus Box 1067
Saint Louis, MO 63130-4862
Phone
(314) 935-6461
NPI assigned
Nov 28, 2007
Last updated
Nov 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Rick Larsen, L.A.T.
Title
Head Athletic Trainer
Phone
(314) 935-6461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 00062 MO Primary

Addresses

Primary practice location

1 Brookings Dr
Campus Box 1067
Saint Louis, MO 63130-4862

Mailing address

1 Brookings Dr
Campus Box 1067
Saint Louis, MO 63130-4862
Phone (314) 935-6461

Other names 1

  • Athletic Therapy & Rehabilitation Departmen Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Div Orthopedic Surgery81 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

Locations

1 Brookings Dr
#1067
Saint Louis, MO 63130
Phone (314) 935-6461

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1053593319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKINGS DR",
            "address_2": "CAMPUS BOX 1067",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631304862",
            "telephone_number": "314-935-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKINGS DR",
            "address_2": "CAMPUS BOX 1067",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631304862",
            "telephone_number": "314-935-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON UNIVERSITY IN ST. LOUIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "HEAD ATHLETIC TRAINER",
        "authorized_official_telephone_number": "314-935-6461",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.A.T."
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "00062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athletic Therapy & Rehabilitation Departmen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.