Active NPI
Christian Klucsarits
- Athletic Trainer
- West Chester, PA
National Provider Identifier
1063979227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT007066
- Practice address
- 855 S New St
West Chester, PA 19383-0001 - Phone
- (610) 436-2825
- NPI assigned
- Feb 25, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | RT007066 | PA | Primary |
Addresses
Primary practice location
855 S New St
West Chester, PA 19383-0001
Mailing address
855 S New St
West Chester, PA 19383-0001
Phone (610) 436-2825
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RT007066 | Other | PA | OTHER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT007066 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551052800000",
"number": "1063979227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 S NEW ST",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193830001",
"telephone_number": "610-436-2825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 S NEW ST",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193830001",
"telephone_number": "610-436-2825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLUCSARITS",
"first_name": "CHRISTIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-25",
"last_updated": "2019-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT007066",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER",
"identifier": "RT007066",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.