Active NPI
Nathan Colpitts, LAT, ATC, CSCS
- Athletic Trainer
- Saco, ME
National Provider Identifier
1073079406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT640
- Practice address
- 12 Thornton Ave
Saco, ME 04072-2891 - Phone
- (207) 294-8448
- NPI assigned
- Feb 11, 2019
- Last updated
- Feb 11, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT640 | ME | Primary |
Addresses
Primary practice location
12 Thornton Ave
Saco, ME 04072-2891
Mailing address
40 Rosewood Dr
Saco, ME 04072-3164
Other practice location 1
134 Old Alfred Rd
East Waterboro, ME 04030-5110
Phone (207) 247-6121
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 |
|---|---|---|---|
| AT640 | ME | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Past | Accepting new patients | |
| Mainehealth | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MaineHealth Pharmacy Brighton Ave
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Skilled Nursing Facility
- Sanford, ME
- NPI 1447342209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1073079406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 ROSEWOOD DR",
"city": "SACO",
"state": "ME",
"postal_code": "040723164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 THORNTON AVE",
"city": "SACO",
"state": "ME",
"postal_code": "040722891",
"telephone_number": "207-294-8448"
}
],
"practiceLocations": [
{
"address_1": "134 Old Alfred Rd",
"address_purpose": "LOCATION",
"city": "East Waterboro",
"state": "ME",
"postal_code": "040305110",
"country_code": "US",
"telephone_number": "207-247-6121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLPITTS",
"first_name": "NATHAN",
"name_prefix": "Mr.",
"credential": "LAT, ATC, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-11",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "ME",
"license": "AT640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saco, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.