Raymond Beltz Jr., LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0801 Issued in NC

Practice address

200 Baker Dr
Davidson, NC 28035-7158

Phone

(704) 894-2829

Fax

(704) 894-2802

NPI assigned

Aug 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073524716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13303 TOKA CT",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785419",
            "telephone_number": "704-562-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BAKER DR",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280357158",
            "telephone_number": "704-894-2829",
            "fax_number": "704-894-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELTZ",
        "first_name": "RAYMOND",
        "name_suffix": "Jr.",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "0801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Allen Batchelor, MD
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• Robert Bauer, DO
• Ronnie T. Beamon, MD
• Belight Holistic Psychotherapy & Wellness, PLLC
• Benchmark Physical Therapy of NC, LLC
• Tina Marie Berisha, L.AC
• Cory Blake
• Blossom Child Therapy PLLC
• Blossom Families Inc

• Athletic Trainer in Davidson, NC
• Providers in Davidson, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.