Individual provider Active NPI

Claire Louise Kurtenbach, ATC

  • Athletic Trainer
  • Burke, VA
National Provider Identifier
1073759957
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
0126001194 Issued in VA
Practice address
5825 Cove Landing Rd Apt 303
Burke, VA 22015-4701
Phone
(615) 927-4421
NPI assigned
Dec 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT001432 GA
Athletic Trainer 2255A2300X 0126001194 VA Primary

Addresses

Primary practice location

5825 Cove Landing Rd Apt 303
Burke, VA 22015-4701

Mailing address

5825 Cove Landing Rd Apt 303
Burke, VA 22015-4701
Phone (615) 927-4421

Other practice location 1

201 Turner McCall Blvd NW
Rome, GA 30165-2545
Phone (706) 235-2727

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

LicenseStateTypeSpecialty
AT001432GAMDAthletic Trainer
0126001194VAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Rehabilitation and Consulting Athletic Trainer Past Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1230249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1073759957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 COVE LANDING RD APT 303",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154701",
            "telephone_number": "615-927-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 COVE LANDING RD APT 303",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154701",
            "telephone_number": "615-927-4421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Turner McCall Blvd NW",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "301652545",
            "country_code": "US",
            "telephone_number": "706-235-2727",
            "fax_number": "706-235-2726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURTENBACH",
        "first_name": "CLAIRE",
        "middle_name": "LOUISE",
        "name_prefix": "Miss",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT001432",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126001194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.