Thomas M Halloran, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

LAT-3637 Issued in NC

Practice address

8918 Blakeney Professional Dr Ste 120
Charlotte, NC 28277-6692

Phone

(704) 900-8960

NPI assigned

Feb 5, 2018

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

Other identifiers 1

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": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517788800000",
    "number": "1083113120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 PARK RD APT 357",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093880",
            "telephone_number": "704-962-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8918 BLAKENEY PROFESSIONAL DR STE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776692",
            "telephone_number": "704-900-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLORAN",
        "first_name": "THOMAS",
        "middle_name": "M",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-05",
        "last_updated": "2018-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "LAT-3637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBATE",
            "identifier": "LAT-3637",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Haller, D.D.S.
• Mary Collins Halligan, MSP, CCC-SLP
• Olivia W. Hallmark
• Anna Lillian Hallock, PA-C
• Sarah Hallock
• Caril Elizabeth Halmrast
• Halo Havens Residential LLC
• Halo Home Care LLC
• Halos Counseling (Halos Counseling Charlotte)
• Tara Lynn Halpin, PA

• Athletic Trainer in Charlotte, NC
• Providers in Charlotte, 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 Feb 5, 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.