Collyn Reaume, AT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601000277 Issued in MI

Practice address

1501 N Beech Daly Rd
Dearborn Heights, MI 48127-3403

Phone

(586) 604-7819

NPI assigned

Nov 10, 2011

Sex

Male

Sole proprietor

Yes

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": "1320883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1093092660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 E 5TH ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672903",
            "telephone_number": "586-604-7819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N BEECH DALY RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273403",
            "telephone_number": "586-604-7819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAUME",
        "first_name": "COLLYN",
        "credential": "AT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-10",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601000277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmad Rahal
• America Maged Rahimee, PA-C
• Fuad Mohamed Rahimee, M.D.
• Hussein Raychouni, PHARMD
• Lynda Rayos, DO
• Tashawa Reaves
• Redford Optical Inc.
• Tihesha Redmond
• Mary Alice Reed
• Samia Reed

• Athletic Trainer in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.